Assurance Agreement

RD 400-4, “Assurance Agreement”

OMB: 0575-0201

IC ID: 257408

Information Collection (IC) Details

View RCF Information Collection (IC)

Assurance Agreement
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form RD 400-4 Assurance Agreement Form RD 400-4 - Assurance Agreement.pdf Yes Yes Fillable Fileable Signable

Community and Social Services Community and Regional Development


50 0
Individuals or Households
   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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 13 0 13 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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