Information Collection

Food Supply Chain Guarantee Loan Program

IC 250362 under ICR 202111-0570-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4281-1 Food Supply Chain Guarantee Loan Program	Form
4281-1 Application for FSC Guarantee Loan FMI 4281-1 Application for FSC Guaranteed Loan_SDB 10 19 21.docx	Form
4281-2 Borrower Status FMI 4281-2 Borrower status.docx	Form
4281-3 Default Status Report FMI 4281-3 Default status report.docx	Form
4281-4 Loan Closing Report FMI 4281-4 Loan Closing Report.docx	Form
4281-5 Report of Loss w/No Collateral FMI 4281-5 Report of loss no collateral.docx	Form
4281-6 Estimated Loss FMI 4281-6 Estimated Loss.docx	Form
4281-7 Report of Loss with Collateral FMI 4281-7, Report of loss with collateral.docx	Form
4281-8 Lender's Agreement FMI 4281-8 Lender's Agreement.docx	Form
4281-9 Conditional Commitment FMI 4281-9 Conditional Commitment.docx	Form
4281-10 Loan Note Guarantee FMI 4281-10 Loan Note Guarantee.docx	Form
4281-11 Unconditional Guarantee FMI 4281-11 Unconditional Guarantee.docx	Form
4281-12 Assignment Guarantee Agreement FMI 4281-12 Assignment Guarantee Agreement.docx	Form
4281-13 Loan Payment to RD FMI 4281-13 Loan payment to RD.docx	Form
4281-14 Report of Loss - Interest Loss, Recovery or Voluntary Re FMI 4281-14 Report of Loss - Interest loss, recovery or voluntary recovery.docx	Form
4281-16 Account and User Creation Form FMI 4281-16 Account and User Creation Form.docx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Food Supply Chain Guarantee Loan Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	4281-1	Application for FSC Guarantee Loan	FMI 4281-1 Application for FSC Guaranteed Loan_SDB 10 19 21.docx	Yes	Yes	Fillable Fileable
Form	4281-2	Borrower Status	FMI 4281-2 Borrower status.docx	Yes	Yes	Fillable Fileable
Form	4281-3	Default Status Report	FMI 4281-3 Default status report.docx	Yes	Yes	Fillable Fileable
Form	4281-4	Loan Closing Report	FMI 4281-4 Loan Closing Report.docx	Yes	Yes	Fillable Fileable
Form	4281-5	Report of Loss w/No Collateral	FMI 4281-5 Report of loss no collateral.docx	Yes	Yes	Fillable Fileable
Form	4281-6	Estimated Loss	FMI 4281-6 Estimated Loss.docx	Yes	Yes	Fillable Fileable
Form	4281-7	Report of Loss with Collateral	FMI 4281-7, Report of loss with collateral.docx	Yes	Yes	Fillable Fileable
Form	4281-8	Lender's Agreement	FMI 4281-8 Lender's Agreement.docx	Yes	Yes	Fillable Fileable
Form	4281-9	Conditional Commitment	FMI 4281-9 Conditional Commitment.docx	Yes	Yes	Fillable Fileable
Form	4281-10	Loan Note Guarantee	FMI 4281-10 Loan Note Guarantee.docx	Yes	Yes	Fillable Fileable
Form	4281-11	Unconditional Guarantee	FMI 4281-11 Unconditional Guarantee.docx	Yes	Yes	Fillable Fileable
Form	4281-12	Assignment Guarantee Agreement	FMI 4281-12 Assignment Guarantee Agreement.docx	Yes	Yes	Fillable Fileable
Form	4281-13	Loan Payment to RD	FMI 4281-13 Loan payment to RD.docx	Yes	Yes	Fillable Fileable
Form	4281-14	Report of Loss - Interest Loss, Recovery or Voluntary Recovery	FMI 4281-14 Report of Loss - Interest loss, recovery or voluntary recovery.docx	Yes	Yes	Fillable Fileable
Form	4281-16	Account and User Creation Form	FMI 4281-16 Account and User Creation Form.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 60

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,802	6,802
Annual IC Time Burden (Hours)	17,413	17,413
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.