Information Collection

Coronavirus Food Assistance Program (CFAP)

IC 244891 under ICR 202012-0560-002 · OMB 0560-0299.

Documents and Forms

Document Name Document Type
AD3117 instruction .pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0942Egov_instruction.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
AD3117eGov_01-19-21V01_SPA.docx forms.sc.egov.usda.gov/eforms/mainservlet Instruction
AD-3117 CORONAVIRUS FOOD ASSISTANCE Program 2.0 AD3117_20XXXXV01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-901 Member's Information CCC0901_190416V01 (2).pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-902I FARM OPERATING PLAN FOR AN INDIVIDUAL CCC0902I_200928V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-902E FARM OPERATING PLAN FOR AN ENTITY CCC0902E_200928V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CO CCC0941_200921V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-942 CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORES CCC0942_200812V02.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
AD-3117 Spanish fo CFAP 2.0 AD3117_210119V01 UNLOCKED_SPA.docx forms.sc.egov.usda.gov/eforms/mainservlet Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Coronavirus Food Assistance Program (CFAP)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 9

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-3117	CORONAVIRUS FOOD ASSISTANCE Program 2.0	AD3117_20XXXXV01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction			AD3117 instruction .pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	CCC-901	Member's Information	CCC0901_190416V01 (2).pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	CCC-902I	FARM OPERATING PLAN FOR AN INDIVIDUAL	CCC0902I_200928V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	CCC-902E	FARM OPERATING PLAN FOR AN ENTITY	CCC0902E_200928V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	CCC-941	AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION	CCC0941_200921V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	CCC-942	CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS	CCC0942_200812V02.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction			CCC0942Egov_instruction.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	AD-3117 Spanish form	CFAP 2.0	AD3117_210119V01 UNLOCKED_SPA.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Fileable
Instruction			AD3117eGov_01-19-21V01_SPA.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 181,600	Number of Respondents for Small Entity: 4,057

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	291,179	291,179
Annual IC Time Burden (Hours)	49,385	49,385
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.