Information Collection

Individuals

IC 180738 under ICR 200704-0570-001 · OMB 0570-0054.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0054 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RD 5001-19 Individuals	Form
RD 5001-19 Lender's Guaranteed Loan Payment to USDA 5001-19.pdf	Form
RD 5004-14 Unconditional Guarantee 5001-14.pdf	Form
RD 5001-10 Guaratneed Loan Report of Loss 5001-10.pdf	Form
RD 5001-08 Guaranteed Loan Borrower Status 5001-08.pdf	Form
RD 5001-6 Assignment Guarantee Agreement 5001-06.pdf	Form
RD 5001-06 Conditional Commitment 5001-04.pdf	Form
RD 5001-03 Application for Loan Guarantee 5001-03.pdf	Form
RD 5001-02 Lender's Agreement 5001-02.pdf	Form
RD 5001-01 Lender's Application 5001-01.pdf	Form

IC Title:

Individuals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 5001

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 5001-19	Lender's Guaranteed Loan Payment to USDA	5001-19.pdf	Yes	No	Fillable Printable
Form	RD 5004-14	Unconditional Guarantee	5001-14.pdf	Yes	No	Fillable Printable
Form	RD 5001-10	Guaratneed Loan Report of Loss	5001-10.pdf	Yes	No	Fillable Printable
Form	RD 5001-08	Guaranteed Loan Borrower Status	5001-08.pdf	Yes	No	Fillable Printable
Form	RD 5001-6	Assignment Guarantee Agreement	5001-06.pdf	Yes	No	Fillable Printable
Form	RD 5001-06	Conditional Commitment	5001-04.pdf	Yes	No	Fillable Printable
Form	RD 5001-03	Application for Loan Guarantee	5001-03.pdf	Yes	No	Fillable Printable
Form	RD 5001-02	Lender's Agreement	5001-02.pdf	Yes	No	Fillable Printable
Form	RD 5001-01	Lender's Application	5001-01.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 347

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	554	554
Annual IC Time Burden (Hours)	1,467	1,467
Annual IC Cost Burden (Dollars)	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.