Regulatory Collection Filing
Form RD 400-4, "Assurance Agreement"
RCF 202411-0575-007CF · Host ICR 202111-0575-001 · OMB 0575-0201
RCF Summary
Request for correction metadata| Host OMB Control No. | 0575-0201 |
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| Host ICR Reference No. | 202111-0575-001 |
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| Agency/Subagency | USDA/RHS |
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| Status | Received in OIRA |
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| Type of RCF | RCF New |
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| 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: |
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| Date Received in OIRA | 1969-12-31 |
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| Conclusion Date | 1969-12-31 |
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| Agency Tracking No. | 0575-0180 |
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| Related Links | OMB 0575-0201 · ICR 202111-0575-001 |
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RCF Details
layout table
View RCF
- Agency Submission
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Reginfo record details
| 202411-0575-007CF |
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Received in OIRA
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07/31/2025 |
| USDA/RHS |
0575-0180 |
| 0575-0201 |
202111-0575-001 |
Reginfo record details
| Title: Form RD 400-4, "Assurance Agreement" |
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RCF New
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Civil Rights Acts and laws.
This form OMB No. 0575-0201
This PRA package No is 0575-0180.
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None
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Reginfo record details
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Agency Contact:
Lisa Day 971 313-4750 [email protected]
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table that charts list of ICs
| IC Title |
Status |
Responses |
Hours |
Dollars |
Document Type |
Form No. |
Form Name |
table that charts list of burden
| |
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 |
585 |
0 |
0 |
585 |
0 |
0 |
| Annual Time Burden (Hours) |
146 |
0 |
0 |
146 |
0 |
0 |
| Annual Cost Burden (Dollars) |
0 |
0 |
0 |
0 |
0 |
0 |
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Yes
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Miscellaneous Actions
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No
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The agency is requesting to use the form which will result in a program change of 146 burden hours.
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