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Tribal
Notice of Funds Availability (NOFA) Inviting Applications for the Rural Community Development Initiative (RCDI)
OMB: 0575-0180
IC ID: 181552
OMB.report
USDA/RHS
OMB 0575-0180
ICR 200705-0575-003
IC 181552
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0180 can be found here:
2025-01-21 - Revision of a currently approved collection
2021-07-20 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form AD-1047
Tribal
Form
AD-1047 Certification Regarding Debarrment, etc.
AD1047-F-01-92.pdf
Form
AD-1048 Certification Regarding Debarrment, etc. - Lower Tier
AD1048-F-01-92.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tribal
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
AD-1047
Certification Regarding Debarrment, etc.
AD1047-F-01-92.pdf
Yes
No
Fillable Printable
Form
AD-1048
Certification Regarding Debarrment, etc. - Lower Tier
AD1048-F-01-92.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
53
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
126
0
0
126
0
0
Annual IC Time Burden (Hours)
171
0
0
171
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.