U.S. USDA Form usda-ccc-453
This form is available electronically.
CCC-453
(03-08-05)
1. Tribal Name
U.S. DEPARTMENT OF AGRICULTURE
Commodity Credit Corporation
AMERICAN INDIAN LIVESTOCK FEED PROGRAM (AILFP)
CONTRACT TO PARTICIPATE
2. County/Counties and State/States of Region
NOTE: The authority for collecting the following information is Pub. L. 108-324. This authority allows for the collection of information without prior OMB approval mandated by
the Paperwork Reduction Act of 1995. The time required to complete this information collection is estimated to average 30 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.
The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a). The authority for requesting the following information is 7 CFR Part
1439.900-.914. The information will be used to determine producer eligibility and payment amount for the American Indian Livestock Feed Program (AILFP). Furnishing
the requested information is voluntary. Failure to furnish the requested information will result in nonparticipation. This information may be provided to other agencies,
IRS, Department of Justice, or other State and Federal law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of
criminal and civil fraud statutes, including 18 USC 286, 371, 641, 651, 1001; 15 USC 714m; and 31 USC 3729, may be applicable to the information provided. RETURN
THIS COMPLETED FORM TO THE APPROPRIATE TRIBAL GOVERNMENT OR FSA COUNTY OFFICE. TRIBAL GOVERNMENTS MUST RETURN THIS
COMPLETED FORM TO THE DESIGNATED COUNTY FSA OFFICE.
THIS CONTRACT TO PARTICIPATE is entered into between the Commodity Credit Corporation (CCC) and the undersigned tribal representative of
the Indian Tribe identified in Item 1 for the acreage in the county identified above. By signing this contract, the undersigned tribe is requesting
participation in the American Indian Livestock Feed Program. By signing this contract, the tribe (1) acknowledges submission of the CCC-453, and agree
to abide by the terms contained therein, and (2) agrees to comply with the regulations contained at 7 CFR Part 1439, as well as those regulations
governing payment eligibility and payment limitation, as well as any other regulation relevant to the administration of the AILFP. This program or
activity will be conducted on a nondiscriminatory basis without regard to race, color, national origin, gender, religion, age, disability, political beliefs,
sexual orientation, and marital or family status.
3A. Normal Grazing Period - What is the
normal grazing period in the
county/counties where the tribal
governed land is located? (Provide Month
and Day)
3B. Disaster Payment Period (Not to exceed 90 3C. Extensions - additional 90 day periods the disaster
days). Provide dates for only one year, 2003
was ongoing during the normal grazing period.
or 2004.
From
To
From:
From:
To:
4A. Type of Disaster (flood, drought, etc.)
To:
4B. Date or Approximate Date Disaster Began
(MM-DD-YYYY)
4C. Date or Approximate Date Disaster Ended
(MM-DD-YYYY)
5. If known, provide the Presidential Declaration or Secretarial Emergency Designation number associated with the disaster.
Presidential M-
Secretarial S­
6. Tribal governments - use this space to record any tribal eligibility criteria that will be used in addition to the eligibility criteria set forth in 7 CFR Parts
1439.903 and 1439.907. Tribal eligibility criteria cannot conflict with United States Department of Agriculture nondiscrimination policies.
7. Remarks
NOTE: FORM CCC-648 MUST BE COMPLETED BY THE TRIBAL GOVERNMENT AND ATTACHED TO THIS CONTRACT
WHEN IT IS SUBMITTED FOR APPROVAL
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, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for
communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of
discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964
(voice or TDD). USDA is an equal opportunity provider and employer.
CCC-453 Page 2 (03-08-05)
8. Livestock Information: In Items B, D and F, estimate to the best of the tribal government's ability, the number of both tribal-owned and privately-owned
livestock in the affected region during the disaster payment period for each category in Items A, C, and E.
A.
LIVESTOCK TYPE &
LBS. WEIGHT RANGE
B.
NUMBER OF
ANIMALS
BEEF CATTLE,
BUFFALO & BEEFALO
C.
LIVESTOCK TYPE &
LBS. WEIGHT RANGE
D.
NUMBER OF
ANIMALS
DAIRY CATTLE
E.
LIVESTOCK TYPE &
LBS. WEIGHT RANGE
GOATS
Beef, Buffalo, Beefalo, Less than 400
Dairy, Less than 400
Goats, Less than 44
Beef, Buffalo, Beefalo, 400-799
Dairy, 400-799
Goats, 44-82
Beef, Buffalo, Beefalo, 800-1099
Dairy, 800-1099
Goats, 83+
Beef, Buffalo, Beefalo, 1100+
Dairy, 1100+
Goats Doe, 125+
Beef, Buffalo, Beefalo Cow All
Dairy Cow, Less than 1100
Goats Doe (Dairy), 125+
Beef, Buffalo, Beefalo Bull, 1000+
Dairy Cow, 1100-1299
Goats Buck, 125+
Dairy Cow, 1300-1499
SHEEP
SWINE
Swine, Less than 45
Dairy Cow, 1500+
Sheep, Less than 44
Swine, 45-124
Dairy Bull, 1000+
Sheep, 44-82
Swine, 125+
Sheep, 83+
EQUINE
Swine Sow, 235+
Equine, Less than 450
Sheep Ewe, 150+
Swine Boar, 235+
Equine, 450-649
Sheep Ram, 150+
ELK
Equine, 650-874
REINDEER
Equine, 875+
Reindeer, Less than 400
TOTAL OF ITEM 8B
TOTAL OF ITEM 8D
TOTAL OF ITEM 8F
9A. TOTAL CONTRACT
ACREAGE REQUIRED
FOR ITEM 8B
9B. TOTAL CONTRACT
ACREAGE REQUIRED
FOR ITEM 8D
9C. TOTAL CONTRACT
ACREAGE REQUIRED
FOR ITEM 8F
Elk, Less than 400
F.
NUMBER OF
ANIMALS
Elk, 400-799
Elk, 800-1099
10A. Tribal Representative's Name (Print)
10B. Tribal Position Title
10C. Tribal Representative's Signature
10D. Date (MM-DD-YYYY)
11A. STC Representative's Signature
11B. Date (MM-DD-YYYY)
12A. Deputy Administrator Farm Program Signature
12B. Date (MM-DD-YYYY)