Information Collection

25 CFR 103 -- Lender Loan Insurance and Loan Guaranty

IC 11448 under ICR 200611-1076-003 · OMB 1076-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0020 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5-4754a 25 CFR 103 -- Lender Loan Insurance and Loan Guaranty	Form
5-4754a Notice of Insured Loan BIA Form 5-4754a converted editable.doc.rtf	Form
5-4753 Loan Guaranty Agreement OK5-4753LOANGUARANTYAGREEMENT11[1].9.pdf	Form
5-4754 Loan Insurance Agreement OK5-4754LOANINSURANCEAGREEMENT11.9.doc	Form

IC Title:

25 CFR 103 -- Lender Loan Insurance and Loan Guaranty

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 103.18 25 CFR 103.11

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	5-4754a	Notice of Insured Loan	BIA Form 5-4754a converted editable.doc.rtf	No	Paper Only
Form	5-4753	Loan Guaranty Agreement	OK5-4753LOANGUARANTYAGREEMENT11[1].9.pdf	No	Paper Only
Form	5-4754	Loan Insurance Agreement	OK5-4754LOANINSURANCEAGREEMENT11.9.doc	No	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	220	-632	852
Annual IC Time Burden (Hours)	440	-79	519
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.