Home OMB 0575-0201 ICR 202111-0575-001 RCF 202411-0572-014CF Regulatory Collection Filing
Form RD 400-4, Assurance Agreement RCF 202411-0572-014CF · Host ICR 202111-0575-001 · OMB 0575-0201
RCF Summary Request for correction metadata Host OMB Control No. 0575-0201 Host ICR Reference No. 202111-0575-001 Agency/Subagency USDA/RUS Status Received in OIRA Type of RCF RCF New OIRA Conclusion Action (function(){var g=function(e,h,f,g){ this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b=e/100?0: Date Received in OIRA 1969-12-31 Conclusion Date 1969-12-31 Agency Tracking No. 0572-0121 Related Links OMB 0575-0201 · ICR 202111-0575-001
RCF Details
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View RCF
- Agency Submission
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RCF ID: 202411-0572-014CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 07/31/2025
Agency/Subagency: USDA/RUSAgency Tracking No: 0572-0121
Host OMB Control No: 0575-0201Host ICR Reference No: 202111-0575-001
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Title: Form RD 400-4, Assurance Agreement
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Type of RCF: RCF New
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Description of Agency Usage:
Borrowers receiving loan and grant assistance read and sign this form to assure that they will comply with Title VI of the Civil Rights Act of 1964 and regulations of RUS/RD. Form OMB Control No. 0575-0201.
For package with OMB Control No. 0572-0121
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Authorizing Statute(s):
None
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Annual Cost to Federal Government:
Agency Contact:
Katherine Mathis 202 713-7565 [email protected]
Common Form Information Collections (IC) in this RCF:
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IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
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Total Request
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
615
0
0
615
0
0
Annual Time Burden (Hours)
154
0
0
154
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The agency is requesting to use the form which will result in a program change of 154 burden hours.