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Federal forms, ICRs, and supporting documents

Information Collection

Farmer Bridge Assistance (FBA) Program

IC 278717 under ICR 202509-0503-001 · OMB 0503-0028.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Instruction
Form and Instruction
Form
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Farmer Bridge Assistance (FBA) Program RIN 0560-AI87; Final Rule:
 
New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction AD-1026 Highly Erodible Land Conservation (HELC) and Wetland Conservation (WC) Certification AD-1026.pdf Yes Yes Fillable Fileable Signable
Form CCC0555 FARMER BRIDGE ASSISTANCE (FBA) PROGRAM APPLICATION CCC0555_260223V01.docx Yes Yes Fillable Fileable Signable
Instruction CCC0555_eGov_260223V01.docx Yes Yes Fillable Fileable Signable
Form and Instruction CCC-901 Member Information for Legal Entities CCC-901 Member Information for Legal Entities.pdf Yes Yes Fillable Fileable Signable
Form and Instruction CCC-902E Farm Operating Plan or an Entity CCC-902E Farm Operating Plan for Legal Entities.pdf Yes Yes Fillable Fileable Signable
Form and Instruction CCC-902I Farm Operating Plan for an Individuals CCC-902I Farm Operating Plan for Individuals.pdf Yes Yes Fillable Fileable Signable
Form and Instruction CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION CCC0941_241023V02.pdf Yes Yes Fillable Fileable Signable

Economic Development Industry Sector Income Stabilization

USDA/FSA-2:   84 FR 10770

584,700 584,700
   
Private Sector Farms
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 584,700 0 584,700 0 0 0
Annual IC Time Burden (Hours) 197,921 0 197,921 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FBA Generic Justification FBA Program Generic IC Request 1.20.26 (OCIO passback 1-27-26 clean).docx 01/27/2026
FBA Estimates FBA Program 85-I 12-22-25.xlsm 01/27/2026
Power of Attorney FSA-211A.pdf 01/27/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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