Information Collection

Private Sector (Non-Profit Institutions)

IC 219227 under ICR 202210-0575-003 · OMB 0575-0198.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RD 3570-4 Private Sector (Non-Profit Institutions)	Form
Form RD 3570-4 Community Facilities Technical Assistance and Training Grant Agreement Private Sector (Non-Profit Institutions)	Form
Written Reporting Requirements for 0575.docx	Other-Written
Written Reporting Requirements for 0575.docx	Other-Written
RD 3570-4 Community Facilities Technical Assistance and Training G RD 3570-4.pdf	Form
RD 3570-4 Community Facilities Technical Assistance and Training G RD 3570-4.pdf	Form

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 3570-4				Yes	No	Fillable Printable
Other-Written					Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title: USDA/RDâ1 Current or Prospective Producers or Landowners, Applicants, Borrowers, Grantees, Tenants, and other participants in RD programs.

FR Citation: 84 FR 21315

Number of Respondents: 42

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	609	152	457
Annual IC Time Burden (Hours)	1,733	1,034	699
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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