REQUEST FOR VERTIFICATION OF EMPLOYMENT

ICR 198512-0575-002

OMB: 0575-0009

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
100900 Migrated
ICR Details
0575-0009 198512-0575-002
Historical Active 198505-0575-001
USDA/RHS
REQUEST FOR VERTIFICATION OF EMPLOYMENT
Revision of a currently approved collection   No
Regular
Approved without change 01/09/1986
Retrieve Notice of Action (NOA) 12/31/1985
  Inventory as of this Action Requested Previously Approved
01/31/1989 01/31/1989 12/31/1985
812,500 0 671,500
203,125 0 167,875
0 0 0

INFORMATION IS USED IN DETERMINING ELIGIBILITY FOR FARM REAL ESTATE, OPERATING AND RURAL HOUSING LOANS TO LOW AND MODERATE INCOME APPLICANT

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR VERTIFICATION OF EMPLOYMENT FMHA 1910-5

  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 812,500 671,500 0 141,000 0 0
Annual Time Burden (Hours) 203,125 167,875 0 35,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
12/31/1985


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