Information Collection

Borrower Acknowledgement Ofnotice To Take Adverse Action Agreement For The Use Of Proceeds/release Of Chattel Security And/or Farm Income

IC 101266 under ICR 198508-0575-001 · OMB 0575-0111.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0111 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	BORROWER ACKNOWLEDGEMENT OFNOTICE TO TAKE ADVERSE ACTION AGREEMENT FOR THE USE OF PROCEEDS/RELEASE OF CHATTEL SECURITY AND/OR FARM INCOME	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FMHA 1924-26				No	No
Form	FMHA 1962-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 130,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	240,000	150,000	90,000
Annual IC Time Burden (Hours)	65,400	42,900	22,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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