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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Intermediairy Relending 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:
7 CFR 4274
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
RD 4274-5
Intermediary Relending Program Supplemental Loan Agreement
4274-05.pdf
Yes
No
Fillable Printable
Form
RD 4274-1
Application for Loan
4274-01.pdf
Yes
No
Fillable Printable
Form
RD 4274-3
Intermediary Relending Program Promissory Note
RD4274-0003_110100V03.pdf
Yes
No
Fillable Printable
Form
RD 4274-4
Intermediary Relending Program Loan Agreement
RD4274-0004_100600V02.pdf
Yes
No
Fillable Printable
Form
RD 440-11
Estimate of Funds Needed
RD- 440-11.pdf
Yes
No
Fillable Printable
Form
RD 1942-46
Letter of Intent
RD-1942-46 - rev.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
202
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,383
0
0
0
0
2,383
Annual IC Time Burden (Hours)
17,599
0
0
-360
0
17,959
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Assurance Agreement (Approved under 0575-0018)
RD 400-4.pdf
12/09/2009
Compliance Review (Approved under 0575-0018)
RD 400-8.pdf
12/09/2009
Deposit Agreement (Approved under 0575-0158)
RD402-1.pdf
12/09/2009
Report of IRP/RDLF Lending Activity (Approved under 0570-0015)
RD1951-4.pdf
12/09/2009
Request for Environmental Information (Approved under 0575-0094)
RD1940-20.pdf
12/09/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.