Intermediary Relending Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form RD 400-4 Assurance Agreement	Form	Modified	Available
Form Form RD 4274-4 Loan Agreement	Form	Modified	Available
Form RD 400-8 Compliance Review	Form	Modified	Available
Form RD 402-1 Deposit Agreement	Form	Modified	Available
Form RD 1951-4 Report of IRP/RDLF Lending Activity	Form	Modified	Available
Form RD 1942-46 Letter of Intent to Meet Conditions	Form	Modified	Available
Form RD 4274-3 Intermediary Relending Program Promissory Note	Form	Modified	Available
Form RD 4274-1 Application for Loan	Form	Modified	Available
Form RD 4274-5 Intermediary Relending Program Supplemental Loan Agreement	Form	Modified	Available
30 day FRN 0570-0021.pdf	Supplementary Document	Uploaded 2019-10-01	Available
0570-0021 - Burden FR Notice 12-3-18.docx	Supplementary Document	Uploaded 2019-01-30	Available
IRP Burden Spreadsheet_2019.xlsm	Supplementary Document	Uploaded 2019-01-30	Available
IRP_Burden Supporting Statement 2019 ocio 11.4.19.docx	Supporting Statement A	Uploaded 2019-11-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1690	Intermediairy Relending Program	Form	Modified	Assurance Agreement
1690	Intermediairy Relending Program	Form	Modified	Loan Agreement
1690	Intermediairy Relending Program	Form	Modified	Compliance Review
1690	Intermediairy Relending Program	Form	Modified	Deposit Agreement
1690	Intermediairy Relending Program	Form	Modified	Report of IRP/RDLF Lending Activity
1690	Intermediairy Relending Program	Form	Modified	Letter of Intent to Meet Conditions
1690	Intermediairy Relending Program	Form	Modified	Intermediary Relending Program Promissory Note
1690	Intermediairy Relending Program	Form	Modified	Application for Loan
1690	Intermediairy Relending Program	Form	Modified	Intermediary Relending Program Supplemental Loan Agreement

ICR Details

OMB Control No: 0570-0021	ICR Reference No: 201901-0570-002
Status: Active	Previous ICR Reference No: 201511-0570-002
Agency/Subagency: USDA/RBS	Agency Tracking No:
Title: Intermediary Relending Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/06/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/13/2019
Terms of Clearance: In accordance with 5 CFR 1320, this information collection has been approved for 3 years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2022	36 Months From Approved	11/30/2019
Responses	3,566	0	3,326
Time Burden (Hours)	24,820	0	24,580
Cost Burden (Dollars)	0	0	0

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Abstract: The information requested is necessary for RBS to be able to process applications in a responsible manner, make prudent credit program decisions, and effectively monitor the intermediaries' activities to protect the Government's financial interest and ensure that funds obtained from the Government are use appropriately.

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Authorizing Statute(s): US Code: 42 USC 9812(a) Name of Law: Community Economic Development Act of 1981
  

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:
	83 FR 62835	12/06/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 9075	03/13/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Intermediairy Relending Program	RD 1942-46, RD 400-8, RD 1951-4, RD 402-1, Form RD 4274-4, RD 400-4, RD 4274-3, RD 4274-5, RD 4274-1	Intermediary Relending Program Supplemental Loan Agreement ,   Application for Loan ,   Intermediary Relending Program Promissory Note ,   Letter of Intent to Meet Conditions ,   Report of IRP/RDLF Lending Activity ,   Deposit Agreement ,   Compliance Review ,   Loan Agreement ,   Assurance Agreement

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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	3,566	3,326	0	240	0	0
Annual Time Burden (Hours)	24,820	24,580	0	240	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: An increase in reports filed annually will result in a subsequent increase in responses and hours by 240. Also, the inclusion of burden for RD forms previously accounted for under other OMB numbers attributed to the increase.

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Annual Cost to Federal Government: $2,675,862

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 03/13/2019

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