7 CFR 1942-A, Community Facility Loans

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD 3031 Assurance Regarding Felony Conviction or Tax Deliquent Status for Coporate Applicants	Form	Modified	Repair queued
Form AD 3030 Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants	Form	Modified	Available
Form RD 1924-7 Contract Change Order	Form	Modified	Repair queued
Form RD 1924-18 Partial Payment Estimate	Form	Modified	Available
Form RD 1927-10 Final Title Opinion	Form	Modified	Available
Form RD 1927-9 Preliminary Title Opinion	Form	Modified	Repair queued
Form RD 400-4 Assurance Agreement	Form	Modified	Available
Form RD 400-1 Equal Opportunity Agreement	Form	Modified	Available
Form RD 402-1 Deposit Agreement	Form	Modified	Repair queued
Form AD 1047 Certification Regarding Debarment, Suspension, and other Responsibility Matters - Primary Covered Transactions	Form	Modified	Available
Form RD 1942-57 Loan Resolution Security Agreement	Form	Modified	Available
Form RD 1942-56 Promissory Note	Form	Modified	Available
Form RD 1942-55 Re-Lender's Agreement	Form	Modified	Available
Form RD 440-22 Promissory Note	Form	Modified	Available
Form RD 0442-3 Balance Sheet	Form	Modified	Repair queued
Form RD 1942-46 Letter of Intent to Meet Conditions	Form	Modified	Available
Form RD 1942-08 Resolution of members or Stockholders	Form	Modified	Repair queued
Form RD 442-28 Bond Registration Book	Form	Modified	Repair queued
Form RD 442-22 Opinion of Counsel Relative to Rights-of-Way	Form	Modified	Repair queued
Form RD 0442-07 Operating Budget	Form	Modified	Available
Form RD 0440-11 Estimate of Funds Needed for 30-day Period Commencing	Form	Modified	Available
Form RD 0442-02 Statement of Budget, income, and Equity	Form	Modified	Available
Form RD 1942-19 Agreement for Engineering Services	Form	Modified	Available
Form RD 0440-24 Position Fidelity Schedule Bond	Form	Modified	Repair queued
Form RD 1942-47 Loan Resolution (Public Bodies)	Form	Modified	Available
Form RD 0442-21 Right-of-Way Certificate	Form	Modified	Available
Form RD 1942-09 Loan Resolution Security Agreement	Form	Modified	Repair queued
Form RD 0442-20 Right-of-Way Easement	Form	Modified	Available
Form AD 3031 Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants	Form	Modified	Available
Form AD 3030 Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants	Form	Modified	Available
Form RD 1924-7 Contract Change Order	Form	Modified	Available
Form RD 1924-18 Partial Payment Estimate	Form	Modified	Available
Form RD 1927-10 Final Title Opinion	Form	Modified	Repair queued
Form RD 1927-9 Preliminary Title Opinion	Form	Modified	Available
Form RD 400-4 Assurance Agreement	Form	Modified	Repair queued
Form RD 400-1 Equal Opportunity Agreement	Form	Modified	Repair queued
Form RD 402-1 Deposit Agreement	Form	Modified	Available
Form AD 1047 Certification Regarding Debarment, Suspension, and other Responsibility Matters - Primary Covered Transactions	Form	Modified	Repair queued
Form RD 1942-57 Loan Resolution Security Agreement	Form	Modified	Available
Form RD 1942-56 Promissory Note	Form	Modified	Available
Form RD 1942-55 Re-Lender's Agreement	Form	Modified	Available
Form RD 440-22 Promissory Note	Form	Modified	Repair queued
Form RD 0442-28 Bond Registration Book	Form	Modified	Available
Form RD 0442-21 Right-of-Way Certificate	Form	Modified	Available
Form RD 0442-20 Right-of-Way Easement	Form	Modified	Repair queued
Form RD 1942-47 Loan Resolution	Form	Modified	Available
Form RD 1942-46 Letter of Intent to Meet Conditions	Form	Modified	Available
Form RD 1942-19 Agreement for Engineering Services	Form	Modified	Available
Form RD 0442-03 Balance Sheet	Form	Modified	Available
Form RD 0440-24 Position Fidelity Schedule Bond	Form	Modified	Repair queued
Form RD 0442-02 Statement of Budget, Income, and Equity	Form	Modified	Available
Form RD 1942-09 Loan Resolution Security Agreement	Form	Modified	Available
Form RD 1942-08 Resolution of members or Stockholders	Form	Modified	Available
Form RD 0442-22 Opinion of Counsel Relative to Rights-of-Way	Form	Modified	Repair queued
Form RD 0442-07 Operating Budget	Form	Modified	Repair queued
Form RD 0440-11 Estimate of Funds Needed for 30-day Period Commencing	Form	Modified	Repair queued
SF 3881.pdf	Supplementary Document	Uploaded 2017-02-09	Available
SFLLL_01-2019.pdf	Supplementary Document	Uploaded 2017-02-09	Available
SF424B_01-2019.pdf	Supplementary Document	Uploaded 2017-02-09	Available
SF424A_01-2019.pdf	Supplementary Document	Uploaded 2017-02-09	Available
SF424_10-2019.pdf	Supplementary Document	Uploaded 2017-02-09	Available
0575-0015 2017 spreadsheet.xls	Supplementary Document	Uploaded 2017-04-03	Available
0575-0015 2017 Supporting Statement (1).doc	Supporting Statement A	Uploaded 2017-04-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44904	7 CFR 1942-A (public bodies)	Form	Modified	Assurance Regarding Felony Conviction or Tax Deliquent Status for Coporate Applicants
44904	7 CFR 1942-A (public bodies)	Form	Modified	Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants
44904	7 CFR 1942-A (public bodies)	Form	Modified	Contract Change Order
44904	7 CFR 1942-A (public bodies)	Form	Modified	Partial Payment Estimate
44904	7 CFR 1942-A (public bodies)	Form	Modified	Final Title Opinion
44904	7 CFR 1942-A (public bodies)	Form	Modified	Preliminary Title Opinion
44904	7 CFR 1942-A (public bodies)	Form	Modified	Assurance Agreement
44904	7 CFR 1942-A (public bodies)	Form	Modified	Equal Opportunity Agreement
44904	7 CFR 1942-A (public bodies)	Form	Modified	Deposit Agreement
44904	7 CFR 1942-A (public bodies)	Form	Modified	Certification Regarding Debarment, Suspension, and other Responsibility Matters - Primary Covered Transactions
44904	7 CFR 1942-A (public bodies)	Form	Modified	Loan Resolution Security Agreement
44904	7 CFR 1942-A (public bodies)	Form	Modified	Promissory Note
44904	7 CFR 1942-A (public bodies)	Form	Modified	Re-Lender's Agreement
44904	7 CFR 1942-A (public bodies)	Form	Modified	Promissory Note
44904	7 CFR 1942-A (public bodies)	Form	Modified	Balance Sheet
44904	7 CFR 1942-A (public bodies)	Form	Modified	Letter of Intent to Meet Conditions
44904	7 CFR 1942-A (public bodies)	Form	Modified	Resolution of members or Stockholders
44904	7 CFR 1942-A (public bodies)	Form	Modified	Bond Registration Book
44904	7 CFR 1942-A (public bodies)	Form	Modified	Opinion of Counsel Relative to Rights-of-Way
44904	7 CFR 1942-A (public bodies)	Form	Modified	Operating Budget
44904	7 CFR 1942-A (public bodies)	Form	Modified	Estimate of Funds Needed for 30-day Period Commencing
44904	7 CFR 1942-A (public bodies)	Form	Modified	Statement of Budget, income, and Equity
44904	7 CFR 1942-A (public bodies)	Form	Modified	Agreement for Engineering Services
44904	7 CFR 1942-A (public bodies)	Form	Modified	Position Fidelity Schedule Bond
44904	7 CFR 1942-A (public bodies)	Form	Modified	Loan Resolution (Public Bodies)
44904	7 CFR 1942-A (public bodies)	Form	Modified	Right-of-Way Certificate
44904	7 CFR 1942-A (public bodies)	Form	Modified	Loan Resolution Security Agreement
44904	7 CFR 1942-A (public bodies)	Form	Modified	Right-of-Way Easement
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Contract Change Order
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Partial Payment Estimate
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Final Title Opinion
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Preliminary Title Opinion
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Assurance Agreement
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Equal Opportunity Agreement
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Deposit Agreement
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Certification Regarding Debarment, Suspension, and other Responsibility Matters - Primary Covered Transactions
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Loan Resolution Security Agreement
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Promissory Note
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Re-Lender's Agreement
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Promissory Note
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Bond Registration Book
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Right-of-Way Certificate
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Right-of-Way Easement
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Loan Resolution
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Letter of Intent to Meet Conditions
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Agreement for Engineering Services
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Balance Sheet
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Position Fidelity Schedule Bond
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Statement of Budget, Income, and Equity
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Loan Resolution Security Agreement
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Resolution of members or Stockholders
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Opinion of Counsel Relative to Rights-of-Way
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Operating Budget
1894	7 CFR 1942-A, Community Facility Loans	Form	Modified	Estimate of Funds Needed for 30-day Period Commencing

ICR Details

OMB Control No: 0575-0015	ICR Reference No: 201702-0575-001
Status: Historical Active	Previous ICR Reference No: 201701-0575-001
Agency/Subagency: USDA/RHS	Agency Tracking No:
Title: 7 CFR 1942-A, Community Facility Loans
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/06/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/03/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	07/31/2017
Responses	44,990	0	28,569
Time Burden (Hours)	48,319	0	57,367
Cost Burden (Dollars)	0	0	0

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Abstract: This regulation promulgates the policies and procedures for making and processing Community Facilities Loans.

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Authorizing Statute(s): US Code: 7 USC 1926 Name of Law: Consolidate Farm and Rural Development Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 95557	12/28/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 16156	04/03/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
7 CFR 1942-A (public bodies)	RD 400-1, RD 400-4, RD 1927-9, RD 1927-10, RD 1924-18, RD 402-1, AD 1047, RD 1942-55, RD 1942-47, RD 440-22, RD 0442-20, RD 1942-09, RD 0440-24, RD 442-22, RD 442-28, RD 1942-08, RD 1942-46, RD 1942-57, RD 1942-56, RD 1942-19, RD 0442-3, RD 0442-02, RD 0442-21, RD 0440-11, RD 0442-07, RD 1924-7, AD 3030, AD 3031	Right-of-Way Easement ,   Loan Resolution Security Agreement ,   Right-of-Way Certificate ,   Loan Resolution (Public Bodies) ,   Position Fidelity Schedule Bond ,   Agreement for Engineering Services ,   Statement of Budget, income, and Equity ,   Estimate of Funds Needed for 30-day Period Commencing ,   Operating Budget ,   Opinion of Counsel Relative to Rights-of-Way ,   Bond Registration Book ,   Resolution of members or Stockholders ,   Letter of Intent to Meet Conditions ,   Balance Sheet ,   Promissory Note ,   Re-Lender's Agreement ,   Promissory Note ,   Loan Resolution Security Agreement ,   Certification Regarding Debarment, Suspension, and other Responsibility Matters - Primary Covered Transactions ,   Deposit Agreement ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Preliminary Title Opinion ,   Final Title Opinion ,   Partial Payment Estimate ,   Contract Change Order ,   Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants ,   Assurance Regarding Felony Conviction or Tax Deliquent Status for Coporate Applicants
7 CFR 1942-A, Community Facility Loans	RD 400-1, RD 400-4, RD 1927-10, RD 1924-18, AD 1047, RD 402-1, RD 440-22, RD 0442-28, RD 1942-46, RD 1942-19, RD 0442-20, RD 1942-57, RD 1942-55, RD 1942-56, RD 1927-9, RD 1924-7, RD 1942-47, RD 0442-21, RD 0440-11, RD 0442-22, RD 0442-07, RD 1942-08, RD 1942-09, RD 0442-02, RD 0440-24, RD 0442-03, AD 3030, AD 3031	Estimate of Funds Needed for 30-day Period Commencing ,   Operating Budget ,   Opinion of Counsel Relative to Rights-of-Way ,   Resolution of members or Stockholders ,   Loan Resolution Security Agreement ,   Statement of Budget, Income, and Equity ,   Position Fidelity Schedule Bond ,   Balance Sheet ,   Agreement for Engineering Services ,   Letter of Intent to Meet Conditions ,   Loan Resolution ,   Right-of-Way Easement ,   Right-of-Way Certificate ,   Bond Registration Book ,   Promissory Note ,   Re-Lender's Agreement ,   Promissory Note ,   Loan Resolution Security Agreement ,   Certification Regarding Debarment, Suspension, and other Responsibility Matters - Primary Covered Transactions ,   Deposit Agreement ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Preliminary Title Opinion ,   Final Title Opinion ,   Partial Payment Estimate ,   Contract Change Order ,   Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants ,   Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants

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ICR Summary of Burden

table that charts list of burden

	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	44,990	28,569	0	4,415	12,006	0
Annual Time Burden (Hours)	48,319	57,367	0	-8,790	-258	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There was an increase of 16,421 responses and a decrease of -9,048 burden hours from the last submission. This is the net change due to program changes and adjustments made to the collection package. 1. The Rural Utility Service’s (RUS) written reporting requirements are no long accounted for in this package. That program has been moved to OMB No. 0572-0121. This was a program decrease of -16,050 hours and -8,300 responses. 2. All RD forms are now accounted for in the individual packages that use them. RD form burden that was accounted for by other OMB numbers in past submissions of this package, have been moved to reporting requirements approved with this package. This was a program increase of 14,100 responses and 7,606 burden hours. Combined actions resulted in a program change increase of 5,800 responses and a decrease of -8,444 hours. 3. Form RD 1940-20 formerly approved under OMB No. 0575-0094 has been discontinued for a PC decrease of -1,385 responses and -346 hours. The environmental policy for RHS is now covered under OMB No. 0575-0197. 4. Remaining difference changes are adjustments within the industry.

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Annual Cost to Federal Government: $905,299

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/03/2017

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