CHECKLIST FOR REVIEW OF SUPPLEMENTAL LOAN PROPOSAL OR AREA COVERAGE DESIGN

ICR 197807-0572-001

OMB: 0572-0050

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0572-0050 197807-0572-001
Historical Active 197612-0572-004
USDA/RUS
CHECKLIST FOR REVIEW OF SUPPLEMENTAL LOAN PROPOSAL OR AREA COVERAGE DESIGN
Revision of a currently approved collection   No
Regular
Approved without change 08/07/1978
Retrieve Notice of Action (NOA) 07/12/1978
  Inventory as of this Action Requested Previously Approved
08/31/1983 08/31/1983 11/30/1981
200 0 200
200 0 200
0 0 0

THIS FORM ENSURES THE COMPLETNESS OF THE SUBMISSION OF AN ENGINEERING DESIGN AND A COST ESTIMATE TO DESCRIBE THE PROPOSED USE OF LOAN FUNDS.

None
None


No

1
IC Title Form No. Form Name
CHECKLIST FOR REVIEW OF SUPPLEMENTAL LOAN PROPOSAL OR AREA COVERAGE DESIGN REA-567

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 200 0 0 0 0
Annual Time Burden (Hours) 200 200 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/12/1978


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