Public/Tribal

Rural Community Development Initiative (RCDI)

OMB: 0575-0180

IC ID: 181552

Information Collection (IC) Details

View Information Collection (IC)

Public/Tribal
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AD-1047 Certification Regarding Debarrment, etc. RD AD1047-F-01-92.docx Yes No Fillable Printable
Form AD-1048 Certification Regarding Debarrment, etc. - Lower Tier RD AD1048-F-01-92.docx Yes No Fillable Printable
Form AD-1049 Certification for Drug-Free Workplace RD AD1049-F-05-90.docx Yes No Fillable Printable
Form SF 424 Application for Federal Assistance SF424_2_1-V2.1.pdf Yes No Fillable Printable
Form RD 400-1 Equal Opportunity Agreement RD0400-0001.pdf Yes No Fillable Printable
Form RD 400-4 Assurance Agreement RD0400-0004.pdf Yes No Fillable Printable
Form RD 442-2 Statement of Budget, Income and Equity RD0442-0002.pdf Yes No Fillable Printable
Form RD 442-3 Balance Sheet RD0442-0003.pdf Yes No Fillable Printable

Community and Social Services Community and Regional Development

 

11 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 440 0 0 93 0 347
Annual IC Time Burden (Hours) 556 0 0 137 0 419
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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