Information Collection

Rural Community Development Initiative (RCDI)

IC 2036 under ICR 201006-0575-004 · OMB 0575-0180.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0180 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-270 Rural Community Development Initiative (RCDI)	Form
AD-1047 Certification Regarding Debarment, Suspension, and Other AD1047-F-01-92.pdf	Form
AD-1048 Certification Regarding Drug-Free Workplace Requirements AD1048-F-01-92.pdf	Form
SF-270 Request for Advancement or Reimbursement sf270.pdf	Form
AD-1049 Certification Regarding Drug-free Workplace AD1049-F-05-90.pdf	Form
SF-LLL Disclosure of Lobbying Activities sflllin.pdf	Form

IC Title:

Rural Community Development Initiative (RCDI)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	SF-270	Request for Advancement or Reimbursement	sf270.pdf	Yes	No	Fillable Printable
Form	AD-1049	Certification Regarding Drug-free Workplace	AD1049-F-05-90.pdf	Yes	No	Fillable Printable
Form	SF-LLL	Disclosure of Lobbying Activities	sflllin.pdf	Yes	No	Fillable Printable
Form	AD-1047	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	AD1047-F-01-92.pdf	Yes	No	Fillable Printable
Form	AD-1048	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - for Grantees other than Individuals	AD1048-F-01-92.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,134

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: 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	3,123	734	2,389
Annual IC Time Burden (Hours)	3,769	532	3,237
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.