[Code of Federal Regulations] [Title 7, Volume 6] [Revised as of January 1, 2003] From the U.S. Government Printing Office via GPO Access [CITE: 7CFR400.66] [Page 15-17] TITLE 7--AGRICULTURE CHAPTER IV--FEDERAL CROP INSURANCE CORPORATION, DEPARTMENT OF AGRICULTURE PART 400--GENERAL ADMINISTRATIVE REGULATIONS--Table of Contents Subpart H--Information Collection Requirements Under the Paperwork Reduction Act; OMB Control Numbers Sec. 400.66 Display. (a) Crop Insurance Regulations promulgated by FCIC and contained in 7 [[Page 16]] CFR part 400 et seq., contain the following statement: OMB Control Numbers The OMB control numbers are contained in subpart H of part 400, title 7 CFR. (b) Specific report title and agency forms approved by OMB are as follows: ---------------------------------------------------------------------------------------------------------------- Expiration FCI No. Form title OMB No. date ---------------------------------------------------------------------------------------------------------------- FCI-3........................................ Collector's Contact Report............. 0563-0043 8-31-94 FCI-5........................................ Contract Price Election Agreement 0563-0021 6-30-94 Option for Non-Quota (additional) Peanuts. FCI-5........................................ Request for Actuarial Change........... 0563-0042 9-30-94 FCI-5-A...................................... Request for Actuarial Change 0563-0042 9-30-94 Continuation Sheet. FCI-6........................................ Statement of Facts..................... 0563-0027 6-30-94 FCI-9........................................ Late Planting Agreement................ 0563-0023 6-30-94 FCI-12....................................... Crop Insurance Application............. 0563-0003 3-31-93 FCI-12-A..................................... Contract Changes....................... 0563-0025 7-31-94 FCI-12-P..................................... Pre-Acceptance Perennial Crop 0563-0031 7-31-94 Inspection Report. FCI-19....................................... Crop Insurance Acreage Report.......... 0563-0001 2-28-95 FCI-19-A..................................... Actual Production History Review....... 0563-0036 7-31-94 FCI-19-A..................................... Production and Yield Report............ 0563-0029 7-31-94 FCI-19-C..................................... Texas Citrus Grove Inspection Report... 0563-0017 4-30-95 FCI-20....................................... Application for Assignment of Indemnity 0563-0014 12-31-93 FCI-21....................................... Transfer of Right to an Indemnity...... 0563-0014 12-31-93 FCI-63....................................... Claim for Citrus Indemnity............. 0563-0007 2-28-95 FCI-63-A..................................... Claim for Raisin Indemnity............. 0563-0007 2-28-95 FCI-63-A..................................... Notice of Damage--Raisins.............. 0563-0035 8-31-94 FCI-63-A..................................... Adjuster's Florida Citrus Worksheet.... 0563-0016 4-30-95 FCI-63-B..................................... Tabulation of Production Records from 0563-0044 9-30-94 Individual Load Certificates. FCI-73....................................... Certiication Form...................... 0563-0033 7-31-94 FCI-74....................................... Field Inspection and Claim for 0563-0007 2-28-95 Indemnity. FCI-74....................................... Field Inspection and Claim for 0563-0007 2-28-95 Indemnity (Continuation Sheet). FCI-74-T-P-C................................. Field Inspection and Claim for 0563-0007 2-28-95 Indemnity (Tobacco, Peanuts, and Cotton). FCI-74-T-P-C................................. Field Inspection Claim for Indemnity 0563-0007 2-28-95 (Continuation Sheet). FCI-74-A..................................... Adjuster's Apple Worksheet............. 0563-0016 4-30-95 FCI-74-A..................................... Beans and Peas Appraisal Worksheet..... 0563-0016 4-30-95 FCI-74-A..................................... Citrus Appraisal Worksheet............. 0563-0016 4-30-95 FCI-74-A..................................... Stand Reduction and Hail Appraisal 0563-0016 4-30-95 Worksheet. FCI-74-A..................................... Nut Tree Appraisal Worksheet........... 0563-0016 4-30-95 FCI-74-A..................................... Adjuster's Citrus Worksheet............ 0563-0016 4-30-95 FCI-74-A..................................... Corn, Grain Sorghum, and Silage 0563-0016 4-30-95 Appraisal Worksheet. FCI-74-A..................................... Cotton Appraisal Worksheet............. 0563-0016 4-30-95 FCI-74-A..................................... Fig Appraisal Worksheet................ 0563-0016 4-30-95 FCI-74-A..................................... Flax Appraisal Worksheet............... 0563-0016 4-30-95 FCI-74-A..................................... Forage Seeding Appraisal Worksheet..... 0563-0016 4-30-95 FCI-74-A..................................... Fresh Sweet Corn Appraisal Worksheet... 0563-0016 4-30-95 FCI-74-A..................................... Table Grape Appraisal Worksheet........ 0563-0016 4-30-95 FCI-74-A..................................... Peanut Appraisal Worksheet............. 0563-0016 4-30-95 FCI-74-A..................................... Pear Appraisal Worksheet............... 0563-0016 4-30-95 FCI-74-A..................................... Peppers, Fresh Tomatoes Appraisal 0563-0016 4-30-95 Worksheet. FCI-74-A..................................... Fresh Plums Appraisal Worksheet........ 0563-0016 4-30-95 FCI-74-A..................................... Potato Appraisal Worksheet............. 0563-0016 4-30-95 FCI-74-A..................................... Prune Appraisal Worksheet.............. 0563-0016 4-30-95 FCI-74-A..................................... Safflower Appraisal Worksheet.......... 0563-0016 4-30-95 FCI-74-A..................................... Wheat, Barley, Oats, Rye, Rice 0563-0016 4-30-95 Appraisal Worksheet. FCI-74-A..................................... Soybean Appraisal Worksheet............ 0563-0016 4-30-95 FCI-74-A..................................... Stonefruit Appraisal Worksheet......... 0563-0016 4-30-95 FCI-74-A..................................... Sugar Beet Appraisal Worksheet......... 0563-0016 4-30-95 FCI-74-A..................................... Sugarcane Appraisal Worksheet.......... 0563-0016 4-30-95 FCI-74-A..................................... Sunflower Appraisal Worksheet.......... 0563-0016 4-30-95 [[Page 17]] FCI-74-A..................................... Tobacco Appraisal Worksheet............ 0563-0016 4-30-95 FCI-74-A..................................... Adjuster's Peach Worksheet............. 0563-0016 4-30-95 FCI-74-A..................................... Adjuster's Tomato Worksheet............ 0563-0016 4-30-95 FCI-74-A..................................... Texas Citrus Tree Appraisal Worksheet.. 0563-0016 4-30-95 FCI-74-A..................................... Macadamia Tree Worksheet............... 0563-0028 6-30-94 FCI-74-A..................................... Macadamia Tree Worksheet (continuation) 0563-0028 6-30-94 FCI-74-A..................................... Random Path Appraisal Worksheet........ 0563-0039 8-31-94 FCI-74-B..................................... Adjuster's Apple Worksheet............. 0563-0016 4-30-95 FCI-74-B..................................... Peanut Computation Sheet............... 0563-0041 9-30-94 FCI-74-B..................................... Stand Reduction Appraisal Worksheet.... 0563-0016 4-30-95 FCI-74-B..................................... Fresh Tomatoes Appraisal Worksheet..... 0563-0016 4-30-95 FCI-74-B..................................... Peppers Appraisal Worksheet............ 0563-0016 4-30-95 FCI-74-B..................................... Cotton Claim for Indemnity............. 0563-0014 12-31-93 FCI-74-C..................................... Summary of Harvested Production........ 0563-0040 8-31-94 FCI-74-C..................................... Hail Damage Appraisal Worksheet........ 0563-0016 4-30-95 FCI-78....................................... Request to Exclude Hail and Fire....... 0563-0032 6-30-94 FCI-78-A..................................... Request to Exclude Hail and Fire....... 0563-0032 6-30-94 FCI-505...................................... Potato Crop Insurance Policy--Certified 0563-0029 6-30-94 Seed Potato Option Amendment. FCI-506...................................... Apple Fresh Fruit Option............... 0563-0020 6-30-94 FCI-513...................................... Waiver to Transfer Segregation II and 0563-0026 7-31-94 III Peanuts to Quota Loan. FCI-514...................................... Malting Barley Option.................. 0563-0020 6-30-94 FCI-523...................................... Potato Quality Option.................. 0563-0020 6-30-94 FCI-527...................................... Planting Record--Fresh Sweet Corn...... 0563-0022 6-30-94 FCI-528...................................... Planting Record--Peppers............... 0563-0022 6-30-94 FCI-529...................................... Planting Record--Tomatoes (Fresh Market 0563-0022 6-30-94 Dollar). FCI-530...................................... Upland/ELS Cotton Program/ 0563-0038 8-31-94 Identification of Cotton Prod. FCI-532...................................... Power of Attorney...................... 0563-0030 8-31-94 FCI-535...................................... Wheat Crop Insurance--Winter Coverage 0563-0020 6-30-94 Option. FCI-539...................................... Apple Sunburn Option................... 0563-0020 6-30-94 FCI-541...................................... Corn Silage Option..................... 0563-0020 6-30-94 FCI-544...................................... Underwriting Questionnaire (Container 0563-0034 7-31-94 Stock Only). FCI-545...................................... Nursey Container Report................ 0563-0034 7-31-94 FCI-546...................................... Nursey Crop Insurance Inventory Summary 0563-0034 7-31-94 FCI-547...................................... Potato Crop Ins. Policy--Processing 0563-0020 6-30-94 Potato Quality Option. FCI-548...................................... Potato Crop Ins. Policy--Frost/Freeze 0563-0020 6-30-94 Potato Option. FCI-549...................................... High-Risk Land Exclusion Option........ 0563-0018 6-30-95 FCI-550...................................... Fresh Market Tomato Minimum Value 0563-0020 6-30-94 Option. FCI-551...................................... Raisin Conditioning Pool--Production to 0563-0035 8-31-94 Count. FCI-552...................................... Self-Certification Replant Worksheet... 0563-0037 8-31-94 FCI-553...................................... Unit Division Option................... 0563-0001 2-28-95 FCI-554...................................... Macadamia Orchard Inspection Report.... 0563-0015 4-30-95 FCI-555...................................... Peach Producer's Picking Records....... 0563-0024 6-30-94 FCI-819...................................... Raisin Supplement--Tonnage Report...... 0563-0035 8-31-94 ---------------------------------------------------------------------------------------------------------------- [56 FR 49390, Sept. 30, 1991, as amended at 58 FR 13531, Mar. 12, 1993] Subpart I [Reserved]