FSA-2371 Agreement to complete training

Farm Loan Programs - Direct Loan Making

FSA2371_24

OMB: 0560-0237

Document [pdf]
Download: pdf | pdf
FSA-2371

Form Approved – OMB No. 0560-0237
Expiration Date 01-31-2026

U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency

(proposal 2)

Position 3

AGREEMENT TO COMPLETE TRAINING
INSTRUCTIONS: Return this completed form to your County FSA Office.

PART A - AGREEMENT

1. In consideration for receiving a direct loan, I agree to complete the following approved course(s) in financial management:

2.

I understand payment for the required course(s) is my responsibility.

3.

I must complete training as follows:
A.
B.

4.

within 2 years of the date this agreement is signed, unless I am granted an extension by the Farm Service
Agency;
within one year of the date a one-time 2-year Operating Loan term limit extension is signed.

I understand that if I fail to complete this training as agreed, I will be ineligible for future direct loans.

5A. Name

5B. Signature

PART B – FSA USE ONLY

1. The borrower completed the training course(s) on (a)

The borrower (b)

has

(c)

5C. Date (MM/DD/YYYY)

as per attached documentation.

has not met the borrower training requirements.

2. Name of Agency Official

3. Title of Agency Official

4. Signature of Agency Official

5. Date (MM/DD/YYYY)

FSA-2371 (1proposal 2)

Page 2 of 2

Privacy Act Statement: The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a - as amended). The
authority for requesting the information identified on this form is the Consolidated Farm and Rural Development Act, as amended (7 U.S.C.
1921 et. seq.). The information will be used to determine eligibility and feasibility for loans and loan guarantees, and servicing of loans and
loan guarantees. The information collected on this form may be disclosed to other Federal, State, and local government agencies, Tribal
agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in
the applicable Routine Uses identified in the System of Records Notice for USDA/FSA-14, Applicant/Borrower. Providing the requested
information is voluntary. However, failure to furnish the requested information may result in a denial for loans and loan guarantees, and
servicing of loans and loan guarantees. The provisions of criminal and civil fraud, privacy, and other statutes may be applicable to the
information provided.
Paperwork Reduction Act Statement: According to the Paperwork Reduction Act requirement, an agency may not conduct or sponsor, and
a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number
for this information collection is 0560-0237. This form is voluntary. The time required to complete this information collection is estimated to
average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect
of this collection of information, including suggestions for reducing this burden to maryann.ball@usda.gov.
Non-Discrimination Statement: In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations
and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited
from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation,
disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation
for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and
complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American
Sign Language, etc.) should contact the responsible Agency or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA
through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at
How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the
information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA
by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington,
D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.
USDA is an equal opportunity provider, employer, and lender.


File Typeapplication/pdf
File TitleAgreement to Complete Training
AuthorDAFLP-LMD
File Modified2024-08-22
File Created2024-08-22

© 2024 OMB.report | Privacy Policy