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Food Supply Chain Guarantee Loan Program
Food Supply Chain Guarantee Loan Program
OMB: 0570-0077
IC ID: 250362
OMB.report
USDA/RBS
OMB 0570-0077
ICR 202112-0570-001
IC 250362
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0077 can be found here:
2023-06-08 - No material or nonsubstantive change to a currently approved collection
2022-07-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 4281-2
Food Supply Chain Guarantee Loan Program
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
4281-10 Loan Note Guarantee
FMI 4281-10 Loan Note Guarantee.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
4281-1 Application for Food Supply Chain Guarantee Loan Program
Form RD 4281-1 - Application for Food Supply Chain.pdf
Form
4281-9 Conditional Commitment
Form RD 4281-9 - Conditional Commitment.pdf
Form
4281-11 Unconditional Guarantee
Form RD 4281-11 - Unconditional Guarantee.pdf
Form
4281-13 Lender's Guaranteed Loan Payment to USDA
Form RD 4281-13 - Lender's Guaranteed Loan Payment to USDA.pdf
Form
4281-12 Assignment Guarantee Agreement
Form RD 4281-12 - Assignment Guaranteee Agreement.pdf
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:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
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
4281-10
Loan Note Guarantee
FMI 4281-10 Loan Note Guarantee.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
Form
4281-1
Application for Food Supply Chain Guarantee Loan Program
Form RD 4281-1 - Application for Food Supply Chain.pdf
Yes
Yes
Fillable Fileable
Form
4281-9
Conditional Commitment
Form RD 4281-9 - Conditional Commitment.pdf
Yes
Yes
Fillable Fileable
Form
4281-11
Unconditional Guarantee
Form RD 4281-11 - Unconditional Guarantee.pdf
Yes
Yes
Fillable Fileable
Form
4281-13
Lender's Guaranteed Loan Payment to USDA
Form RD 4281-13 - Lender's Guaranteed Loan Payment to USDA.pdf
Yes
Yes
Fillable Fileable
Form
4281-12
Assignment Guarantee Agreement
Form RD 4281-12 - Assignment Guaranteee Agreement.pdf
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
6,802
0
6,802
0
0
0
Annual IC Time Burden (Hours)
17,413
0
17,413
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.