View RCF - OIRA Conclusion

Title: RD 400-1, “Equal Opportunity Agreement” and RD 400-4, “Assurance Agreement.”

Type of RCF: RCF New
OIRA Conclusion Action: Approved	Conclusion Date: 07/16/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/16/2025
Terms of Clearance:

Description of Agency Usage: Applicants read and sign these forms to assure RUS that they agree to and will comply with Title VI of the Civil Rights Act of 1964, and the Equal Opportunity Clause under Executive Order 11246 of September 24, 1965. 0572-0146

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 kimble.brown@wdc.usda.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Assurance Agreement		88	22	0	Form	Form RD 400-4	Assurance Agreement
Equal Opportunity Agreement		88	15	0	Form	Form RD 400-1	Equal Opportunity Agreement

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	176	176
Annual Time Burden (Hours)	37	37
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: RUS requests to use these common forms which will increase burden by 176 respondents and 37 hours.