Submit the original
of the completed form in hard copy or facsimile to the administrative
Customers who have established electronic access
credentials with USDA may electronically transmit this form to the USDA
servicing office, provided that (1) the customer submitting the form is
the only person required to sign the transaction, or (2) the customer has an
approved Power of Attorney (Form FSA-211) on file with USDA to sign for other
customers for the program and type of transaction represented by this form.
Features for transmitting the form electronically
are available to those customers with access credentials only. If you would like to establish online access
credentials with USDA, follow the instructions provided at the USDA eForms web
site.
Producers must complete Items 1
through 3C, 6 through 11, 15, 17 through 19, 29 if applicable, 30A and 30B.
|
Item No./ Fld Name |
Instruction |
|
1 Crop Year |
Enter the crop year for which an approved yield will be
calculated. If unknown, contact the
local |
|
2 Unit No. |
Enter your unit number.
If unknown, contact the local |
|
3A Producer’s Name |
Enter your name on the first line. Enter the names of any other people with an interest in the crop in lines 2, 3, 4, and 5. Include additional names in Item 29. |
|
3B Telephone No. (Include Area Code) |
Enter your telephone number. Include the Area code. Format the number as 123-456-7890. |
|
3C Identification Number (Last 4 Digits) |
Enter the last 4 digits of your identification number. |
|
Item No./ Fld Name |
Instruction |
|
6 Crop Name |
Enter the name of the crop. Example: pears. |
|
7 Crop Type |
Enter the type or variety of the crop. Example: If you grow more than 1 type or variety, complete a separate CCC-452 for each type and variety. |
|
8 Planting Period |
Enter the planting period.
If unknown, contact your administrative |
|
9 FSA Practice |
Enter the practice used to produce the crop. Enter “I” for irrigated crop acreage and “N” for non-irrigated crop acreage. Complete a separate CCC-452 for each if you have both irrigated and non-irrigated crop acreage for the same crop, type, and intended use. |
|
10 Intended Use |
Enter the intended use of the planted acreage. Examples: fresh, processed, forage, grazing, dry edible, grain, etc. Note: If the harvested use is different, enter the harvested use and quantity in Item 29. If you grow the crop for more than 1 intended use, complete a separate CCC-452 for each intended use. |
|
11 Unit of Measure |
Enter the unit of measure used to quantify the production. Examples: pounds, hundredweight, tons, containers, etc. If you enter containers, lugs, etc., enter the weight of produce each container, etc. will hold. |
Items 12 through 14C are for FSA use only.
|
Item No./ Fld Name |
Instruction |
|
15 APH Crop Year |
Enter the year for which production is being certified. Enter as many years as there are years of production being certified, with the most recent year first. Example: If certifying production for 2003 and 2004, enter 2004 on the first line and 2003 on the next line. |
Item 16 is for FSA use only.
Items 17 through 19
|
Item No./ Fld Name |
Instruction |
|
17 Acres Planted |
Enter the number of acres planted for the crop year, crop, crop type, practice, and intended use. |
|
18 Actual Production |
Enter the actual production (harvested and appraised, as applicable) for the crop year, crop, type, practice, and intended use. |
|
19 Record Type |
Enter the type of record you have supporting your certification of production for the crop year, crop, type, practice, and intended use. (See “Record Types” listed under footnote 1) |
Items 20 through 28 are for FSA use only.
|
Item No./ Fld Name |
Instruction |
|
29 Remarks |
Enter additional information for any other item and other information supporting the certification. |
|
30A Signature of Producer |
Signature of Producer. If you are mailing or faxing this form, print the form and
manually enter your signature. It this
form is approved for electronic transmission and you have established
credentials with USDA to submit forms electronically, use the buttons
provided on the form for transmitting the form to the administrative |
|
30B Date |
Enter the date the form is signed. (MM-DD-YYYY) |
Items 31A through 31C are for FSA use only.