Information Collection

Food Supply Chain Guarantee Loan Program

IC 250362 under ICR 202305-0570-001 · OMB 0570-0077.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0077 can be found here:

2026-01-14 - Revision of a currently approved collection

Documents and Forms

Document Name Document Type
Form 4281-1 Food Supply Chain Guarantee Loan Program Form
4281-1 Application for Food Supply Chain Form RD 4281-1 - Application for Food Supply Chain.pdf Form
4281-1 Application for Food Supply Chain Form RD 4281-1 - Application for Food Supply Chain.pdf Form
4281-2 Guaranteed Loan Borrower Status Form RD 4281-2 - Guaranteed Loan Borrower Status.pdf Form
4281-2 Guaranteed Loan Borrower Status Form RD 4281-2 - Guaranteed Loan Borrower Status.pdf Form
RD 4281-3 Guaranteed Loan Borrower Default Status Form RD 4281-3 - Guaranteed Loan Borrower Default Status.pdf Form
RD 4281-3 Guaranteed Loan Borrower Default Status Form RD 4281-3 - Guaranteed Loan Borrower Default Status.pdf Form
RD 4281-4 Guaranteed Loan Closing Report Form RD 4281-4 - Guaranteed Loan Closing Report.pdf Form
RD 4281-4 Guaranteed Loan Closing Report Form RD 4281-4 - Guaranteed Loan Closing Report.pdf Form
RD 4281-5 Final Loss or Bankruptcy Reorg with no collateral Form RD 4281-5 - Final Loss or BKR REORG w-no collateral.pdf Form
RD 4281-5 Final Loss or Bankruptcy Reorg with no collateral Form RD 4281-5 - Final Loss or BKR REORG w-no collateral.pdf Form
RD 4281-6 Estimated Loss Form RD 4281-6 - Estimated Loss.pdf Form
RD 4281-6 Estimated Loss Form RD 4281-6 - Estimated Loss.pdf Form
RD 4281-7 Bankruptcy Reorganization Form RD 4281-7 - Bankruptcy Reorg.pdf Form
RD 4281-7 Bankruptcy Reorganization Form RD 4281-7 - Bankruptcy Reorg.pdf Form
Rd 4281-8 Lender's Agreement Form RD 4281-8 - Lenders Agreement.pdf Form
Rd 4281-8 Lender's Agreement Form RD 4281-8 - Lenders Agreement.pdf Form
RD 4281-9 Conditional Commitment Form RD 4281-9 - Conditional Commitment.pdf Form
RD 4281-9 Conditional Commitment Form RD 4281-9 - Conditional Commitment.pdf Form
RD 4281-10 Loan Note Guarantee Form RD 4281-10 - Loan Note Guarantee.pdf Form
RD 4281-10 Loan Note Guarantee Form RD 4281-10 - Loan Note Guarantee.pdf Form
RD 4281-11 Unconditional Guarantee Form RD 4281-11 - Unconditional Guarantee.pdf Form
RD 4281-11 Unconditional Guarantee Form RD 4281-11 - Unconditional Guarantee.pdf Form
RD 4281-12 Assignment Guarantee Agreement Form RD 4281-12 - Assignment Guaranteee Agreement.pdf Form
RD 4281-12 Assignment Guarantee Agreement Form RD 4281-12 - Assignment Guaranteee Agreement.pdf Form
RD 4281-13 Lender's Guaranteed Loan Payment to USDA Form RD 4281-13 - Lender's Guaranteed Loan Payment to USDA.pdf Form
RD 4281-13 Lender's Guaranteed Loan Payment to USDA Form RD 4281-13 - Lender's Guaranteed Loan Payment to USDA.pdf Form
RD 4281-15 Certificate of Incumbency and Signature Form RD 4281-15 - Cert of Incumbancy and Signature.pdf Form
RD 4281-15 Certificate of Incumbency and Signature Form RD 4281-15 - Cert of Incumbancy and Signature.pdf Form
RD 4281-16 Account and User Creation Form Form RD 4281-16 - Account and User Creation Form.pdf Form
RD 4281-16 Account and User Creation Form Form RD 4281-16 - Account and User Creation Form.pdf Form
RD 4281-6 Estimated Loss Form RD 4281-6 - Estimated Loss.pdf Form
RD 4281-6 Estimated Loss Form RD 4281-6 - Estimated Loss.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Food Supply Chain Guarantee Loan 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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4281-1	Application for Food Supply Chain	Form RD 4281-1 - Application for Food Supply Chain.pdf	Yes	Yes	Fillable Fileable Signable
Form	4281-2	Guaranteed Loan Borrower Status	Form RD 4281-2 - Guaranteed Loan Borrower Status.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-3	Guaranteed Loan Borrower Default Status	Form RD 4281-3 - Guaranteed Loan Borrower Default Status.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-4	Guaranteed Loan Closing Report	Form RD 4281-4 - Guaranteed Loan Closing Report.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-5	Final Loss or Bankruptcy Reorg with no collateral	Form RD 4281-5 - Final Loss or BKR REORG w-no collateral.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-6	Estimated Loss	Form RD 4281-6 - Estimated Loss.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-7	Bankruptcy Reorganization	Form RD 4281-7 - Bankruptcy Reorg.pdf	Yes	Yes	Fillable Fileable Signable
Form	Rd 4281-8	Lender's Agreement	Form RD 4281-8 - Lenders Agreement.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-9	Conditional Commitment	Form RD 4281-9 - Conditional Commitment.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-10	Loan Note Guarantee	Form RD 4281-10 - Loan Note Guarantee.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-11	Unconditional Guarantee	Form RD 4281-11 - Unconditional Guarantee.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-12	Assignment Guarantee Agreement	Form RD 4281-12 - Assignment Guaranteee Agreement.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-13	Lender's Guaranteed Loan Payment to USDA	Form RD 4281-13 - Lender's Guaranteed Loan Payment to USDA.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-15	Certificate of Incumbency and Signature	Form RD 4281-15 - Cert of Incumbancy and Signature.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-16	Account and User Creation Form	Form RD 4281-16 - Account and User Creation Form.pdf	Yes	Yes	Fillable Fileable Signable
Form	RD 4281-6	Estimated Loss	Form RD 4281-6 - Estimated Loss.pdf	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: USDA/RDâ1 Current or Prospective Producers or Landowners, Applicants, Borrowers, Grantees, Tenants, and other participants in RD programs.	FR Citation: 84 FR 21315

Number of Respondents: 250	Number of Respondents for Small Entity: 60

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,227	6,227
Annual IC Time Burden (Hours)	16,085	16,085
Annual IC Cost Burden (Dollars)	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.