Intermediairy Relending Program

Intermediary Relending Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0021 can be found here:

Documents and Forms

Document Name Document Type
Form RD 1942-46 Intermediairy Relending Program Form
RD 4274-5 Intermediary Relending Program Supplemental Loan Agreeme RD4274-0005.pdf Form
RD 4274-1 Application for Loan RD4274-1.pdf Form
RD 4274-3 Intermediary Relending Program Promissory Note RD4274-0003_110100V03.pdf Form
RD 1942-46 Letter of Intent to Meet Conditions RD1942-0046.pdf Form
RD 1940-20 Request for Environmental Information RD1940-20.pdf Form
RD 1951-4 Report of IRP/RDLF Lending Activity RD1951-4.pdf Form
RD 400-4 Assurance Agreement RD0400-0004.pdf Form
RD 402-1 Deposit Agreement rd402-1.pdf Form
RD 400-8 Compliance Review RD0400-0008_100600V08.pdf Form
Form RD 4274-4 Loan Agreement rd4274-4.pdf Form

Information Collection (IC) Details

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 1942-46	Letter of Intent to Meet Conditions	RD1942-0046.pdf	Yes	No	Fillable Printable
Form	RD 1940-20	Request for Environmental Information	RD1940-20.pdf	Yes	No	Fillable Printable
Form	RD 1951-4	Report of IRP/RDLF Lending Activity	RD1951-4.pdf	Yes	No	Fillable Printable
Form	RD 400-4	Assurance Agreement	RD0400-0004.pdf	Yes	No	Fillable Printable
Form	RD 402-1	Deposit Agreement	rd402-1.pdf	Yes	No	Fillable Printable
Form	RD 400-8	Compliance Review	RD0400-0008_100600V08.pdf	Yes	No	Fillable Printable
Form	Form RD 4274-4	Loan Agreement	rd4274-4.pdf	Yes	No	Fillable Printable
Form	RD 4274-5	Intermediary Relending Program Supplemental Loan Agreement	RD4274-0005.pdf	Yes	No	Fillable Printable
Form	RD 4274-1	Application for Loan	RD4274-1.pdf	Yes	No	Fillable Printable
Form	RD 4274-3	Intermediary Relending Program Promissory Note	RD4274-0003_110100V03.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,326	943	2,383
Annual IC Time Burden (Hours)	24,580	6,981	17,599
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.