Information Collection

Food Supply Chain Guarantee Loan Program

IC 250362 under ICR 202305-0570-001 · OMB 0570-0077.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0077 can be found here:

2026-01-14 - Revision of a currently approved collection

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 Food Supply Chain Form RD 4281-1 - Application for Food Supply Chain.pdf	Form
4281-1 Application for Food Supply Chain Form RD 4281-1 - Application for Food Supply Chain.pdf	Form
4281-2 Guaranteed Loan Borrower Status Form RD 4281-2 - Guaranteed Loan Borrower Status.pdf	Form
4281-2 Guaranteed Loan Borrower Status Form RD 4281-2 - Guaranteed Loan Borrower Status.pdf	Form
RD 4281-3 Guaranteed Loan Borrower Default Status Form RD 4281-3 - Guaranteed Loan Borrower Default Status.pdf	Form
RD 4281-3 Guaranteed Loan Borrower Default Status Form RD 4281-3 - Guaranteed Loan Borrower Default Status.pdf	Form
RD 4281-4 Guaranteed Loan Closing Report Form RD 4281-4 - Guaranteed Loan Closing Report.pdf	Form
RD 4281-4 Guaranteed Loan Closing Report Form RD 4281-4 - Guaranteed Loan Closing Report.pdf	Form
RD 4281-5 Final Loss or Bankruptcy Reorg with no collateral Form RD 4281-5 - Final Loss or BKR REORG w-no collateral.pdf	Form
RD 4281-5 Final Loss or Bankruptcy Reorg with no collateral Form RD 4281-5 - Final Loss or BKR REORG w-no collateral.pdf	Form
RD 4281-6 Estimated Loss Form RD 4281-6 - Estimated Loss.pdf	Form
RD 4281-6 Estimated Loss Form RD 4281-6 - Estimated Loss.pdf	Form
RD 4281-7 Bankruptcy Reorganization Form RD 4281-7 - Bankruptcy Reorg.pdf	Form
RD 4281-7 Bankruptcy Reorganization Form RD 4281-7 - Bankruptcy Reorg.pdf	Form
Rd 4281-8 Lender's Agreement Form RD 4281-8 - Lenders Agreement.pdf	Form
Rd 4281-8 Lender's Agreement Form RD 4281-8 - Lenders Agreement.pdf	Form
RD 4281-9 Conditional Commitment Form RD 4281-9 - Conditional Commitment.pdf	Form
RD 4281-9 Conditional Commitment Form RD 4281-9 - Conditional Commitment.pdf	Form
RD 4281-10 Loan Note Guarantee Form RD 4281-10 - Loan Note Guarantee.pdf	Form
RD 4281-10 Loan Note Guarantee Form RD 4281-10 - Loan Note Guarantee.pdf	Form
RD 4281-11 Unconditional Guarantee Form RD 4281-11 - Unconditional Guarantee.pdf	Form
RD 4281-11 Unconditional Guarantee Form RD 4281-11 - Unconditional Guarantee.pdf	Form
RD 4281-12 Assignment Guarantee Agreement Form RD 4281-12 - Assignment Guaranteee Agreement.pdf	Form
RD 4281-12 Assignment Guarantee Agreement Form RD 4281-12 - Assignment Guaranteee Agreement.pdf	Form
RD 4281-13 Lender's Guaranteed Loan Payment to USDA Form RD 4281-13 - Lender's Guaranteed Loan Payment to USDA.pdf	Form
RD 4281-13 Lender's Guaranteed Loan Payment to USDA Form RD 4281-13 - Lender's Guaranteed Loan Payment to USDA.pdf	Form
RD 4281-15 Certificate of Incumbency and Signature Form RD 4281-15 - Cert of Incumbancy and Signature.pdf	Form
RD 4281-15 Certificate of Incumbency and Signature Form RD 4281-15 - Cert of Incumbancy and Signature.pdf	Form
RD 4281-16 Account and User Creation Form Form RD 4281-16 - Account and User Creation Form.pdf	Form
RD 4281-16 Account and User Creation Form Form RD 4281-16 - Account and User Creation Form.pdf	Form
RD 4281-6 Estimated Loss Form RD 4281-6 - Estimated Loss.pdf	Form
RD 4281-6 Estimated Loss Form RD 4281-6 - Estimated Loss.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:

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 Food Supply Chain	Form RD 4281-1 - Application for Food Supply Chain.pdf	Yes	Yes	Fillable Fileable Signable
Form	4281-2	Guaranteed Loan Borrower Status	Form RD 4281-2 - Guaranteed Loan Borrower Status.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-3	Guaranteed Loan Borrower Default Status	Form RD 4281-3 - Guaranteed Loan Borrower Default Status.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-4	Guaranteed Loan Closing Report	Form RD 4281-4 - Guaranteed Loan Closing Report.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-5	Final Loss or Bankruptcy Reorg with no collateral	Form RD 4281-5 - Final Loss or BKR REORG w-no collateral.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-6	Estimated Loss	Form RD 4281-6 - Estimated Loss.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-7	Bankruptcy Reorganization	Form RD 4281-7 - Bankruptcy Reorg.pdf	Yes	Yes	Fillable Fileable Signable
Form	Rd 4281-8	Lender's Agreement	Form RD 4281-8 - Lenders Agreement.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-9	Conditional Commitment	Form RD 4281-9 - Conditional Commitment.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-10	Loan Note Guarantee	Form RD 4281-10 - Loan Note Guarantee.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-11	Unconditional Guarantee	Form RD 4281-11 - Unconditional Guarantee.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-12	Assignment Guarantee Agreement	Form RD 4281-12 - Assignment Guaranteee Agreement.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 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 Signable
Form	RD 4281-15	Certificate of Incumbency and Signature	Form RD 4281-15 - Cert of Incumbancy and Signature.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-16	Account and User Creation Form	Form RD 4281-16 - Account and User Creation Form.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-6	Estimated Loss	Form RD 4281-6 - Estimated Loss.pdf	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

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: 250

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
	Approved	Previously Approved
Annual Number of Responses for this IC	6,227	6,227
Annual IC Time Burden (Hours)	16,085	16,085
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.