Assignment Of Payment Form PDF Details

The Assignment of Payment form, officially recognized and approved by the Office of Management and Budget (OMB) under No. 0560-0183, serves as a crucial document within the U.S. Department of Agriculture (USDA), administered by the Commodity Credit Corporation (CCC). This form facilitates the transfer of payment rights from the original recipient, known as the assignor, to another party, termed the assignee. Detailed within this form is essential information including both parties’ names, addresses, and tax identification numbers, alongside specifics about the agricultural programs and the amounts assigned for each applicable year. Programs such as the Agricultural Risk Coverage (ARC), Price Loss Coverage (PLC), Conservation Reserve Program (CRP), among others, are included to cater to a wide spectrum of agricultural support mechanisms. It outlines the necessary steps and conditions for both the assignor and assignee, underscoring the importance of notifying the county Farm Service Agency (FSA) office of any changes affecting the assignment. Moreover, the form highlights the revocation process, delineating how an assignment can be terminated. The protocol showcases a structured process aimed at ensuring the correct execution of payment assignments while aligning with privacy, public burden statements, and the adherence to the Paperwork Reduction Act, thus emphasizing the USDA's commitment to efficient and accountable governance in agricultural payment management.

QuestionAnswer
Form NameAssignment Of Payment Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesassignment fsa, usda form ccc 36, any assignment payment form, ccc 36 assignment of payment 2021

Form Preview Example

This form is available electronically.

 

 

 

 

 

 

 

 

Form Approved - OMB No. 0560-0183

 

 

 

 

 

 

 

 

 

 

 

See Page 2 for Privacy Act and Public Burden Statements.

 

CCC-36

 

U.S. DEPARTMENT OF AGRICULTURE

 

 

 

(06-30-15)

 

 

Commodity Credit Corporation

 

 

 

 

 

 

 

ASSIGNMENT OF PAYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART A - GENERAL INFORMATION

 

 

 

 

 

 

 

 

 

 

 

1. Producer's (Assignor's) Name and Address (Including Zip Code)

 

 

 

2. Assignee's Name and Address (Including Zip Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Producer's (Assignor's) Tax Identification Number (9 Digit Number)

 

 

 

4. Assignee's Tax Identification Number (9 Digit Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART B - APPLICABLE PROGRAM(S)

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

6.

 

 

 

 

7.

 

Program

 

 

Assigned Amount for Each Applicable Year

 

 

State, County, and Reference

 

 

 

 

 

 

 

 

 

 

 

 

 

Number, If Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

YEAR

 

YEAR

 

YEAR

 

YEAR

 

 

Agricultural Risk Coverage (ARC)

 

AMOUNT

AMOUNT

 

AMOUNT

 

AMOUNT

 

AMOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

YEAR

 

YEAR

 

YEAR

 

YEAR

 

 

Price Loss Coverage (PLC)

 

AMOUNT

AMOUNT

 

AMOUNT

 

AMOUNT

 

AMOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

YEAR

 

YEAR

 

YEAR

 

YEAR

 

 

 

 

AMOUNT

AMOUNT

 

AMOUNT

 

AMOUNT

 

AMOUNT

 

 

Conservation Reserve Program

 

 

 

 

 

 

 

 

 

 

 

 

 

Annual Rental (CRP)

 

YEAR

YEAR

 

YEAR

 

YEAR

 

YEAR

 

 

 

 

AMOUNT

AMOUNT

 

AMOUNT

 

AMOUNT

 

AMOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Emergency Assistance Livestock

 

YEAR

YEAR

 

YEAR

 

YEAR

 

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Honey Bee and Farm-Raised Fish

 

AMOUNT

AMOUNT

 

AMOUNT

 

AMOUNT

 

AMOUNT

 

 

Program (ELAP)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

YEAR

 

YEAR

 

YEAR

 

YEAR

 

 

Livestock Forage Program (LFP)

 

AMOUNT

AMOUNT

 

AMOUNT

 

AMOUNT

 

AMOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

YEAR

 

YEAR

 

YEAR

 

YEAR

 

 

Livestock Indemnity Program (LIP)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AMOUNT

AMOUNT

 

AMOUNT

 

AMOUNT

 

AMOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

YEAR

 

YEAR

 

YEAR

 

YEAR

 

 

eLoan Deficiency Web Payment

 

 

 

 

 

 

 

 

 

 

 

 

 

(eLDP)

 

AMOUNT

AMOUNT

 

AMOUNT

 

AMOUNT

 

AMOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

YEAR

 

YEAR

 

YEAR

 

YEAR

 

 

Noninsured Crop Disaster

 

 

 

 

 

 

 

 

 

 

 

 

 

Assistance Program (NAP)

 

AMOUNT

AMOUNT

 

AMOUNT

 

AMOUNT

 

AMOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

9.

 

 

 

 

 

10.

 

 

11.

 

Other Program Name

 

Program Year or

 

Assigned Amount

 

State, County, and Reference Number,

 

(All CRP, other than annual rental)

Payment Year

 

 

 

 

 

If Applicable

 

 

 

 

 

 

 

$

 

 

 

 

 

PART C - REPRESENTATION OF ASSIGNOR AND ASSIGNEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In order to assign a cash payment in accordance with the programs specified by the assignor in Items 5 and 8, this form must be completed by both the assignor and the assignee. Assignment is effective for all counties unless specify on Item 7 or Item 11. This assignment is applicable only to programs publicly announced before this form is filed and is subject to the terms stated in this form and the provisions of 7 CFR Part 1404.

The assignee agrees to repay promptly to the Federal Government any amount by which the assigned payment exceeds the amount secured by the assignment. The assignor and the assignee agree that they will promptly notify the county FSA office of any change affecting this assignment. This assignment may be revoked at any time by written request signed by the assignee.

12A. Producer's (Assignor's) Signature (By)

12B.

Title/Relationship of the Individual if Signing in a Representative Capacity

12C.

Date

 

 

 

 

(MM-DD-YYYY)

 

 

 

 

 

13A. Assignee's Signature (By)

13B.

Title/Relationship of the Individual if Signing in a Representative Capacity

13C.

Date

 

 

 

 

(MM-DD-YYYY)

 

 

 

 

 

COUNTY FSA COMMITTEE

ASSIGNEE

PRODUCER

 

CCC-36 (06-30-15)

 

Page 2 of 2

 

PART D - REVOCATION OF ASSIGNMENT

 

 

 

 

 

 

 

Assignment of payment authorization above is hereby revoked.

 

 

14A. Assignee's Signature (By)

14B. Title/Relationship of the Individual if Signing in a Representative Capacity

14C. Date

(MM-DD-YYYY)

FOR COUNTY OFFICE USE ONLY

15. Receiving State and County

16.Date Filed (MM-DD-YYYY)

17. Time Filed

SPECIAL PROVISIONS RELATING TO ASSIGNMENTS

A.Assignment is effective for all counties unless a specific county is entered in Item 7 or Item 11.

B.If the assignor assigns a specified value of payments to more than one assignee:

1.CCC and FSA will recognize assignments for each program per program year or group of years if multi-year is selected.

2.Assignments will be honored in chronological sequence based on the order of filing with the county FSA office.

C.The payment due the producer may be applied first against indebtedness owing by the producer to the United States, including debts arising after the execution of a Form CCC-36, which may be offset in accordance with the regulations governing, 7 CFR Parts 3, 1403, and 1951, and any balance will be subject to assignment.

D.Neither the United States of America, the Commodity Credit Corporation, the Secretary of Agriculture, any disbursing officer, nor any other Government employee or official shall be subject to any suit or liable for payment of any amount if payment is inadvertently made to the assignor without regard to this assignment.

E.This assignment does not extend to any successor of the assignee, nor may the assignee re-assign this assignment.

F.The assignee’s payment is subject to offset for any delinquent Federal debt owed by the assignee.

18A. COUNTY FSA OFFICE NAME AND ADDRESS (Including Zip Code)

18B. TELEPHONE NO. (Including area code):

NOTE: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a – as amended). The authority for requesting the information identified on this form is 7 CFR Part 1404, the Commodity Credit Corporation Charter Act (15 U.S.C. 714 et seq.), and the Agricultural Act of 2014 (Pub. L. 113-79). The information w ill be used to assign payments made under applicable CCC or FSA programs to a designated assignee. The information collected on this form may be disclosed to other Federal, State, Local government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in applicable Routine Uses identified in the System of Records Notice for USDA/FSA-2, Farm Records File (Automated). Providing the requested information is voluntary. However, failure to furnish the requested information will result in a determination of ineligibility to assign applicable CCC or FSA program payments to a designated assignee.

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 collection is 0560-0183. The time required to complete this information collection is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. For certain programs such as ARC, PLC, CRP, ELAP, LIP, and eLDP, this information collection is exempted from the Paperwork Reduction Act as specified in the Agricultural Act of 2014 (See Pub. L. 113-79, Title I, Subtitle F, Administration and Title II, Subtitle G, Funding and Administration).RETURN THIS COMPLETED FORM TO YOUR

COUNTY FSA OFFICE.

The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the basis of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited basis will apply to all programs and/or employment activities.) Persons with disabilities, who wish to file a program complaint, write to the address below or if you require alternative means of communication for program information (e.g., Braille, large print, audiotape, etc.) please contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). Individuals who are deaf, hard of hearing, or have speech disabilities and wish to file either an EEO or program complaint, please contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish).

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter by mail to U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov. USDA is an equal opportunity provider and employer.

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1. It's important to complete the assignment fsa usda correctly, so take care when working with the segments comprising these blanks:

Simple tips to fill in any assignment ccc download portion 1

2. Just after the previous part is filled out, proceed to type in the relevant information in these: eLoan Deficiency Web Payment eLDP, Noninsured Crop Disaster, YEAR, AMOUNT, YEAR, AMOUNT, YEAR, AMOUNT, YEAR, AMOUNT, YEAR, AMOUNT, YEAR, AMOUNT, and Other Program Name.

Noninsured Crop Disaster, AMOUNT, and YEAR inside any assignment ccc download

3. This next part is focused on COUNTY FSA COMMITTEE, ASSIGNEE, and PRODUCER - fill out each one of these blank fields.

Completing part 3 in any assignment ccc download

In terms of PRODUCER and ASSIGNEE, be sure that you do everything right in this current part. These are the most important fields in the document.

4. Your next part requires your attention in the following areas: CCC PART D REVOCATION OF, B TitleRelationship of the, C Date MMDDYYYY, FOR COUNTY OFFICE USE ONLY , Date Filed MMDD YYYY, Time Filed, A Assignment is effective for all, SPECIAL PROVISIONS RELATING TO, If the assignor assigns a, Assignments will be honored in, C The payment due the producer may, D Neither the United States of, any other Government employee or, E This assignment does not extend, and F The assignees payment is subject. Remember to fill out all of the required information to move onward.

How you can fill in any assignment ccc download step 4

5. To conclude your form, the particular section features a number of extra blanks. Completing A COUNTY FSA OFFICE NAME AND, B TELEPHONE NO Including area code, The following statement is made in, and The US Department of Agriculture will wrap up the process and you'll surely be done in the blink of an eye!

The following statement is made in, B TELEPHONE NO Including area code, and A COUNTY FSA OFFICE NAME AND inside any assignment ccc download

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