The Rural Alaska Village Grant (RAVG) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF 424 Application for Federal Assistance	Form and Instruction	New	Available
Form RD 1942-46 Letter of Intent to Meet Conditions	Form	New	Repair queued
Form RD 1942-19 Agreement ffor Engineering Services	Form	New	Available
Form RD 442-22 Opinion of COunsel relative to RIght-of-Way & Easments	Form	New	Available
Form RD 442-7 Operating Budget	Form	New	Available
Form RDC 442-3 balance Sheet	Form	New	Available
Form RD442-2 Statement of Budget, Income and Equity	Form	New	Available
Form RD 400-4 Assurance Agreement	Form	New	Available
Form RD 400-1 Equal Opportunity Agreement	Form	New	Available
Form RD Instruction 194 Certification for Contracts, Grants and Loans REgarding Lobbying	Form and Instruction	New	Available
Form AD - 1049 Certification Regarding Drug-Free Workplace	Form	New	Available
Form AD- 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction	Form	New	Available
Form AD -1047 Certification Regarding Debarment	Form	New	Available
Form SF 424 Application for Federal Assistance	Form and Instruction	New	Repair queued
Form RD 1942-46 Letter of Intent to Meet Conditions	Form	New	Available
Form RD 1942-19 Agreement for Engineering Services	Form	New	Available
Form RD 442-22 Opinion of Counsel Regarding Right of Way	Form	New	Available
Form RD 442-7 Operating Budget	Form	New	Available
Form RD 442-3 Balance Sheet	Form	New	Available
Form RD 442-2 Statement of Budget, Income and Equity	Form and Instruction	New	Available
Form RD 400-4 Assurance Agreement	Form	New	Repair queued
Form RD 400-1 Equal opportunity Agreement	Form	New	Repair queued
Form RD Instruction 194 Certification for Contracts, Grants, and Loans	Form and Instruction	New	Available
Form AD-1049 Certification Regarding Drug-Free Workplace Requirements (Grrants) Alternative I - for Grantees Other Than Individuals	Form	New	Available
Form AD-1048 Certification Regarding Debarment, Suspension and other Responsibility Matters - Lower Tier Covered Transactions.	Form	New	Available
Form AD-1047 Certificate Regarding Debarment	Form	New	Available
FINAL -2013 -Rev.(9) -spreadsheet 12-18-13 mpd.xls	Supplementary Document	Uploaded 2013-12-19	Available
2013 Supporting Statement (12) mpd 12-19-13.docx	Supporting Statement A	Uploaded 2013-12-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209670	non-profit / private sector	Form and Instruction	New	Application for Federal Assistance
209670	non-profit / private sector	Form	New	Letter of Intent to Meet Conditions
209670	non-profit / private sector	Form	New	Agreement ffor Engineering Services
209670	non-profit / private sector	Form	New	Opinion of COunsel relative to RIght-of-Way & Easments
209670	non-profit / private sector	Form	New	Operating Budget
209670	non-profit / private sector	Form	New	balance Sheet
209670	non-profit / private sector	Form	New	Statement of Budget, Income and Equity
209670	non-profit / private sector	Form	New	Assurance Agreement
209670	non-profit / private sector	Form	New	Equal Opportunity Agreement
209670	non-profit / private sector	Form and Instruction	New	Certification for Contracts, Grants and Loans REgarding Lobbying
209670	non-profit / private sector	Form	New	Certification Regarding Drug-Free Workplace
209670	non-profit / private sector	Form	New	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction
209670	non-profit / private sector	Form	New	Certification Regarding Debarment
209668	State and Local Governments	Form and Instruction	New	Application for Federal Assistance
209668	State and Local Governments	Form	New	Letter of Intent to Meet Conditions
209668	State and Local Governments	Form	New	Agreement for Engineering Services
209668	State and Local Governments	Form	New	Opinion of Counsel Regarding Right of Way
209668	State and Local Governments	Form	New	Operating Budget
209668	State and Local Governments	Form	New	Balance Sheet
209668	State and Local Governments	Form and Instruction	New	Statement of Budget, Income and Equity
209668	State and Local Governments	Form	New	Assurance Agreement
209668	State and Local Governments	Form	New	Equal opportunity Agreement
209668	State and Local Governments	Form and Instruction	New	Certification for Contracts, Grants, and Loans
209668	State and Local Governments	Form	New	Certification Regarding Drug-Free Workplace Requirements (Grrants) Alternative I - for Grantees Other Than Individuals
209668	State and Local Governments	Form	New	Certification Regarding Debarment, Suspension and other Responsibility Matters - Lower Tier Covered Transactions.
209668	State and Local Governments	Form	New	Certificate Regarding Debarment

ICR Details

OMB Control No: 0572-0150	ICR Reference No: 201312-0572-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: The Rural Alaska Village Grant (RAVG) Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 09/09/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/20/2013
Terms of Clearance: OMB files this comment in accordance with 5 CFR 1320.11(c). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of 1995. If OMB has assigned this ICR a new OMB Control Number, the OMB Control Number will not appear in the active inventory. For future submissions of this information collection, reference the OMB Control Number provided. OMB is withholding approval at this time. Prior to publication of the final rule, the agency should provide a summary of any comments related to the information collection and their response, including any changes made to the ICR as a result of comments. In addition, the agency must enter the correct burden estimates. This action has no effect on any current approvals.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is new collection associated with a proposed rule. RUS proposes to modify its existing regulations and establish a separate regulation for making grants to rural or Native Alaskan Villages under the Rural Alaska Village Grant (RAVG) Program. The existing RAVG regulation (7 CFR 1780.49 will be relocated to its own section and modified to conform with established streamlined processes.

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Authorizing Statute(s): US Code: 7 USC 1926(d) Name of Law: Consolidated Farm and Rural Development Act (CONACT)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0572-AC28	Proposed rulemaking	78 FR 245	12/20/2013

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
State and Local Governments	RD 1942-46, RD 442-7, RD 442-22, RD 1942-19, RD 442-3, AD-1047, RD 400-4, AD-1048, RD Instruction 1940Q A-1, RD 400-1, RD 442-2, SF 424, AD-1049	Certificate Regarding Debarment ,   Certification Regarding Debarment, Suspension and other Responsibility Matters - Lower Tier Covered Transactions. ,   Certification Regarding Drug-Free Workplace Requirements (Grrants) Alternative I - for Grantees Other Than Individuals ,   Certification for Contracts, Grants, and Loans ,   Equal opportunity Agreement ,   Assurance Agreement ,   Statement of Budget, Income and Equity ,   Balance Sheet ,   Operating Budget ,   Opinion of Counsel Regarding Right of Way ,   Agreement for Engineering Services ,   Letter of Intent to Meet Conditions ,   Application for Federal Assistance
non-profit / private sector	AD -1047, AD- 1048, AD - 1049, RD Instruction 1940Q A-1, RD 400-1, RD 400-4, RD442-2, RDC 442-3, RD 442-7, RD 442-22, RD 1942-19, RD 1942-46, SF 424	Certification Regarding Debarment ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction ,   Certification Regarding Drug-Free Workplace ,   Certification for Contracts, Grants and Loans REgarding Lobbying ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Statement of Budget, Income and Equity ,   balance Sheet ,   Operating Budget ,   Opinion of COunsel relative to RIght-of-Way & Easments ,   Agreement ffor Engineering Services ,   Letter of Intent to Meet Conditions ,   Application for Federal Assistance

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is new collection associated with a proposed rule. RUS proposes to modify its existing regulations and establish a separate regulation for making grants to rural or Native Alaskan Villages under the Rural Alaska Village Grant (RAVG) Program. The existing RAVG regulation (7 CFR 1780.49 will be relocated to its own section and modified to conform with established streamlined processes. The collection of information from the public is necessary in order for RUS to identify projects eligible for RAVG grants.

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Annual Cost to Federal Government: $1,029,453

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/20/2013

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