Information Collection Request

The Rural Alaska Village Grant (RAVG) Program

ICR 201507-0572-001 · OMB 0572-0150 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form AD -1047 non-profit / private sector Form Modified Available
Form AD-1048 State and Local Governments Form Modified Available
FINAL RAVG Grid -2015 -updated (rev.) 9-1-15.xls Supplementary Document Uploaded 2015-09-01 Available
2015- RAVG F-Rule SuptStmt FINAL 9-1-2015 (rev.).docx Supporting Statement A Uploaded 2015-09-01 Available
RUS266.pdf Supplementary Document Uploaded 2015-07-29 Available
SFLLL.pdf Supplementary Document Uploaded 2015-07-29 Available
SF424D.pdf Supplementary Document Uploaded 2015-07-29 Available
SF424C_.pdf Supplementary Document Uploaded 2015-07-29 Available
SF424B-V1.1.pdf Supplementary Document Uploaded 2015-07-29 Available
SF424A-V1.0.pdf Supplementary Document Uploaded 2015-07-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
209670 non-profit / private sector Form Modified
209668 State and Local Governments Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2018 36 Months From Approved
345 0 0
469 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
State and Local Governments None, RUS Bulletin 1780-12, None, AD-1047, AD-1048, RD Instruction 1940Q A-1, RD 400-1, RD 400-4, RD 442-22, RD 1942-46, SF 424, AD-1049 Certification Regarding Debarment, Suspension and other Responsibility Matters - Lower Tier Covered Transactions. ,   Certificate Regarding Debarment ,   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 ,   Opinion of Counsel Regarding Right of Way ,   Letter of Intent to Meet Conditions ,   Application for Federal Assistance ,   RUS Bulletin 1780-12 ,   RAVG ANTHC Grant Agreement ,   RAVG SOA Grant Agreement
non-profit / private sector None, RUS Bulletin 1780-12, AD -1047, AD- 1048, AD - 1049, RD Instruction 1940Q A-1, RD 400-1, RD 400-4, RD 442-22, RD 1942-46, SF 424, None 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 ,   Opinion of COunsel relative to RIght-of-Way & Easments ,   Letter of Intent to Meet Conditions ,   Application for Federal Assistance ,   RUS Bulletin 1780-12 ,   RAVG SOA Grant Agreement ,   RAVG ANTHC Grant Agreement

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 345 0 0 345 0 0
Annual Time Burden (Hours) 469 0 0 469 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No