Rural Development Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD 1049 Certification Regarding Drug-Free Workplace Requirements (Grants)	Form	New	Available
Form AD 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion	Form	New	Available
Form RUS Bulletin 1780- Water and Waste System Grant Agreement	Form	New	Available
Form RD 5002-2A Rural Energy for America p Program Grant Agreement	Form	New	Available
Form RD 5002-1 Community Facilities Grant Agreement	Form	New	Available
Form RD 1942-46 Letter of Intent to Meet Conditions	Form	New	Available
Form RD 1942-19 Agreement fo Engineering Services	Form	New	Available
Form RD 1942-8 Resolution of Members or Stockholders	Form	New	Available
Form RD 1940-20 Request for Environmental Information	Form and Instruction	New	Available
Form RD 1940-1 Request for Obligation of Funds	Form	New	Available
Form RD 1924-18 Partial Payment Estimate	Form	New	Available
Form RD 1924-7 Contract Change Order	Form	New	Available
Form RD 1924-6 Construction Contract	Form	New	Available
Form RD 442-30 Water Purchase Contract	Form	New	Available
Form RD 442-22 Opinion of Counsel Relative to Rights of Way	Form	New	Available
Form RD 422-7 Operating Budget	Form and Instruction	New	Available
Form RD 442-3 Balance Sheet	Form and Instruction	New	Available
Form RD 442-2 Statement of Budget, Income and Equity	Form and Instruction	New	Available
Form RD 440-11 Estimate of Funds Needed	Form	New	Available
Form RD 400-4 Assurance Agreement	Form	New	Available
Form RD 400-1 Equal Opportunity Agreement	Form	New	Available
Form AD 1047 Certification Regarding Debarment, Suspension and Other Responsibiility Matters	Form	New	Available
Rollup and Individual Spreadsheets.xls	Supplementary Document	Uploaded 2008-10-14	Available
DET Grant Supporting Statement.doc	Supporting Statement A	Uploaded 2008-10-14	Available
SFLLL.pdf	Supplementary Document	Uploaded 2008-10-14	Available
SF271.pdf	Supplementary Document	Uploaded 2008-10-14	Available
SF270.pdf	Supplementary Document	Uploaded 2008-10-14	Available
SF269.pdf	Supplementary Document	Uploaded 2008-10-14	Available
SF424D-V1.1.pdf	Supplementary Document	Uploaded 2008-10-14	Available
SF424C-V1.0.pdf	Supplementary Document	Uploaded 2008-10-14	Available
SF424B.pdf	Supplementary Document	Uploaded 2008-10-14	Available
SF424A-V1.0.pdf	Supplementary Document	Uploaded 2008-10-14	Available
SF 424.doc	Supplementary Document	Uploaded 2008-10-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186844	Rural Development Grant Programs - Tribal	Other-Forms Information	New
186843	Rural Development Grant Programs - Private Sector	Form	New	Certification Regarding Drug-Free Workplace Requirements (Grants)
186843	Rural Development Grant Programs - Private Sector	Form	New	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
186843	Rural Development Grant Programs - Private Sector	Form	New	Water and Waste System Grant Agreement
186843	Rural Development Grant Programs - Private Sector	Form	New	Rural Energy for America p Program Grant Agreement
186843	Rural Development Grant Programs - Private Sector	Form	New	Community Facilities Grant Agreement
186843	Rural Development Grant Programs - Private Sector	Form	New	Letter of Intent to Meet Conditions
186843	Rural Development Grant Programs - Private Sector	Form	New	Agreement fo Engineering Services
186843	Rural Development Grant Programs - Private Sector	Form	New	Resolution of Members or Stockholders
186843	Rural Development Grant Programs - Private Sector	Form and Instruction	New	Request for Environmental Information
186843	Rural Development Grant Programs - Private Sector	Form	New	Request for Obligation of Funds
186843	Rural Development Grant Programs - Private Sector	Form	New	Partial Payment Estimate
186843	Rural Development Grant Programs - Private Sector	Form	New	Contract Change Order
186843	Rural Development Grant Programs - Private Sector	Form	New	Construction Contract
186843	Rural Development Grant Programs - Private Sector	Form	New	Water Purchase Contract
186843	Rural Development Grant Programs - Private Sector	Form	New	Opinion of Counsel Relative to Rights of Way
186843	Rural Development Grant Programs - Private Sector	Form and Instruction	New	Operating Budget
186843	Rural Development Grant Programs - Private Sector	Form and Instruction	New	Balance Sheet
186843	Rural Development Grant Programs - Private Sector	Form and Instruction	New	Statement of Budget, Income and Equity
186843	Rural Development Grant Programs - Private Sector	Form	New	Estimate of Funds Needed
186843	Rural Development Grant Programs - Private Sector	Form	New	Assurance Agreement
186843	Rural Development Grant Programs - Private Sector	Form	New	Equal Opportunity Agreement
186843	Rural Development Grant Programs - Private Sector	Form	New	Certification Regarding Debarment, Suspension and Other Responsibiility Matters
186842	Rural Development Grants - Individuals	Other-Forms Information	New

ICR Details

OMB Control No: 0570-0056	ICR Reference No: 200810-0570-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: USDA/RBS	Agency Tracking No:
Title: Rural Development Grant Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 05/06/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/15/2008
Terms of Clearance: In accordance with 5 CFR 1320, OMB is withholding approval at this time. Prior to publication of the final rule, the agency must submit to OMB a summary of all comments related to the information collection contained in the proposed rule and the agency response. The agency should clearly indicate any changes made to the information collection as a result of these comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Regulation promulgates the policies and procedures to provide grants for a variety of projects intended to assist and improve rural America.

---

Authorizing Statute(s): US Code: 7 USC 1926 Name of Law: Consolidated Farm and Rural Development Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0570-AA68	Proposed rulemaking	73 FR 61198	10/15/2008

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Rural Development Grant Programs - Private Sector	RD 440-11, RD 442-2, RD 1924-7, RD 1924-18, RD 1924-6, AD 1047, RD 5002-1, RD 422-7, RD 1940-20, RD 442-3, RD 1942-8, RD 1942-19, RUS Bulletin 1780-12, RD 1940-1, RD 400-1, RD 400-4, AD 1049, RD 442-22, RD 442-30, RD 1942-46, RD 5002-2A, AD 1048	Equal Opportunity Agreement ,   Assurance Agreement ,   Estimate of Funds Needed ,   Statement of Budget, Income and Equity ,   Balance Sheet ,   Operating Budget ,   Opinion of Counsel Relative to Rights of Way ,   Water Purchase Contract ,   Construction Contract ,   Contract Change Order ,   Partial Payment Estimate ,   Request for Obligation of Funds ,   Request for Environmental Information ,   Resolution of Members or Stockholders ,   Agreement fo Engineering Services ,   Letter of Intent to Meet Conditions ,   Community Facilities Grant Agreement ,   Rural Energy for America p Program Grant Agreement ,   Water and Waste System Grant Agreement ,   Certification Regarding Debarment, Suspension and Other Responsibiility Matters ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion ,   Certification Regarding Drug-Free Workplace Requirements (Grants)
Rural Development Grant Programs - Tribal
Rural Development Grants - Individuals

---

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New consolidated regulatory grant collection combining eight existing grant programs.

---

Annual Cost to Federal Government: $5,130,205

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/15/2008

---