Information Collection

25 CFR 103 -- Lender Loan Insurance and Loan Guaranty

IC 11448 under ICR 200611-1076-003 · OMB 1076-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0020 can be found here:

Documents and Forms

Document Name Document Type
Form 5-4754a 25 CFR 103 -- Lender Loan Insurance and Loan Guaranty Form
5-4754a Notice of Insured Loan BIA Form 5-4754a converted editable.doc.rtf Form
5-4753 Loan Guaranty Agreement OK5-4753LOANGUARANTYAGREEMENT11[1].9.pdf Form
5-4754 Loan Insurance Agreement OK5-4754LOANINSURANCEAGREEMENT11.9.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	25 CFR 103 -- Lender Loan Insurance and Loan Guaranty	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 103.18 25 CFR 103.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	5-4754a	Notice of Insured Loan	BIA Form 5-4754a converted editable.doc.rtf	No	Paper Only
Form	5-4753	Loan Guaranty Agreement	OK5-4753LOANGUARANTYAGREEMENT11[1].9.pdf	No	Paper Only
Form	5-4754	Loan Insurance Agreement	OK5-4754LOANINSURANCEAGREEMENT11.9.doc	No	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	220	-632	852
Annual IC Time Burden (Hours)	440	-79	519
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.