Information Collection

SEARCH - American Indian Tribes

IC 193386 under ICR 201307-0572-005 · OMB 0572-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-1047 SEARCH - American Indian Tribes	Form
AD-1047 Certification Regarding Debarment AD1047-F-01-92.pdf www.rurdev.usda.gov/FormsAndPublications.html	Form
AD-1049 Certification of Frug-Free Workplace AD1049-F-05-90.pdf www.rurdev.usda.gov/FormsAndPublications.html	Form
RUS Bulletin -1780 Grant Agreement RUS Bulletin-1780-12.pdf www.rurdev.usda.gov/FormsAndPublications.html	Form
AD1048 Certification of Debarment, Suspension, Ineligibility an AD1048-F-01-92.pdf www.ocio.usda.gov/policy-directives-records-forms/forms-management/approved-computer-generated-forms	Form

IC Title:

SEARCH - American Indian Tribes

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	URL	Available Electronically?	Electronic Capability
Form	AD-1047	Certification Regarding Debarment	AD1047-F-01-92.pdf	http://www.rurdev.usda.gov/FormsAndPublications.html	No	Fillable Printable
Form	AD-1049	Certification of Frug-Free Workplace	AD1049-F-05-90.pdf	http://www.rurdev.usda.gov/FormsAndPublications.html	No	Fillable Printable
Form	RUS Bulletin -1780-12	Grant Agreement	RUS Bulletin-1780-12.pdf	http://www.rurdev.usda.gov/FormsAndPublications.html	No	Fillable Printable
Form	AD1048	Certification of Debarment, Suspension, Ineligibility and Vol. Exclusion - Lower Tier Covered Transactions	AD1048-F-01-92.pdf	http://www.ocio.usda.gov/policy-directives-records-forms/forms-management/approved-computer-generated-forms	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: 2

Number of Respondents for Small Entity: 2

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	24	-8	32
Annual IC Time Burden (Hours)	63	-5	68
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.