Certification Regarding Drug-Free Workplace Requirements

Federal-State Marketing Improvement Program (FSMIP)

OMB: 0581-0240

IC ID: 45633

Information Collection (IC) Details

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Certification Regarding Drug-Free Workplace Requirements
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction AD-1049 Certification Regarding Drug-Free Workplace Requirements Cert. re Drug-Free Workplace Reqmts. AD-1049.pdf http://www.rurdev.usda.gov/rbs/coops/ad1049.pdf Yes No Fillable Printable

Economic Development Business and Industry Development

 

25 0
   
State, Local, and Tribal Governments
 
   75 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 25 0 0 0 0 25
Annual IC Time Burden (Hours) 5 0 0 0 0 5
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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