Information Collection

Private

IC 2036 under ICR 202411-0575-004 · OMB 0575-0180.

Documents and Forms

Document Name Document Type
Form RD 442-2 Private Form
RD 442-2 Statement of Budget, Income, and Equity 442-2.pdf Form
RD 442-3 Balance Sheet 442-3.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Private	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 442-2	Statement of Budget, Income, and Equity	442-2.pdf		Yes	Yes	Fillable Printable
Form	RD 442-3	Balance Sheet	442-3.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title: Privacy Act of 1974; System of Records	FR Citation: 89 FR 72820

Number of Respondents: 65	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,440	-1,690	3,130
Annual IC Time Burden (Hours)	2,399	-1,795	4,194
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.