INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-I: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
0560-0237 |
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| FLP - Direct Loan Making |
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| DATE PREPARED |
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| July 17, 2025 |
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| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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ANNUAL BURDEN |
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REPORTS |
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RECORDS |
RESPONDENT COST |
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TOTAL BURDEN HOURS |
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TOTAL |
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FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
HOURS |
(Col. F x G) |
NO. OF |
ANNUAL |
RECORD- |
COST |
TOTAL |
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| SECTION OF |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
PER |
(H) |
RECORD- |
HOURS PER |
KEEPING HOURS |
PER |
COST |
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| REGS. |
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so state) |
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PER |
(Col. D x E) |
RESPONSE |
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KEEPERS |
RECORD- |
(Col. I x J) |
HOUR |
(Col. H x L) |
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RESPONDENT |
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EXEMPT |
NON-EXEMPT |
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KEEPER |
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| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
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(I) |
(J) |
(K) |
(L) |
(M) |
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| 764.51(b), 767.151 |
Request for loan making assistance/LM - Individuals and married applicants |
FSA-2001 |
36,120 |
0.751 |
27,126 |
2.667 |
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72,336 |
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$118.10 |
8,542,869 |
* |
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| 764.51(b), 767.151 |
Request for Direct Loan Assistance/LM - Entity |
FSA-2001 |
8,471 |
0.333 |
2,821 |
3.167 |
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8,933 |
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$118.10 |
1,054,995 |
* |
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| 765.403 (a)(1) |
Request for Direct Loan Assistance/transfer & assumption (ind.) |
FSA-2001 |
1,051 |
0.751 |
789 |
2.667 |
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2,105 |
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$118.10 |
248,599 |
* |
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| 765.403 (a)(1) |
Request for Direct Loan Assistance/transfer & assumption (ent) |
FSA-2001 |
264 |
0.333 |
88 |
3.167 |
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279 |
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$118.10 |
32,902 |
* |
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| 766.102 (a)(2) |
Request for Direct Loan Assistance/PLS - individuals & married |
FSA-2001 |
4,955 |
0.751 |
3,721 |
0.500 |
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1,861 |
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$118.10 |
219,729 |
* |
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| 766.102 (a)(2) |
Request for Direct Loan Assistance/PLS - entity |
FSA-2001 |
1,164 |
0.333 |
388 |
1.000 |
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388 |
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$118.10 |
45,770 |
* |
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| 766.204 (a)(2) |
Request for Direct Loan Assistance/SA individuals & married app. |
FSA-2001 |
93 |
0.751 |
70 |
0.500 |
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35 |
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$118.10 |
4,141 |
* |
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| 766.204 (a)(2) |
Request for Direct Loan Assistance/SA - entity |
FSA-2001 |
20 |
0.333 |
7 |
1.000 |
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7 |
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$118.10 |
806 |
* |
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| 764.51(b)(4) |
Three-Year Financial History - existing applicants |
FSA-2002 |
5,575 |
1.000 |
5,575 |
0.500 |
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2,788 |
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$118.10 |
329,231 |
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| 1436.4 |
Three-Year Financial History - FSFL |
FSA-2002 |
325 |
1.000 |
325 |
0.500 |
162 |
0 |
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$118.10 |
0 |
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| 766.102 (a)(3) |
Three-Year Financial History - PLS |
FSA-2002 |
1,428 |
1.000 |
1,428 |
0.500 |
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714 |
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$118.10 |
84,325 |
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| 764.51(b)(5) |
Three-Year Production History - existing applicants |
FSA-2003 |
5,575 |
1.000 |
5,575 |
0.500 |
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2,788 |
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$118.10 |
329,231 |
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| 1436.4 |
Three-Year Production History - FSFL |
FSA-2003 |
285 |
1.000 |
285 |
0.500 |
142 |
0 |
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$118.10 |
0 |
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| 766.102 (a)(3) |
Three-Year Production History - PLS |
FSA-2003 |
1,414 |
1.000 |
1,414 |
0.500 |
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707 |
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$118.10 |
83,518 |
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| 765.205 (a)(6) |
Authorization to Release Information - subordination |
FSA-2004 |
9,854 |
1.000 |
9,854 |
0.167 |
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1,642 |
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$118.10 |
193,957 |
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| 765.404 (b)(1) |
Authorization to Release Information - transfer & assumption |
FSA-2004 |
892 |
1.000 |
892 |
0.167 |
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149 |
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$118.10 |
17,551 |
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| 1956.66 |
Authorization to Release Information - debt settlement |
FSA-2004 |
3,020 |
1.000 |
3,020 |
0.167 |
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503 |
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$118.10 |
59,444 |
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| 1436.4 |
Authorization to Release Information - FSFL |
FSA-2004 |
1,708 |
1.000 |
1,708 |
0.167 |
285 |
0 |
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$118.10 |
0 |
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| 766.102 (a)(6) |
Authorization to Release Information - PLS |
FSA-2004 |
4,054 |
1.000 |
4,054 |
0.167 |
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676 |
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$118.10 |
79,797 |
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| 766.152 (b)(5) |
Authorization to Release Information - Homestead protection |
FSA-2004 |
25 |
1.000 |
25 |
0.167 |
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4 |
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$118.10 |
493 |
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| 766.204 (a)(2) |
Authorization to Release Information - SA amortization |
FSA-2004 |
77 |
1.000 |
77 |
0.167 |
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13 |
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$118.10 |
1,524 |
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| 765.205 (a)(6) |
Creditor List - subordination |
FSA-2005 |
9,853 |
1.000 |
9,853 |
0.333 |
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3,284 |
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$118.10 |
387,869 |
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| 765.404 (b)(1) |
Creditor List - transfer & assumption - ineligible |
FSA-2005 |
803 |
1.000 |
803 |
0.333 |
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268 |
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$118.10 |
31,605 |
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| 766.102 (a) |
Creditor List - PLS |
FSA-2005 |
4,038 |
1.000 |
4,038 |
0.333 |
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1,346 |
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$118.10 |
158,967 |
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| 766.151 (a)(3) |
Creditor List - homestead protection |
FSA-2005 |
25 |
1.000 |
25 |
0.333 |
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8 |
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$118.10 |
986 |
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| 766.204 (a)(2) |
Creditor List - SA amortization |
FSA-2005 |
77 |
1.000 |
77 |
0.333 |
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26 |
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$118.10 |
3,048 |
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| 765.205 (a)(2) |
Property Owned and Leased - subordination |
FSA-2006 |
9,860 |
1.000 |
9,860 |
0.500 |
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4,930 |
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$118.10 |
582,206 |
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| 766.102 (a)(7) |
Property Owned and Leased - PLS |
FSA-2006 |
4,038 |
1.000 |
4,038 |
0.500 |
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2,019 |
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$118.10 |
238,450 |
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| 766.204 (a)(2) |
Property Owned and Leased - SA amortization |
FSA-2006 |
84 |
1.000 |
84 |
0.500 |
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42 |
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$118.10 |
4,976 |
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| 764.402 |
Cosigner Application and Agreement |
FSA-2007 |
1,048 |
1.000 |
1,048 |
0.250 |
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262 |
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$118.10 |
30,933 |
* |
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| 764.51(b)(8) |
Verification of Income - loan making |
FSA-2014 |
22,308 |
1.000 |
22,308 |
0.250 |
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5,577 |
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$118.10 |
658,630 |
* |
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| 765.205 (a)(4) |
Verification of Income - subordination |
FSA-2014 |
7,657 |
1.000 |
7,657 |
0.250 |
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1,914 |
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$118.10 |
226,077 |
* |
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| 765.404 (b)(1) |
Verification of Income - transfer & assumption - Ineligible |
FSA-2014 |
187 |
1.000 |
187 |
0.250 |
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47 |
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$118.10 |
5,514 |
* |
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| 766.102 (a)(6) |
Verification of Income - PLS |
FSA-2014 |
3,142 |
1.000 |
3,142 |
0.250 |
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785 |
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$118.10 |
92,764 |
* |
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| 766.151 (b)(5) |
Verification of Income - Homestead protection |
FSA-2014 |
22 |
1.000 |
22 |
0.250 |
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5 |
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$118.10 |
639 |
* |
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| 766.204 (a)(2) |
Verification of Income - SA amortization |
FSA-2014 |
58 |
1.000 |
58 |
0.250 |
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15 |
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$118.10 |
1,715 |
* |
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| 1956.66 |
Verification of Debts and Assets - debt settlement |
FSA-2015 |
4,811 |
3.000 |
14,434 |
0.333 |
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4,811 |
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$118.10 |
568,219 |
* |
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| 1436.5 (a)(1) |
Verification of Debts and Assets - FSFL |
FSA-2015 |
3,189 |
3.000 |
9,566 |
0.333 |
3,189 |
0 |
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$118.10 |
0 |
* |
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| 764.51(b)(12) |
Verification of Debts and Assets - loan making - OL & EM |
FSA-2015 |
39,289 |
3.000 |
117,867 |
0.333 |
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39,289 |
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$118.10 |
4,640,032 |
* |
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| 764.51(b)(12) |
Verification of Debts and Assets - loan making - FO |
FSA-2015 |
4,933 |
3.000 |
14,800 |
0.333 |
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4,933 |
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$118.10 |
582,610 |
* |
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| 764.51 (d)(2) |
Verification of Debts and Assets - youth loans |
FSA-2015 |
495 |
3.000 |
1,486 |
0.333 |
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495 |
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$118.10 |
58,503 |
* |
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| 765.205 (a)(6) |
Verification of Debts and Assets - subordination |
FSA-2015 |
15,827 |
3.000 |
47,480 |
0.333 |
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15,827 |
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$118.10 |
1,869,139 |
* |
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| 765.404 (b)(1) |
Verification of Debts and Assets - transfer & assumption |
FSA-2015 |
339 |
3.000 |
1,018 |
0.333 |
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339 |
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$118.10 |
40,078 |
* |
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| 766.102 (a)(8) |
Verification of Debts and Assets - PLS |
FSA-2015 |
6,098 |
3.000 |
18,294 |
0.333 |
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6,098 |
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$118.10 |
720,193 |
* |
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| 766.204 (a)(2) |
Verification of Debts and Assets - SA amortization |
FSA-2015 |
122 |
3.000 |
366 |
0.333 |
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122 |
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$118.10 |
14,390 |
* |
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| 766.353 (a) |
Verification of Debts and Assets - voluntary conveyance |
FSA-2015 |
34 |
3.000 |
102 |
0.333 |
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34 |
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$118.10 |
4,035 |
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| 764.402(a)(1) |
Promissory Note - Individual |
FSA-2026 |
26,422 |
1.000 |
26,422 |
0.333 |
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8,807 |
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$118.10 |
1,040,144 |
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| 764.402(a)(1) |
Promissory Note - Entity Members |
FSA-2026 |
7,346 |
1.000 |
7,346 |
0.333 |
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2,449 |
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$118.10 |
289,198 |
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| 766.106, 766.204 |
Promissory Note - PLS - individual |
FSA-2026 |
2,978 |
1.000 |
2,978 |
0.333 |
|
993 |
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$118.10 |
117,230 |
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| 766.106, 766.204 |
Promissory Note - PLS - entity members |
FSA-2026 |
951 |
1.000 |
951 |
0.333 |
|
317 |
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$118.10 |
37,433 |
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| 764.402 (a)(4) |
Promissory Note - cosigner |
FSA-2026 |
253 |
1.000 |
253 |
0.333 |
|
84 |
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$118.10 |
9,952 |
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| 764.254, 766.109 |
Supplemental Payment Agreement |
FSA-2027 |
747 |
1.000 |
747 |
0.250 |
|
187 |
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$118.10 |
22,056 |
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| 764.305 |
Security Agreement - youth (lien on products financed) |
FSA-2028 |
4,543 |
1.000 |
4,543 |
0.333 |
|
1,514 |
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$118.10 |
178,827 |
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| 764.103 (b)(1) |
Security Agreement - pledge of third party |
FSA-2028 |
470 |
1.000 |
470 |
0.333 |
|
157 |
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$118.10 |
18,515 |
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| 764.103 (c) |
Security Agreement - 150 percent requirement |
FSA-2028 |
1,377 |
1.000 |
1,377 |
0.333 |
|
459 |
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$118.10 |
54,199 |
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| 764.103 (c) |
Security Agreement - lien on non-essential assets |
FSA-2028 |
184 |
1.000 |
184 |
0.333 |
|
61 |
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$118.10 |
7,262 |
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| 764.255 (b) |
Security Agreement - OL lien on property financed |
FSA-2028 |
17,452 |
1.000 |
17,452 |
0.333 |
|
5,817 |
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$118.10 |
687,019 |
|
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| 765.303 (a)(4) |
Security Agreement - add livestock when crops to be fed |
FSA-2028 |
2,707 |
1.000 |
2,707 |
0.333 |
|
902 |
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$118.10 |
106,561 |
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| 765.303 (c)(2) |
Security Agreement - lien on new property in exchange |
FSA-2028 |
5,046 |
1.000 |
5,046 |
0.333 |
|
1,682 |
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$118.10 |
198,641 |
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| 766.56 |
Security Agreement - Delinquent DSA lien on all assets |
FSA-2028 |
151 |
1.000 |
151 |
0.333 |
|
50 |
|
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$118.10 |
5,962 |
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| 766.112 (a) |
Security Agreement - PLS lien on all assets |
FSA-2028 |
391 |
1.000 |
391 |
0.333 |
|
130 |
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$118.10 |
15,377 |
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| 766.204 (a)(5) |
Security Agreement - SA amortization lien on all assets |
FSA-2028 |
76 |
1.000 |
76 |
0.333 |
|
25 |
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$118.10 |
3,004 |
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| 764.103(b)(1) |
RE mortgage/deed of trust - pledge from 3rd party |
FSA-2029M, FSA-2029D |
236 |
1.000 |
236 |
0.500 |
|
118 |
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$118.10 |
13,920 |
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|
|
| 764.103 (c) |
RE mortgage/deed of trust - 150% requirement |
FSA-2029M, FSA-2029D |
8,782 |
1.000 |
8,782 |
0.500 |
|
4,391 |
|
|
|
$118.10 |
518,593 |
|
|
|
|
|
|
|
|
| 764.103 (e) |
RE mortgage/deed of trust - lien on nonessential assets |
FSA-2029M, FSA-2029D |
678 |
1.000 |
678 |
0.500 |
|
339 |
|
|
|
$118.10 |
40,011 |
|
|
|
|
|
|
|
|
| 764.155 (b) |
RE mortgage/deed of trust - RE financed w/ FO funds |
FSA-2029M, FSA-2029D |
3,468 |
1.000 |
3,468 |
0.500 |
|
1,734 |
|
|
|
$118.10 |
204,761 |
|
|
|
|
|
|
|
|
| 764.205 (b) |
RE mortgage/deed of trust - RE financed w/ BFDP funds |
FSA-2029M, FSA-2029D |
178 |
1.000 |
178 |
0.500 |
|
89 |
|
|
|
$118.10 |
10,490 |
|
|
|
|
|
|
|
|
| 764.353 (c) |
RE mortgage/deed of trust - EM physical loss |
FSA-2029M, FSA-2029D |
175 |
1.000 |
175 |
0.500 |
|
88 |
|
|
|
$118.10 |
10,356 |
|
|
|
|
|
|
|
|
| 765.205 (b) |
RE mortgage/deed of trust - subordination w/ purchase |
FSA-2029M, FSA-2029D |
255 |
1.000 |
255 |
0.500 |
|
128 |
|
|
|
$118.10 |
15,063 |
|
|
|
|
|
|
|
|
| 765.352 (a) |
RE mortgage/deed of trust - proceeds used to develop |
FSA-2029M, FSA-2029D |
93 |
1.000 |
93 |
0.500 |
|
47 |
|
|
|
$118.10 |
5,514 |
|
|
|
|
|
|
|
|
| 766.56 |
RE mortgage/deed of trust - delinquent DSA lien on assets |
FSA-2029M, FSA-2029D |
61 |
1.000 |
61 |
0.500 |
|
31 |
|
|
|
$118.10 |
3,631 |
|
|
|
|
|
|
|
|
| 766.112 (a) |
RE mortgage/deed of trust - PLS lien on all assets |
FSA-2029M, FSA-2029D |
831 |
1.000 |
831 |
0.500 |
|
416 |
|
|
|
$118.10 |
49,089 |
|
|
|
|
|
|
|
|
| 766.204 (a) |
RE mortgage/deed of trust - SA amortization lien on all assets |
FSA-2029M, FSA-2029D |
82 |
1.000 |
82 |
0.500 |
|
41 |
|
|
|
$118.10 |
4,842 |
|
|
|
|
|
|
|
|
| 764.402, 764.303 |
Assignment of proceeds & consent to payment - applicant |
FSA-2041, FSA-2042 |
8,042 |
1.000 |
8,042 |
0.333 |
|
2,681 |
|
|
|
$118.10 |
316,589 |
|
|
|
|
|
|
|
|
| 764.402, 764.304 |
Assignment of proceeds & consent to payment - purchaser |
FSA-2041, FSA-2043 |
2,666 |
3.000 |
7,998 |
0.333 |
|
2,666 |
|
|
|
$118.10 |
314,841 |
* |
|
|
|
|
|
|
|
| 764.402 |
Assignment of dairy proceeds - applicant |
FSA-2043 |
3,809 |
1.000 |
3,809 |
0.333 |
|
1,270 |
|
|
|
$118.10 |
149,956 |
|
|
|
|
|
|
|
|
| 764.402 |
Assignment of dairy proceeds - purchaser |
FSA-2044 |
1,258 |
3.000 |
3,775 |
0.333 |
|
1,258 |
|
|
|
$118.10 |
148,611 |
* |
|
|
|
|
|
|
|
| 764.402, 765.252 |
Assignment of income (includes mineral leases) |
FSA-2044 |
2,272 |
1.000 |
2,272 |
0.333 |
|
757 |
|
|
|
$118.10 |
89,436 |
|
|
|
|
|
|
|
|
| 764.51 |
Request for youth loan - applicant |
FSA-2301 |
5,022 |
1.000 |
5,022 |
0.500 |
|
2,511 |
|
|
|
$118.10 |
296,550 |
* |
|
|
|
|
|
|
|
| 764.302(e) |
Request for youth loan - advisor |
FSA-2301 |
3,020 |
1.620 |
4,892 |
0.167 |
|
815 |
|
|
|
$118.10 |
96,300 |
* |
|
|
|
|
|
|
|
| 764.302(f) |
Request for youth loan - parent/guardian |
FSA-2301 |
4,605 |
1.000 |
4,605 |
0.167 |
|
768 |
|
|
|
$118.10 |
90,646 |
* |
|
|
|
|
|
|
|
| 764.51(b)(14) |
Certification of disaster losses |
FSA-2309 |
1,550 |
1.000 |
1,550 |
1.500 |
|
2,325 |
|
|
|
$118.10 |
274,561 |
|
|
|
|
|
|
|
|
| 764.352(e) |
Lender's verification of loan application - individual |
FSA-2310 |
1,403 |
1.000 |
1,403 |
0.083 |
|
117 |
|
|
|
$118.10 |
13,808 |
|
|
|
|
|
|
|
|
| 764.352(e) |
Lender's verification of loan application - entity members |
FSA-2310 |
432 |
1.000 |
432 |
0.083 |
|
36 |
|
|
|
$118.10 |
4,248 |
|
|
|
|
|
|
|
|
| 764.352(e) |
Lender's verification of loan application - lender |
FSA-2310 |
999 |
2.000 |
1,997 |
0.500 |
|
999 |
|
|
|
$118.10 |
117,948 |
* |
|
|
|
|
|
|
|
| 764.401(a) |
Notification of loan approval and conditions |
FSA-2313 |
30,007 |
1.000 |
30,007 |
0.333 |
|
10,002 |
|
|
|
$118.10 |
1,181,269 |
|
|
|
|
|
|
|
|
| 764.51(c) |
Request for Streamlined loan making assistance/LM - Individual |
FSA-2314 |
5,694 |
0.756 |
4,305 |
0.500 |
|
2,152 |
|
|
|
$118.10 |
254,186 |
* |
|
|
|
|
|
|
|
| 764.51(c) |
Request for Streamlined loan making assistance - LM-Entity |
FSA-2314 |
16 |
0.333 |
5 |
1.000 |
|
5 |
|
|
|
$118.10 |
627 |
* |
|
|
|
|
|
|
|
| 764.255 (b) |
Consent and subordination - applicant |
FSA-2317 |
219 |
1.000 |
219 |
0.250 |
|
55 |
|
|
|
$118.10 |
6,456 |
|
|
|
|
|
|
|
|
| 764.255 (b) |
Consent and subordination - lender |
FSA-2317 |
221 |
1.000 |
221 |
0.250 |
|
55 |
|
|
|
$118.10 |
6,523 |
* |
|
|
|
|
|
|
|
| 764.402(c) |
Agreement for disposition of jointly-owned property |
FSA-2318 |
134 |
1.000 |
134 |
0.167 |
|
22 |
|
|
|
$118.10 |
2,645 |
|
|
|
|
|
|
|
|
| 764.104(a)(2) |
Agreement with prior lienholder |
FSA-2319 |
1,748 |
1.000 |
1,748 |
0.167 |
|
291 |
|
|
|
$118.10 |
34,407 |
* |
|
|
|
|
|
|
|
| 1436.8 |
Agreement with prior lienholder - FSFL |
FSA-2320 |
911 |
1.000 |
911 |
0.167 |
152 |
0 |
|
|
|
$118.10 |
0 |
* |
|
|
|
|
|
|
|
| 764.108 |
Property Insurance mortgage clause |
FSA-2320 |
14 |
1.000 |
14 |
0.167 |
|
2 |
|
|
|
$118.10 |
269 |
* |
|
|
|
|
|
|
|
| 764.402, 765.205 |
Selection of attorney/title agent |
FSA-2340 |
5,504 |
1.000 |
5,504 |
0.167 |
|
917 |
|
|
|
$118.10 |
108,332 |
|
|
|
|
|
|
|
|
| 764.402, 765.205 |
Certification of attorney/title company |
FSA-2341, FSA-2342 |
3,246 |
1.000 |
3,246 |
0.333 |
|
1,082 |
|
|
|
$118.10 |
127,765 |
* |
|
|
|
|
|
|
|
| 764.402, 765.205 |
Preliminary title opinion |
FSA-2344 |
3,103 |
1.490 |
4,624 |
1.500 |
|
6,936 |
|
|
|
$118.10 |
819,093 |
|
|
|
|
|
|
|
|
| 764.402 |
Loan closing instructions |
FSA-2350 |
2,796 |
1.490 |
4,166 |
0.500 |
|
2,083 |
|
|
|
$118.10 |
245,978 |
|
|
|
|
|
|
|
|
| 764.402, 765.205 |
Certification of improvement of property |
FSA-2351 |
559 |
1.000 |
559 |
0.167 |
|
93 |
|
|
|
$118.10 |
11,006 |
* |
|
|
|
|
|
|
|
| 764.402, 765.206 |
Final title opinion |
FSA-2352 |
2,784 |
1.490 |
4,149 |
0.500 |
|
2,074 |
|
|
|
$118.10 |
244,977 |
|
|
|
|
|
|
|
|
| 764.402 |
Report of lien search |
FSA-2360 |
691 |
1.000 |
691 |
0.500 |
|
346 |
|
|
|
$118.10 |
40,818 |
* |
|
|
|
|
|
|
|
| 1436.8 |
Report of lien search - FSFL |
FSA-2360 |
1,708 |
1.000 |
1,708 |
0.500 |
854 |
0 |
|
|
|
$118.10 |
0 |
* |
|
|
|
|
|
|
|
| 764.255 |
Subordination to the Government |
FSA-2361 |
621 |
1.000 |
621 |
0.500 |
|
310 |
|
|
|
$118.10 |
36,648 |
* |
|
|
|
|
|
|
|
| 764.453 |
Requiest for Waiver of Borrower Training Requirements |
FSA-2370 |
10,617 |
1.000 |
10,617 |
0.500 |
|
5,308 |
|
|
|
$118.10 |
626,924 |
|
|
|
|
|
|
|
|
| 764.452 |
Agreement to Complete Training |
FSA-2371 |
9,459 |
1.000 |
9,459 |
0.250 |
|
2,365 |
|
|
|
$118.10 |
279,268 |
|
|
|
|
|
|
|
|
| 764.458 |
Agreement To Conduct Financial Management Training for Farm Service Agency Borrowers |
FSA-2375 |
165 |
1.000 |
165 |
0.167 |
|
28 |
|
|
|
$118.10 |
3,250 |
* |
|
|
|
|
|
|
|
| 764.454 |
Borrower training course evaluation - borrower |
FSA-2376 |
4,523 |
1.000 |
4,523 |
0.250 |
|
1,131 |
|
|
|
$118.10 |
133,548 |
|
|
|
|
|
|
|
|
| 764.454 |
Borrower training course evaluation - vendor |
FSA-2376 |
405 |
10.390 |
4,212 |
0.500 |
|
2,106 |
|
|
|
$118.10 |
248,728 |
|
|
|
|
|
|
|
|
| 764.51 (b)(6) |
Documentation other credit is not available - lender |
Non-form |
6,771 |
3.140 |
21,262 |
1.000 |
|
21,262 |
|
|
|
$118.10 |
2,510,984 |
* |
|
|
|
|
|
|
|
| 764.51 (b)(10) |
Copy of legal description of RE to purchase, leases, agreements |
Non-form |
15,442 |
1.000 |
15,442 |
0.250 |
|
3,860 |
|
|
|
$118.10 |
455,920 |
|
|
|
|
|
|
|
|
| 764.51 (b)(13) |
Information needed to evaluate application |
Non-form |
1,429 |
1.000 |
1,429 |
0.250 |
|
357 |
|
|
|
$118.10 |
42,196 |
|
|
|
|
|
|
|
|
| 764.53 (e) |
Request to keep application active (funds not available) |
Non-form |
32 |
1.000 |
32 |
0.167 |
|
5 |
|
|
|
$118.10 |
628 |
|
|
|
|
|
|
|
|
| 764.101 |
Citizenship status documentation |
Non-form |
25 |
1.000 |
25 |
0.250 |
|
6 |
|
|
|
$118.10 |
740 |
|
|
|
|
|
|
|
|
| 764.104 (b)(2) |
Contract for sale - agreement to use insurance proceeds |
Non-form |
22 |
1.000 |
22 |
0.250 |
|
5 |
|
|
|
$118.10 |
639 |
|
|
|
|
|
|
|
|
| 764.104 (b)(5) |
Purchase contract holder agreement |
Non-form |
22 |
1.000 |
22 |
0.250 |
|
5 |
|
|
|
$118.10 |
639 |
|
|
|
|
|
|
|
|
| 764.104 (c) |
Request to BIA to provide title status report |
Non-form |
14 |
1.000 |
14 |
0.500 |
|
7 |
|
|
|
$118.10 |
807 |
|
|
|
|
|
|
|
|
| 764.108 |
Evidence of hazard insurance |
Non-form |
14,182 |
1.000 |
14,182 |
0.250 |
|
3,546 |
|
|
|
$118.10 |
418,734 |
|
|
|
|
|
|
|
|
| 764.108 |
Evidence of flood insurance |
Non-form |
13,096 |
1.000 |
13,096 |
0.250 |
|
3,274 |
|
|
|
$118.10 |
386,658 |
|
|
|
|
|
|
|
|
| 764.108 |
Evidence of crop insurance |
Non-form |
17,253 |
1.000 |
17,253 |
0.250 |
|
4,313 |
|
|
|
$118.10 |
509,380 |
|
|
|
|
|
|
|
|
| 764.108 (d) |
Waiver of eligibility for emergency crop loss assistance |
Non-form |
621 |
1.000 |
621 |
0.250 |
|
155 |
|
|
|
$118.10 |
18,324 |
|
|
|
|
|
|
|
|
| 764.151 (e) |
Evidence to refinance bridge FO loan |
Non-form |
118 |
1.000 |
118 |
0.250 |
|
30 |
|
|
|
$118.10 |
3,497 |
|
|
|
|
|
|
|
|
| 764.255 |
Obtaining branded livestock and feeder cattle agreement |
Non-form |
395 |
1.000 |
395 |
0.250 |
|
99 |
|
|
|
$118.10 |
11,667 |
|
|
|
|
|
|
|
|
| 764.255 |
Lien on motor vehicles |
Non-form |
79 |
1.000 |
79 |
0.250 |
|
20 |
|
|
|
$118.10 |
2,320 |
|
|
|
|
|
|
|
|
| 764.352 (c) |
EM RE purposes - lease exceeds loan term |
Non-form |
14 |
1.000 |
14 |
0.250 |
|
3 |
|
|
|
$118.10 |
403 |
|
|
|
|
|
|
|
|
| 764.352 (c) |
EM RE purposes - notification of lease's expiration |
Non-form |
11 |
1.000 |
11 |
0.250 |
|
3 |
|
|
|
$118.10 |
336 |
|
|
|
|
|
|
|
|
| 764.352 (e) |
Written declination of credit - EM applicants |
Non-form |
333 |
2.000 |
665 |
0.250 |
|
166 |
|
|
|
$118.10 |
19,636 |
|
|
|
|
|
|
|
|
| 764.352 (e) |
Written declination of credit - EM - lender |
Non-form |
216 |
3.080 |
666 |
0.500 |
|
333 |
|
|
|
$118.10 |
39,352 |
* |
|
|
|
|
|
|
|
| 764.353, 764.356 |
Documentation of losses of livestock/livestock products |
Non-form |
196 |
1.000 |
196 |
0.250 |
|
49 |
|
|
|
$118.10 |
5,783 |
|
|
|
|
|
|
|
|
| 764.355 (c) |
EM - repayment ability when security not available |
Non-form |
14 |
1.000 |
14 |
0.250 |
|
3 |
|
|
|
$118.10 |
403 |
|
|
|
|
|
|
|
|
| 764.355 (3) |
Certificate of title for EM |
Non-form |
71 |
1.000 |
71 |
0.250 |
|
18 |
|
|
|
$118.10 |
2,085 |
|
|
|
|
|
|
|
|
| 764.454 (a)(2) |
Circumstances beyond borrower's control for not completing BT |
Non-form |
444 |
1.000 |
444 |
0.250 |
|
111 |
|
|
|
$118.10 |
13,113 |
|
|
|
|
|
|
|
|
| 764.456 |
Vendor application for approval to provide borrower training |
Non-form |
47 |
1.000 |
47 |
16.500 |
|
770 |
|
|
|
$118.10 |
90,982 |
* |
|
|
|
|
|
|
|
| 764.458 |
Vendor request to change curriculum, instructor or cost |
Non-form |
18 |
1.000 |
18 |
0.500 |
|
9 |
|
|
|
$118.10 |
1,076 |
|
|
|
|
|
|
|
|
| 764.458 (a)(4) |
Vendor revocation of agreement to provide borrower training |
Non-form |
13 |
1.000 |
13 |
0.250 |
|
3 |
|
|
|
$118.10 |
370 |
|
|
|
|
|
|
|
|
| 764.458 (b) |
Renewal of vendor approval to provide borrower training |
Non-form |
151 |
1.000 |
151 |
6.500 |
|
984 |
|
|
|
$118.10 |
116,266 |
* |
|
|
|
|
|
|
|
| 764.459 |
Vendor evalutation of borrower progress |
Non-form |
451 |
6.720 |
3,030 |
0.500 |
|
1,515 |
|
|
|
$118.10 |
178,947 |
|
|
|
|
|
|
|
|
| 765.205, 766.106 |
RE mortgage/modification agreement |
Non-form |
1,108 |
1.000 |
1,108 |
0.500 |
|
554 |
|
|
|
$118.10 |
65,429 |
|
|
|
|
|
|
|
|
| 764.51 (b)(15) |
Conservation Plan |
Non-form |
1,836 |
1.000 |
1,836 |
0.250 |
|
459 |
|
|
|
$118.10 |
54,199 |
|
|
|
|
|
|
|
|
| 764.51 (b)(16) |
Transisition to Organic/sustainable |
Non-form |
10 |
1.000 |
10 |
0.250 |
|
3 |
|
|
|
$118.10 |
303 |
|
|
|
|
|
|
|
|
| 764.51 (b)(2) |
Entity information - loan application |
Non-form |
765 |
1.000 |
765 |
0.250 |
|
191 |
|
|
|
$118.10 |
22,594 |
|
|
|
|
|
|
|
|
| 764.51 (b)(6) |
Documention other credit is not available - applicant |
Non-form |
21,762 |
1.000 |
21,762 |
1.000 |
|
21,762 |
|
|
|
$118.10 |
2,570,100 |
|
|
|
|
|
|
|
|
|
SUBTOTAL |
|
|
|
696,203 |
|
589 |
336,908 |
|
|
0.00 |
|
39,788,831 |
202012.54357582 |
|
|
|
|
|
|
|
|
TOTAL OF ALL PAGES |
|
|
|
696,203 |
|
589 |
336,908 |
|
|
0.00 |
|
39,788,831 |
|
|
|
|
|
|
|
|
| TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c |
|
|
|
696,203 |
|
|
336,908 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Est Respondents |
202,013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Resp/Respondent |
3.45 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Est Total Resp |
696,203 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Avg Time/Resp |
0.484 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Est Total Burden |
336,908 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|