The above statements are made in accordance with the Privacy Act of 1974 (5 U.S.C 522a). Furnishing this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or
withdrawal of such technical or financial assistance. The information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or other State or Federal law enforcement agencies,
or in response to orders of a court, magistrate, or administrative tribunal.
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1. To be completed by NRCS; check appropriate box:
This transaction is for CCC.
This transaction is for NRCS.
The signature by the NRCS representative signifies a CCC or NRCS transaction as indicated above.
U. S. DEPARTMENT OF AGRICULTURE
CONSERVATION PLAN
SCHEDULE OF OPERATIONS
Former CCC-1252A, NRCS-LTP-11A
3. NAME
4. COUNTY
5. STATE
6. CONTRACT OR
AGREEMENT NO.
7. TOTAL ACRES UNDER
CONTRACT
ITEM
NO.
FIELD
PLANNED CONSERVATION
TREATMENT
(Record of Decisions)
ESTIMATED
AMOUNT
(UNITS)
COST
BASIS
$
COST SHARE
OR PAYMENT
RATE
%
COMPLETION SCHEDULE AND ESTIMATED
COST-SHARE OR PAYMENT BY YEAR
(For Non-Cost Share Items Show Units)
REF.
NO.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid
OMB control number for this information collections is 0578-0013. The time required to complete this information collection is estimated to average 0.69 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection information.
OMB DISCLOSURE STATEMENT
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, or
marital or family status. (Not all