Information Collection

Value-Added Producer Grants - Business

IC 194172 under ICR 201102-0570-002 · OMB 0570-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0064 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RD 400-4 Assurance Agreement Value-Added Producer Grants - Business	Form
Form RD 1942-46 Letter of Intent Value-Added Producer Grants - Business	Form
Form RD 1940-20 Request for Environmental Information Value-Added Producer Grants - Business	Form
Form RD 4284-2 Value-Added Producer Grant Agreement Value-Added Producer Grants - Business	Form
Form RD 1940-1 Request for Obligation of Funds Value-Added Producer Grants - Business	Form
Form SF 3881 ACH Vendor/Miscellaneous Payment Enrollment Form Value-Added Producer Grants - Business	Form and Instruction
Form SF LLL Disclosure of Lobbying Activities Value-Added Producer Grants - Business	Form and Instruction
Form AD 1047 Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transaction Value-Added Producer Grants - Business	Form
Form AD 1048 Certification Regarding Debarment, Suspension, Inelgiblity and Voluntary Exclusion - Lower Tier Covered Tranaction Value-Added Producer Grants - Business	Form
Form AD 1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals Value-Added Producer Grants - Business	Form
RD 400-4 Assurance Agreement RD400-4.pdf	Form
RD 1942-46 Letter of Intent RD1942-46.pdf	Form
RD 1940-20 Request for Environmental Information RD1940-20.pdf	Form
RD 4284-2 Value-Added Producer Grant Agreement RD 4284-2.doc	Form
RD 1940-1 Request for Obligation of Funds RD1940-1.pdf	Form
SF 3881 ACH Vendor/Miscellaneous Payment Enrollment Form SF 3881.pdf	Form and Instruction
SF LLL Disclosure of Lobbying Activities SF LLL.pdf	Form and Instruction
AD 1047 Certification Regarding Debarment, Suspension and Other AD1047-F-01-92.pdf	Form
AD 1048 Certification Regarding Debarment, Suspension, Inelgibli AD1048-F-01-92.pdf	Form
AD 1049 Certification Regarding Drug-Free Workplace Requirements AD1049-F-05-90.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Value-Added Producer Grants - Business

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 4284

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 400-4	Yes	Yes	Fillable Printable
Form	RD 1942-46	Yes	Yes	Fillable Printable
Form	RD 1940-20	Yes	No	Fillable Printable
Form	RD 4284-2	Yes	No	Fillable Printable
Form	RD 1940-1	Yes	No	Fillable Printable
Form and Instruction	SF 3881	Yes	No	Fillable Printable
Form and Instruction	SF LLL	Yes	No	Fillable Printable
Form	AD 1047	Yes	No	Fillable Printable
Form	AD 1048	Yes	No	Fillable Printable
Form	AD 1049	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 540

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,326	3,326
Annual IC Time Burden (Hours)	60,023	60,023
Annual IC Cost Burden (Dollars)	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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].