Information Collection

7 CFR 3555 - State, Local and Tribal

IC 205859 under ICR 202001-0575-001 · OMB 0575-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0179 can be found here:

2024-12-27 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RD 3555-11 Guarantee Rural Housing Lender Record Change 7 CFR 3555 - State, Local and Tribal	Form
Form RD 3555-12 Master Interest Assistance and Shared Equity Agreement with promissory note 7 CFR 3555 - State, Local and Tribal	Form
Form RD 3555-13 Annual Interest Assistance Agreement 7 CFR 3555 - State, Local and Tribal	Form
Form RD 3555-16 7 CFR 3555 - State, Local and Tribal	Form
Form RD 3555-16 Agreement for Participation Guarantee/Insured Loan Program of the US Government 7 CFR 3555 - State, Local and Tribal	Form
Form RD 3555-17 Loan Note Guarantee 7 CFR 3555 - State, Local and Tribal	Form
Form RD 3555-18 Conditional Commitment for SFH Guarantee 7 CFR 3555 - State, Local and Tribal	Form
Form RD 3555-20 Rural Housing Guarantee Report of Loss 7 CFR 3555 - State, Local and Tribal	Form
Form RD 3555-21 Request for Signle Family Housing Loan Guarantee 7 CFR 3555 - State, Local and Tribal	Form
Form RD 1910-5 Request for Verification of Employment 7 CFR 3555 - State, Local and Tribal	Form
Form RD 1980-19 Guaranteed Loan Closing Report 7 CFR 3555 - State, Local and Tribal	Form
Form RD 1944-4 Certification of Disability or Handicap 7 CFR 3555 - State, Local and Tribal	Form
Form RD 1944-62 Request for Verification of Deposit 7 CFR 3555 - State, Local and Tribal	Form
Form RD 1924-25 Plan Certification 7 CFR 3555 - State, Local and Tribal	Form
RD 3555-11 Guarantee Rural Housing Lender Record Change RD3555-11.pdf	Form
RD 3555-11 Guarantee Rural Housing Lender Record Change RD3555-11.pdf	Form
RD 3555-12 Master Interest Assistance and Shared Equity Agreement w RD3555-12.pdf	Form
RD 3555-12 Master Interest Assistance and Shared Equity Agreement w RD3555-12.pdf	Form
RD 3555-13 Annual Interest Assistance Agreement RD3555-13.pdf	Form
RD 3555-13 Annual Interest Assistance Agreement RD3555-13.pdf	Form
RD 3555-16 Agreement for Participation Guarantee/Insured Loan Progr RD3555-16.pdf	Form
RD 3555-16 Agreement for Participation Guarantee/Insured Loan Progr RD3555-16.pdf	Form
RD 3555-17 Loan Note Guarantee RD3555-17.pdf	Form
RD 3555-17 Loan Note Guarantee RD3555-17.pdf	Form
RD 3555-18 Conditional Commitment for SFH Guarantee RD3555-18.pdf	Form
RD 3555-18 Conditional Commitment for SFH Guarantee RD3555-18.pdf	Form
RD 3555-20 Rural Housing Guarantee Report of Loss RD3555-20.pdf	Form
RD 3555-20 Rural Housing Guarantee Report of Loss RD3555-20.pdf	Form
RD 3555-21 Request for Signle Family Housing Loan Guarantee 3555-21 revision FINAL 2020.docx	Form
RD 3555-21 Request for Signle Family Housing Loan Guarantee 3555-21 revision FINAL 2020.docx	Form
RD 1910-5 Request for Verification of Employment RD1910-5.pdf	Form
RD 1910-5 Request for Verification of Employment RD1910-5.pdf	Form
RD 1980-19 Guaranteed Loan Closing Report RD1980-19.pdf	Form
RD 1980-19 Guaranteed Loan Closing Report RD1980-19.pdf	Form
RD 1944-4 Certification of Disability or Handicap RD1944-4.pdf	Form
RD 1944-4 Certification of Disability or Handicap RD1944-4.pdf	Form
RD 1944-62 Request for Verification of Deposit RD1944-62.pdf	Form
RD 1944-62 Request for Verification of Deposit RD1944-62.pdf	Form
RD 1924-25 Plan Certification RD1924-25.pdf	Form
RD 1924-25 Plan Certification RD1924-25.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

7 CFR 3555 - 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: 7 CFR 3555.107 7 CFR 3555.51 7 CFR 3555.255 and 256 7 CFR 3555.306 7 CFR 3555.301

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 3555-11	Yes	No	Fillable Fileable
Form	RD 3555-12	Yes	No	Fillable Fileable
Form	RD 3555-13	Yes	No	Fillable Fileable
Form	RD 3555-16	Yes	No	Fillable Fileable
Form	RD 3555-17	Yes	No	Fillable Fileable
Form	RD 3555-18	Yes	No	Fillable Fileable
Form	RD 3555-20	Yes	No	Fillable Fileable
Form	RD 3555-21	Yes	No	Fillable Fileable
Form	RD 1910-5	Yes	No	Fillable Printable
Form	RD 1980-19	Yes	No	Fillable Printable
Form	RD 1944-4	Yes	No	Fillable Printable
Form	RD 1944-62	Yes	No	Fillable Printable
Form	RD 1924-25	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 202

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	125,936	115,145	10,791
Annual IC Time Burden (Hours)	93,500	85,164	8,336
Annual IC Cost Burden (Dollars)	0	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.

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