Information Collection

Farmers Market Promotion Program (FMPP)

IC 2809 under ICR 201401-0581-004 · OMB 0581-0235.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TM-29 Farmers Market Promotion Program (FMPP)	Form
FMPP_2012_GUIDELINES_4-5-12 FINAL.docx www.ams.usda.gov/FMPP	Instruction
TM-29 Project Proposal Narrative Form TM-29 FMPP Proposal_Narrative Collection 1-30-2014.docx www.Grants.gov	Form
TM-30 Supplemental Budget Summary Form TM-30-Budget FMPP Supplemental Budget Summary Form 1-2011.doc www.Grants.gov	Form
AD-1047 Certification Regarding Disbarment, Suspension, and Othe AD-1047-Debarment Suspension 1-30-14.pdf www.Grants.gov	Form and Instruction
AD-1048 Certification Regarding Disbarment, Suspension, Ineligib AD1048-F-01-92.pdf www.Grants.gov	Form and Instruction
AD-1049 Certification Regarding Drug-Free Workplace Requirements AD1049.pdf www.ams.usda.gov/FMPP/FMPP/FY-07/AD1049.pdf	Form and Instruction
AMS-33 Agreement Face Sheet AMS 33 Agreement Face Sheet.docx	Form

IC Title:

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 3015 et seq

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TM-29	Project Proposal Narrative Form	TM-29 FMPP Proposal_Narrative Collection 1-30-2014.docx	http://www.Grants.gov	Yes	Yes	Fillable Fileable
Form	TM-30	Supplemental Budget Summary Form	TM-30-Budget FMPP Supplemental Budget Summary Form 1-2011.doc	http://www.Grants.gov	Yes	Yes	Fillable Fileable
Form and Instruction	AD-1047	Certification Regarding Disbarment, Suspension, and Other Responsibility Matters - Primary Covered Tranactions	AD-1047-Debarment Suspension 1-30-14.pdf	http://www.Grants.gov	Yes	No	Fillable Printable
Form and Instruction	AD-1048	Certification Regarding Disbarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions	AD1048-F-01-92.pdf	http://www.Grants.gov	Yes	No	Fillable Printable
Form and Instruction	AD-1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals	AD1049.pdf	http://www.ams.usda.gov/FMPP/FMPP/FY-07/AD1049.pdf	Yes	No	Fillable Printable
Instruction			FMPP_2012_GUIDELINES_4-5-12 FINAL.docx	http://www.ams.usda.gov/FMPP	Yes	No	Fillable Printable
Form	AMS-33	Agreement Face Sheet	AMS 33 Agreement Face Sheet.docx		Yes	Yes	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 75

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,100	3,100
Annual IC Time Burden (Hours)	20,988	20,988
Annual IC Cost Burden (Dollars)	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.