Submit the original
of the completed form in hard copy or facsimile to the appropriate USDA
servicing office.
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.
|
Fld Name / |
Instruction |
|
1 Farm No. |
Enter the Farm number. Note: The farm number is assigned by the COF. |
|
2 Farmland |
Enter total farmland. |
|
3 Cropland |
Enter total cropland. |
|
4 Program Yr. |
Enter Applicable program year. |
|
5 Operator Name and Address |
Enter operator name and address. |
|
6 Other Farms |
Enter other farms for which the operator has an interest. |
|
7 Key |
Enter the key number for each Aother producer@. Note: The key is assigned to each Aother producer@ in order to easily assign producers to a field in Item 18. For example, 3 producers would be assigned key numbers of 1, 2 and 3. When indicating which producers are associated with each individual field, the key numbers would be entered in Item 18. |
|
8 Names of other Producers |
Enter the names of Aother producers@ that have an interest in the farm being reported. These names will correspond with the key numbers in Item 7. |
|
9 ID Number |
Enter the last 4 digits of the ID that corresponds with the other producers in Item 8. |
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10 Other Farms |
Enter additional farms that the Aother producer@ has an interest. |
|
11 Photo No. - Legal Description |
Enter the Photo number or legal description of the farm/tract being reported. |
|
12 Tract No. |
Enter the tract number. |
|
13 Field No. |
Enter the field number from the aerial photo. Example: If the entire field has been planted to one crop then the field number would be a whole number. If the field has been planted with several crops, then the field must be sub-divided and field numbers assigned, such as 1a, 1b and 1c. |
|
14 Crop or Land Use |
Enter the crop and type name, for the field entered. Example: Corn, some of the valid types is: Blue, Popcorn, Sweet and Yellow. Wheat, some of the valid types are Hard Amber Durum, Hard Red Spring, and Hard White Winter Note: A complete listing
of crops and types can be obtained from the |
|
15 Practice |
Enter the practice. I - Irrigated N-Non-irrigated. O-Other – O should only be used when entering Honey or Maple Sap. |
|
16 Crop Status |
Enter the status code. I B Initial S B Subsequent E - Experimental S F B Subsequent Failed P B Prevented
D B Double-cropped
I F B Initial Failed S P B Subsequent Prevented F B Failed R B Repeat I P B Initial Prevented D F B Double-cropped Failed
D P B Double-cropped Prevented |
|
17 Crop or Land use Summary |
Enter the crop and total acreage of the crop. Across the top of the form in the blanks, list the different crops that have been planted. In each corresponding box under each title crop, enter the total acreage except for the following: · maple trees, enter the number of taps followed by the letter T. · honey, enter the number of hives, followed by the letter H. Note: The maximum characters that can be entered to identify the
crop name is 12. The second row of
boxes are for determined acres. |
|
18 Key |
Enter the key number that corresponds with the correct Aother producer@ from Items 7 and 8. |
|
19 Share |
Enter the operator=s share of the crop being reported. |
|
20 Total Operator Report |
Enter the total acreage reported for each crop. |
Item 21 is for
Items 22A-23
|
Fld Name / |
Instruction |
|
22A Operator's Signature |
Enter the Operator=s signature. If you are mailing or faxing this form, print the form and manually enter your signature. If 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 USDA servicing office. |
|
22B Date |
Enter the date of the Operator=s signature. |
|
23 Remarks/ Sketched |
Enter any remarks. |