Information Collection

7 CFR 4284-F, Rural Cooperative Development Grant

IC 1647 under ICR 201306-0570-001 · OMB 0570-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-1047 7 CFR 4284-F, Rural Cooperative Development Grant	Form
AD-1047 Certification Regarding Debarment, Suspension, and Other AD1047-F-01-92.docx	Form
AD-1048 Certification Regarding Debarment, Suspension, Ineligibi AD1048-F-01-92.docx	Form
AD-1049 CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS AD1049-F-05-90.docx	Form
Sf LLL DISCLOSURE OF LOBBYING ACTIVITIES sflll.pdf	Form
1942-46 LETTER OF INTENT TO MEET CONDITIONS RD1942-0046_100600V02.pdf	Form

IC Title:

7 CFR 4284-F, Rural Cooperative Development Grant

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 4284.510-516 7 CFR 4284.11-16

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-1047	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	AD1047-F-01-92.docx	Yes	No	Fillable Printable
Form	AD-1048	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions	AD1048-F-01-92.docx	Yes	No	Fillable Printable
Form	AD-1049	CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS	AD1049-F-05-90.docx	Yes	No	Fillable Printable
Form	Sf LLL	DISCLOSURE OF LOBBYING ACTIVITIES	sflll.pdf	Yes	No	Fillable Printable
Form	1942-46	LETTER OF INTENT TO MEET CONDITIONS	RD1942-0046_100600V02.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 73

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	406	-299	705
Annual IC Time Burden (Hours)	7,838	-1,487	9,325
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.