View RCF  - OIRA Conclusion

202411-0572-016CF
Historical Inactive 07/31/2025
USDA/RUS 0572-0137
0575-0201 202111-0575-001
Form RD 400-4; Assurance Agreement
RCF New
The Assurance Agreement form is executed in instances that borrower purchase or exchange property. It establishes that the property will be used for similar purposes as the loan or grant was made and that the borrower will comply with civil rights provisions contained in 7 CFR part 1901. The impact on the borrower is limited to the time required to read and include a signature on Form RD 400-4. This form OMB No. is 0575-0201. This renewal package OMB No. is 0572-0137.
None
 
Katherine Mathis 202 713-7565 katherine.mathis@usda.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Assurance Agreement 2,122 531 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 2,122 0 0 2,122 0 0
Annual Time Burden (Hours) 531 0 0 531 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 531 burden hours.