Information Collection

Intermediairy Relending Program

IC 1690 under ICR 201901-0570-002 · OMB 0570-0021.

⚠️ Notice: This information collection may be referencing outdated material.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 4274-5 Intermediary Relending Program Supplemental Loan Agreement Intermediairy Relending Program Form
Form RD 4274-1 Application for Loan Intermediairy Relending Program Form
Form RD 4274-3 Intermediary Relending Program Promissory Note Intermediairy Relending Program Form
Form RD 1942-46 Letter of Intent to Meet Conditions Intermediairy Relending Program Form
Form RD 1951-4 Report of IRP/RDLF Lending Activity Intermediairy Relending Program Form
Form RD 402-1 Deposit Agreement Intermediairy Relending Program Form
Form RD 400-8 Compliance Review Intermediairy Relending Program Form
Form Form RD 4274-4 Loan Agreement Intermediairy Relending Program Form
Form RD 400-4 Assurance Agreement 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 1951-4 Report of IRP/RDLF Lending Activity RD1951-4.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
RD 400-4 Assurance Agreement Assurance Agreement.pdf formsadmin.sc.egov.usda.gov/eFormsAdmin/browseFormsAction.do?pageAction=displayPDF&formIndex=4 Form

Information Collection (IC) Details

View Information Collection (IC)

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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
Form	RD 1942-46	Letter of Intent to Meet Conditions	RD1942-0046.pdf		Yes	No	Fillable Printable
Form	RD 1951-4	Report of IRP/RDLF Lending Activity	RD1951-4.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 400-4	Assurance Agreement	Assurance Agreement.pdf	https://formsadmin.sc.egov.usda.gov/eFormsAdmin/browseFormsAction.do?pageAction=displayPDF&formIndex=4	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: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,566	240	3,326
Annual IC Time Burden (Hours)	24,820	240	24,580
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.

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