Information Collection

7 CFR 1944-K, Technical and Supervisory Assistance Grants

IC 2048 under ICR 200708-0575-003 · OMB 0575-0188.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0188 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-1047 7 CFR 1944-K, Technical and Supervisory Assistance Grants	Form
AD-1047 Certification Regarding Debarement, Suspension, and Othe AD1047-F-01-92.pdf	Form
AD-1049 Certification Regarding Drug-Free Workplace Requirements AD1049-F-05-90.pdf	Form
AD-1048 Certification Regarding Debarment, Suspension, Ineligibi AD1048-F-01-92.pdf	Form

IC Title:

7 CFR 1944-K, Technical and Supervisory Assistance Grants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 1944

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-1047	Certification Regarding Debarement, Suspension, and Other Responsibility Matters - Primary Covered Transactions	AD1047-F-01-92.pdf	Yes	No	Fillable Printable
Form	AD-1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative 1 - For Grantees Other Than Individuals	AD1049-F-05-90.pdf	Yes	No	Fillable Printable
Form	AD-1048	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Teir Covered Transactions	AD1048-F-01-92.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 15 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	349	-335	684
Annual IC Time Burden (Hours)	623	-562	1,185
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.