BORROWER ACKNOWLEDGEMENT OF NOTICE OF INTENT TO TAKE ADVERSE ACTION AND AGREEMENT FOR THE USE OF PROCEEDS/RELEASE OF CHATTEL SECURITY AND/OR FARM INCOME
ICR 198602-0575-004
OMB: 0575-0111
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0575-0111 can be found here:
BORROWER ACKNOWLEDGEMENT OF
NOTICE OF INTENT TO TAKE ADVERSE ACTION AND AGREEMENT FOR THE USE
OF PROCEEDS/RELEASE OF CHATTEL SECURITY AND/OR FARM INCOME
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.