AD-3114 - U.S. Department of Agriculture Coronavirus Food Assistance Program (CFAP) Application - Form

Oct 6, 2026

Uploaded by iuabcfuw

USDA AD-3114 is an application form for the Coronavirus Food Assistance Program (CFAP). It explains privacy and public burden statements under federal regulations and provides a producer agreement detailing compliance requirements, eligibility conditions, timeframes for providing information, and limits tied to payment and income provisions. The form outlines required auxiliary certifications and participation obligations, including conservation compliance under the Food Security Act, and includes fields for recording state, program year, county, and application number.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Part A – Producer Agreement

Part B – Producer Information

Part C – Dairy/Egg Production Information

Form Approved-OMB No. 0560-0295 This form is available electronically. OMB Expiration Date: 11/30/2020 | AD-3114 U.S. DEPARTMENT OF AGRICULTURE
(08-14-20)
CORONAVIRUS FOOD ASSISTANCE PROGRAM (CFAP) APPLICATION | | | | | | | 1. Recording State | | | | 2. Program Year | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | 3. Recording County | | | | 4. Application Number | | | | 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 9, the CARES Act (Pub. L. 116-136), and 15 U. S. C. 714b and 714c. The information will be used to determine eligibility for program benefits. The information collected on this form may be disclosed to other Federal, State, and 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 for program benefits. Payments may be made under the program to which the form applies only to the extent permitted by applicable authorities.
Public Burden Statement (Paperwork Reduction Act): Public reporting burden for this collection is estimated to average 60 minutes per response, including reviewing instructions, gathering and maintaining the data needed, completing (providing the information), and reviewing the collection of information. You are not required to respond to the collection, or USDA may not conduct or sponsor a collection of information unless it displays a valid OMB control number. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE. | | | | | | | | | | | | | | | PART A – PRODUCER AGREEMENT | | | | | | | | | | | | | | | The Department of Agriculture (USDA) will make payments under the CFAP to producers who meet the requirements of the program. The following information is needed in order for USDA to make a determination that the applicant is eligible to receive a CFAP payment. By submitting this application, and upon approval by USDA, the applicant agrees:
1. To comply with regulations set forth in 7 CFR Part 9 and any Notice of Funds Availability published by USDA. Copies of these documents may be found at [www.regulations.gov/docket?D=FSA-2020-0004](www.regulations.gov/docket?D=FSA-2020-0004) .
2. That a CFAP payment will only be made with respect to a commodity produced in the United States and intended to be marketed for commercial production;
3. Nonspecialty crop and wool inventory and livestock sales between January 15, 2020 and April 15, 2020, must be unpriced as of January 15, 2020. Specialty crops that were sold between January 15, 2020, and April 15, 2020 under an agreed upon set price before January 15, 2020, do not qualify for assistance.
4. To provide to USDA all information that is necessary to verify that the information provided on this form is accurate and to allow USDA representative access to all documents and records of the producer, including those in the possession of a third-party such as a warehouse operator, processor or packer;
5. To comply with maximum payment limitation and adjusted gross income provisions applicable to the CFAP by completing forms:
• CCC-902, Farm Operating Plan for Payment Eligibility (NOTE: Only Parts A and B of the form are required).
• CCC-901, Member Information for Legal Entities, if applicable
• CCC-941, Average Adjusted Gross Income (AGI) Certification and Consent to Disclosure of Tax Information
• CCC-942, Certification of Income From Farming, Ranching and Forestry Operations, optional
6. To prov

FAQs

What is the AD-3114 form used for?

It is used to apply for CFAP payments through USDA. The application collects information needed to determine the applicant’s eligibility for program benefits.

What does the producer agreement require?

The applicant agrees to comply with CFAP regulations, eligibility conditions for commodities and sales timeframes, and obligations to provide verification information and access to records for USDA.

What happens if required information is not submitted on time?

Failure to timely submit all required information may result in no payment or a reduced payment for the individual, entity, or members involved.

Oct 6, 2026

Uploaded by iuabcfuw