Information Collection

7 CFR Part 1717, Subparts R & S Lien Accomodations and Subordinations

IC 43529 under ICR 200904-0572-004 · OMB 0572-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0100 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD 1047 7 CFR Part 1717, Subparts R & S Lien Accomodations and Subordinations	Form
AD 1047 Certification Regarding Debarment, Suspension AD-1047.pdf	Form

IC Title:

7 CFR Part 1717, Subparts R & S Lien Accomodations and Subordinations

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD 1047	Certification Regarding Debarment, Suspension	AD-1047.pdf		Yes	No	Printable Only

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21	3	18
Annual IC Time Burden (Hours)	290	57	233
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.