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OMB Control No:	ICR Reference No: 202306-0570-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: USDA/RBS	Agency Tracking No:
Title: 7 CFR 4280 Financial Assistance Forms for Loans/Grants Common Forms Package
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: Yes
Type of Review Request: Regular	Date Submitted to OIRA: 10/11/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	1	0
Time Burden (Hours)	1	0
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion
Annual Number of Responses	1	1
Annual Time Burden (Hours)	1	1
Annual Cost Burden (Dollars)	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: This is a new information collection for the common forms 4280 series consisting of 4280-2 and 4280-4.

Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Lynn Gilbert 202 690-2682 lynn.gilbert@usda.gov