202411-0572-014CF RCF OMB: 0575-0201
OMB.report
OMB 0575-0201
RCF 202411-0572-014CF
( RCF New )
Array
(
[refNbr] => 202411-0572-014CF
[obm] => 0575-0201
[icr] => 202111-0575-001
[status] => Received in OIRA
[agency] => USDA/RUS
[title] => Form RD 400-4, Assurance Agreement
[typeRCF] => RCF New
[oiraAction] => (function(){var g=function(e,h,f,g){ this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b=e/100?0:
[oiraNOA] => (function(
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] => 0572-0121
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202411-0572-014CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 07/31/2025
Agency/Subagency: USDA/RUSAgency Tracking No: 0572-0121
Host OMB Control No: 0575-0201Host ICR Reference No: 202111-0575-001
Title: Form RD 400-4, Assurance Agreement
Description of Agency Usage:
Borrowers receiving loan and grant assistance read and sign this form to assure that they will comply with Title VI of the Civil Rights Act of 1964 and regulations of RUS/RD. Form OMB Control No. 0575-0201.
For package with OMB Control No. 0572-0121
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Katherine Mathis 202 713-7565 katherine.mathis@usda.gov
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
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
615
0
0
615
0
0
Annual Time Burden (Hours)
154
0
0
154
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
The agency is requesting to use the form which will result in a program change of 154 burden hours.