Rural Community Development Initiative (RCDI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD-1047 Private	Form	Modified	Available
Form AD-1047 Public/Tribal	Form	Modified	Available
sflllin.pdf	Supplementary Document	Uploaded 2014-01-30	Available
sf270.pdf	Supplementary Document	Uploaded 2014-01-29	Available
0575-0180 rev RCDI Spreadsheet 5-06-15.xlsm	Supplementary Document	Uploaded 2015-05-07	Available
0575-0180 rev 2014 SuptStmt 5-6-15.doc	Supporting Statement A	Uploaded 2015-05-07	Available
0442-03.pdf	Supplementary Document	Uploaded 2007-06-15	Available
0442-02.pdf	Supplementary Document	Uploaded 2007-06-15	Repair queued
RD0400-0004_130800V05.pdf	Supplementary Document	Uploaded 2014-01-29	Available
0400-01.pdf	Supplementary Document	Uploaded 2007-06-15	Available
SF424B-V1.1.pdf	Supplementary Document	Uploaded 2010-10-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2036	Private	Form	Modified
181552	Public/Tribal	Form	Modified

ICR Details

OMB Control No: 0575-0180	ICR Reference No: 201401-0575-003
Status: Historical Active	Previous ICR Reference No: 201006-0575-004
Agency/Subagency: USDA/RHS	Agency Tracking No:
Title: Rural Community Development Initiative (RCDI)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/14/2015
	Date Received in OIRA: 01/30/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	36 Months From Approved	05/31/2015
Responses	4,400	0	3,470
Time Burden (Hours)	5,556	0	4,188
Cost Burden (Dollars)	0	0	0

---

Abstract: The Rural Community Development Initiative's intent is to develop the capacity and ability of rural area recipients through a program of technical assistance provided by qualified intermediary organizations.

---

Authorizing Statute(s): PL: Pub.L. 106 - 78 306 Name of Law: Agriculture, Rural Development, FDA 7 Related Agencies Appropriations Act 2000
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 67101	11/08/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 4656	01/29/2014
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Public/Tribal	RD 400-1, RD 400-4, RD 442-2, RD 442-3, SF 424, AD-1048 , AD-1047, AD-1049	Certification Regarding Debarrment, etc. ,   Certification Regarding Debarrment, etc. - Lower Tier ,   Certification for Drug-Free Workplace ,   Application for Federal Assistance ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Statement of Budget, Income and Equity ,   Balance Sheet
Private	RD 400-1, RD 400-4, RD 442-2, RD 442-3, SF 424, AD-1048, AD-1047, AD-1049	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions ,   Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - for Grantees other than Individuals ,   Certification Regarding Drug-free Workplace ,   Application for Federal Assistance ,   Equal Opportunity Agreement ,   Statement of Budget, Income and Equity ,   Assurance Agreement ,   Balance Sheet

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,400	3,470	0	0	930	0
Annual Time Burden (Hours)	5,556	4,188	0	0	1,368	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: With this renewal, annual responses increased by 930 to 4,400 and hours increased by 1,368 for a total of 5,556 in burden. The adjustment increase in both the number of responses and hours is due to a correction in previous errors in the calculation of burden.

---

Annual Cost to Federal Government: $196,036

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

---

Common Form ICR:  No

---

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: 01/30/2014

---