Information Collection

Felony or Tax Delinquent Corporations

IC 202726 under ICR 201211-0505-001 · OMB 0505-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0505-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-3030-FS Felony or Tax Delinquent Corporations	Form
AD-3030-FS Representations Regarding Felony Conviction and Tax Deli AD-3030-FS 11-30-12 revReprsntn Reg Felony and Tax Delinquent.docx	Form
AD-3031 Assurance Regarding Felony Conviction or Tax Delinquent AD-3031 11-30-12 Rev - Assurance for Felony and Tax.docx	Form
AD-3031-FS Assurance Regarding Felony Conviction or Tax Delinquent AD-3031 FS 11-30-12 rev Assurance for Felony and Tax.docx	Form
AD-3030 Representation Regarding Felony Convition and Tax Delinq AD-3030 11-30-12 Rev Reprsntn Reg Felony and Tax Delinquent.docx	Form

IC Title:

Felony or Tax Delinquent Corporations

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-3030-FS	Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants	AD-3030-FS 11-30-12 revReprsntn Reg Felony and Tax Delinquent.docx	Yes	No	Printable Only
Form	AD-3031	Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants	AD-3031 11-30-12 Rev - Assurance for Felony and Tax.docx	Yes	No	Printable Only
Form	AD-3031-FS	Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants	AD-3031 FS 11-30-12 rev Assurance for Felony and Tax.docx	Yes	No	Printable Only
Form	AD-3030	Representation Regarding Felony Convition and Tax Delinquent Status for Corporate Applicants	AD-3030 11-30-12 Rev Reprsntn Reg Felony and Tax Delinquent.docx	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,162,535

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	Previously Approved
Annual Number of Responses for this IC	2,162,535	2,162,535
Annual IC Time Burden (Hours)	540,634	540,634
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.