State, Local and Tribal

Unified Guaranteed Loan Program

Documents and Forms

Document Name Document Type
Form RD 5001-01 State, Local and Tribal Form
RD 5001-01 Lender's Application 5001-01.pdf Form
RD 5001-02 Lender's Agreement 5001-02.pdf Form
RD 5001-03 Application for Loan Guarantee 5001-03.pdf Form
RD 5001-04 Conditional Commitment 5001-04.pdf Form
RD 5001-06 Assignment Guarantee Agreement 5001-06.pdf Form
RD 5001-08 Guaranteed Loan Borrower Status 5001-08.pdf Form
RD 5001-10 Guaranteed Loan Report of Loss 5001-10.pdf Form
RD 5001-14 Unconditional Guarantee 5001-14.PMD Form
RD 5001-19 Lender's Guaranteed Loan Payment to USDA 5001-19.pdf Form

Information Collection (IC) Details

IC Title:	State, Local and Tribal	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 5001-01	Lender's Application	5001-01.pdf	Yes	No	Fillable Printable
Form	RD 5001-02	Lender's Agreement	5001-02.pdf	Yes	No	Fillable Printable
Form	RD 5001-03	Application for Loan Guarantee	5001-03.pdf	Yes	No	Fillable Printable
Form	RD 5001-04	Conditional Commitment	5001-04.pdf	Yes	No	Fillable Printable
Form	RD 5001-06	Assignment Guarantee Agreement	5001-06.pdf	Yes	No	Fillable Printable
Form	RD 5001-08	Guaranteed Loan Borrower Status	5001-08.pdf	Yes	No	Fillable Printable
Form	RD 5001-10	Guaranteed Loan Report of Loss	5001-10.pdf	Yes	No	Fillable Printable
Form	RD 5001-14	Unconditional Guarantee	5001-14.PMD	Yes	No	Fillable Printable
Form	RD 5001-19	Lender's Guaranteed Loan Payment to USDA	5001-19.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: 723	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,070	1,070
Annual IC Time Burden (Hours)	2,438	2,438
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.