APPLICATION FOR FMHA SERVICES

ICR 198310-0575-002

OMB: 0575-0056

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
101067 Migrated
ICR Details
0575-0056 198310-0575-002
Historical Active 198201-0575-006
USDA/RHS
APPLICATION FOR FMHA SERVICES
Revision of a currently approved collection   No
Regular
Approved without change 11/16/1983
Retrieve Notice of Action (NOA) 10/14/1983
  Inventory as of this Action Requested Previously Approved
11/30/1986 11/30/1986 01/31/1984
175,000 0 175,000
87,500 0 87,500
0 0 0

THE INFORMATION REQUESTED ON THIS FORM IS BEING COLLECTED IN ORDER FOR FMHA TO MAKE LOANS AND TO PROVIDE MANAGEMENT ASSISTANCE TO BORROWERS. THE FMHA RETAINS THE FORM IN THE BORROWERS FILE FOR FUTURE REFERENCE. THE INFORMATION COLLECTED ON THIS FORM IS REQUIRED FOR A BORROWER TO OBTAIN THE BENEFITS OF A FARMER PROGRAMS LOAN FROM FMHA.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR FMHA SERVICES FMHA 410-1

  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 175,000 175,000 0 0 0 0
Annual Time Burden (Hours) 87,500 87,500 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.
10/14/1983


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