Information Collection

Intermediairy Relending Program

IC 1690 under ICR 202201-0570-001 · OMB 0570-0021.

Documents and Forms

Document Name Document Type
Form RD 4274-1 Intermediairy Relending Program Form
This is a place holder for the following non-form reporting requirements.docx Other-Non-forms
RD 4274-1 Application for Loan RD Form 4274-1 exp 11-2022.pdf Form
RD 4274-3 Intermediary Relending Program Promissory Note RD Form 4274-3 exp 8-31-24.pdf Form
RD 4274-5 Intermediary Relending Program Supplemental Loan Agreeme RD Form 4274-5 exp 11-30-22.pdf Form
RD Form 4274-4 Intermediary Relending Program Rural Microentrepreneur A RD Form 4274-4 exp 11-30-22.pdf 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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 4274-1	Application for Loan	RD Form 4274-1 exp 11-2022.pdf	Yes	No	Fillable Printable
Form	RD 4274-3	Intermediary Relending Program Promissory Note	RD Form 4274-3 exp 8-31-24.pdf	Yes	No	Fillable Printable
Form	RD 4274-5	Intermediary Relending Program Supplemental Loan Agreement	RD Form 4274-5 exp 11-30-22.pdf	Yes	No	Fillable Printable
Form	RD Form 4274-4	Intermediary Relending Program Rural Microentrepreneur Assistance Program Loan Agreement	RD Form 4274-4 exp 11-30-22.pdf	Yes	No	Fillable Printable
Other-Non-forms			This is a place holder for the following non-form reporting requirements.docx	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: USDA/RD-1 Current or Prospective Procedures or Landowners, Applicants, Borrowers, Grantees, Tenants, and other participants in RD Programs.	FR Citation: 84 FR 21315

Number of Respondents: 140	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 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,224	-2,342	3,566
Annual IC Time Burden (Hours)	11,790	-13,030	24,820
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.