Information Collection Request

Special Evaluation Assistance for Rural Communities and Households Program (SEARCH)

ICR 201005-0572-003 · OMB 0572-0146 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SF 269A Financial Status Report - short form Form and Instruction New Repair queued
Form SF 270 Request for Advancement or Reimbursement Form and Instruction New Available
Form Ad 1049 Certificate for a Drug Free Workplace Form and Instruction New Available
Form AD 1048 Certification Regarding Debarment - Lower Tiered Form and Instruction New Available
Form AD 1047 Certification Regarding Debarment Form and Instruction New Repair queued
Form SF 269a -Short for Financial Status Report Form and Instruction Modified Available
Form SF 270 Req. for Adv. or Reimbursement Form and Instruction Modified Available
Form AD 1048 Certification regarding Debarment Form and Instruction Modified Available
Form AD 1049 Certification for a Drug Free Workplace Form and Instruction Modified Available
Form AD 1047 Certification Regarding Debarment Form Modified Available
FINAL SEARCH Spreadsheet Summary-ROCIS - June 2010.xls Supplementary Document Uploaded 2010-06-22 Available
FINAL-SS for final rule- 0572-NEW -ROCIS June-2010.doc Supporting Statement A Uploaded 2010-06-22 Available
sf424b.pdf Supplementary Document Uploaded 2009-12-14 Available
sf424a.pdf Supplementary Document Uploaded 2009-12-14 Available
SF424 (new 2009).doc Supplementary Document Uploaded 2009-12-14 Available
RD1942-0008.pdf Supplementary Document Uploaded 2009-12-14 Available
0400-04.pdf Supplementary Document Uploaded 2009-12-14 Available
0400-01.pdf Supplementary Document Uploaded 2009-12-14 Available
P.L. 110-234 -FARM BIll - SEARCH authority.doc Supplementary Document Uploaded 2009-12-14 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
193386 SEARCH - American Indian Tribes Form and Instruction NewFinancial Status Report - short form
193386 SEARCH - American Indian Tribes Form and Instruction NewRequest for Advancement or Reimbursement
193386 SEARCH - American Indian Tribes Form and Instruction NewCertificate for a Drug Free Workplace
193386 SEARCH - American Indian Tribes Form and Instruction NewCertification Regarding Debarment - Lower Tiered
193386 SEARCH - American Indian Tribes Form and Instruction NewCertification Regarding Debarment
191564 SEARCH - Private Sector Form and Instruction ModifiedFinancial Status Report
191564 SEARCH - Private Sector Form and Instruction ModifiedReq. for Adv. or Reimbursement
191564 SEARCH - Private Sector Form and Instruction ModifiedCertification regarding Debarment
191564 SEARCH - Private Sector Form and Instruction ModifiedCertification for a Drug Free Workplace
191564 SEARCH - Private Sector Form ModifiedCertification Regarding Debarment

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2013 36 Months From Approved
540 0 0
1,150 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
SEARCH - American Indian Tribes SF 269A, Ad 1049, SF 270, AD 1048, AD 1047 ,   ,   ,   ,  
SEARCH - Private Sector AD 1048, SF 269a -Short form, AD 1047, AD 1049 , SF 270 ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 540 0 0 540 0 0
Annual Time Burden (Hours) 1,150 0 0 1,150 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No