Information Collection

REAP - Individual

IC 205327 under ICR 201301-0570-002 · OMB 0570-0067.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0067 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD 1047 REAP - Individual	Form
AD 1047 Certification Regarding Debarment, Suspension, and Other AD1047-F-01-92.pdf	Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibi AD1048-F-01-92.pdf	Form
RD 4280-2 Rural Business and Cooperative Service Grant Agreement REAP Grant Agreement changes from proposed rule clean version 3-26-13.docx	Form
RD 4279-1 Application for Loan Guarantee RD4279-0001_081000V08.pdf	Form
RD 4279-1A Application for Loan Guarantee - One Doc and 9006 Progra RD4279-0001A_081000V08.pdf	Form
RD 4279-3 Conditional Commitment RD4279-0003_080700V04.pdf	Form
RD 4279-4 Lender's Agreement rd4279-0004_061100V05.pdf	Form
RD 4279-6 Assignment Guarantee Agreement RD4279-0006_050700V03.pdf	Form
RD 4279-14 Unconditional Guarantee RD4279-0014_091100V01.pdf	Form

IC Title:

REAP - Individual

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 4279 7 CFR 4287 7 CFR 4280

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	AD 1047	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	AD1047-F-01-92.pdf	Yes	No	Fillable Printable
Form	AD 1048	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions	AD1048-F-01-92.pdf	Yes	No	Fillable Printable
Form	RD 4280-2	Rural Business and Cooperative Service Grant Agreement	REAP Grant Agreement changes from proposed rule clean version 3-26-13.docx	Yes	No	Fillable Printable
Form	RD 4279-1	Application for Loan Guarantee	RD4279-0001_081000V08.pdf	Yes	No	Fillable Printable
Form	RD 4279-1A	Application for Loan Guarantee - One Doc and 9006 Program	RD4279-0001A_081000V08.pdf	Yes	No	Fillable Printable
Form	RD 4279-3	Conditional Commitment	RD4279-0003_080700V04.pdf	Yes	No	Fillable Printable
Form	RD 4279-4	Lender's Agreement	rd4279-0004_061100V05.pdf	Yes	No	Fillable Printable
Form	RD 4279-6	Assignment Guarantee Agreement	RD4279-0006_050700V03.pdf	Yes	No	Fillable Printable
Form	RD 4279-14	Unconditional Guarantee	RD4279-0014_091100V01.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: 396

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	6,748	6,748
Annual IC Time Burden (Hours)	22,422	22,422
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.