REQUEST FOR STATEMENT OF DEBTS AND COLLATERAL

ICR 199302-0575-003

OMB: 0575-0011

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
100908 Migrated
ICR Details
0575-0011 199302-0575-003
Historical Active 198907-0575-001
USDA/RHS
REQUEST FOR STATEMENT OF DEBTS AND COLLATERAL
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/20/1993
Retrieve Notice of Action (NOA) 02/08/1993
  Inventory as of this Action Requested Previously Approved
04/30/1996 04/30/1996
60,000 0 0
15,000 0 0
0 0 0

FORM FMHA 440-32 IS USED BY APPLICANTS FOR FMHA FINANCIAL ASSISTANCE I UNIFORM COMMERCIAL CODE STATES TO OBTAIN INFORMATION ON SECURED DEBTS OWED TO OTHER PARTIES AND TO OBTAIN INFORMATION WHEN CHATTEL DEBTS ARE TO BE REFINANCED. THE FORM IS ALSO BEING REVISED TO INCLUDE AN ACCOUN NUMBER SPACE AND TWO ADDITIONAL COLUMNS, WHICH ARE INSTALLMENT DUE DAT AND DATE OF MOST RECENT PAYMENT. REVISION IS BASED ON THE AGRICULTURA

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR STATEMENT OF DEBTS AND COLLATERAL FMHA 440-32

  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 60,000 0 0 60,000 0 0
Annual Time Burden (Hours) 15,000 0 0 15,000 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.
02/08/1993


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