SCBGP (Farm Bill)

Specialty Crop Block Grant Program (2008 Farm Bill)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0248 can be found here:

Documents and Forms

Document Name Document Type
Form AD-1047 SCBGP (Farm Bill) Form and Instruction
AD-1047 Certification Regarding Debarment, Suspension, & Other R AD-1047.pdf www.grants.gov Form and Instruction
AD-1048 Certification Regarding Debarment, Suspension, Ineligibi AD 1048.pdf www.whitehouse.gov/omb/grants/grants_forms.html Form and Instruction
AD-1049 certification Regarding Drug-Free Workplace Requirements AD-1049.pdf www.whitehouse.gov/omb/grants/grants_forms.html Form and Instruction

Information Collection (IC) Details

IC Title:	SCBGP (Farm Bill)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 3015 et seq

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	AD-1047	Certification Regarding Debarment, Suspension, & Other Responsibility Matters	AD-1047.pdf	http://www.grants.gov	Yes	Yes	Fillable Fileable
Form and Instruction	AD-1048	Certification Regarding Debarment, Suspension, Ineligibility & Voluntary Exclusion	AD 1048.pdf	http://www.whitehouse.gov/omb/grants/grants_forms.html	Yes	Yes	Fillable Printable
Form and Instruction	AD-1049	certification Regarding Drug-Free Workplace Requirements (grants) Alternative I	AD-1049.pdf	http://www.whitehouse.gov/omb/grants/grants_forms.html	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	510	510
Annual IC Time Burden (Hours)	1,439	1,439
Annual IC Cost Burden (Dollars)	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.