202411-0572-016CF RCF OMB: 0575-0201
OMB.report
OMB 0575-0201
RCF 202411-0572-016CF
( RCF New )
Array
(
[refNbr] => 202411-0572-016CF
[obm] => 0575-0201
[icr] => 202111-0575-001
[status] => Received in OIRA
[agency] => USDA/RUS
[title] => Form RD 400-4; Assurance Agreement
[typeRCF] => RCF New
[oiraAction] => (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:
[oiraNOA] => (function(
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] => 0572-0137
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202411-0572-016CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 07/31/2025
Agency/Subagency: USDA/RUSAgency Tracking No: 0572-0137
Host OMB Control No: 0575-0201Host ICR Reference No: 202111-0575-001
Title: Form RD 400-4; Assurance Agreement
Description of Agency Usage:
The Assurance Agreement form is executed in instances that borrower purchase or exchange property. It establishes that the property will be used for similar purposes as the loan or grant was made and that the borrower will comply with civil rights provisions contained in 7 CFR part 1901. The impact on the borrower is limited to the time required to read and include a signature on Form RD 400-4. This form OMB No. is 0575-0201.
This renewal package OMB No. is 0572-0137.
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Katherine Mathis 202 713-7565 [email protected]
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
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
2,122
0
0
2,122
0
0
Annual Time Burden (Hours)
531
0
0
531
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 531 burden hours.