View RCF  - OIRA Conclusion

202306-0570-004CF
Historical Inactive 07/31/2025
USDA/RBS 0503-0028
0575-0201 202111-0575-001
Forms RD 400-4,“Assurance Agreement
RCF New
This form is completed by the applicant and used to confirm that recipients of Rural Development loan and grant assistance have been reminded of their obligation to comply with all provisions of the Civil Rights Act of 1964 and regulations of Rural Development.
None
 
Pamela Bennett 202 720-9639 pamela.bennett@usda.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Assurance Agreement 150 38 0 Form Form RD 400-4 Assurance Agreement

  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 150 0 0 150 0 0
Annual Time Burden (Hours) 38 0 0 38 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Yes
Miscellaneous Actions
No
The agency is requesting to use the form which will result in a program change of 38 burden hours.