Information Collection

Private

IC 2036 under ICR 202411-0575-004 · OMB 0575-0180.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RD 442-2 Statement of Budget, Income, and Equity Private	Form
Form RD 442-3 Balance Sheet Private	Form
RD 442-2 Statement of Budget, Income, and Equity 442-2.pdf	Form
RD 442-3 Balance Sheet 442-3.pdf	Form

IC Title:

Private

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 442-2				Yes	Yes	Fillable Printable
Form	RD 442-3				Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title: Privacy Act of 1974; System of Records

FR Citation: 89 FR 72820

Number of Respondents: 65

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
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,440	-1,690	3,130
Annual IC Time Burden (Hours)	2,399	-1,795	4,194
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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