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7 CFR 1944-N (State, Local and Tribal )
7 CFR Part 1944-N "Housing Preservation Grants"
OMB: 0575-0115
IC ID: 188414
OMB.report
USDA/RHS
OMB 0575-0115
ICR 201509-0575-001
IC 188414
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0115 can be found here:
2022-09-28 - Revision of a currently approved collection
2019-04-29 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form AD-1049
7 CFR 1944-N (State, Local and Tribal )
Form
AD-1049 Certification Regarding Drug-Free Workplace Requirements
AD-1049.pdf
Form
RD 1940-20 Request for Environmental Information
RD1940-20.pdf
Form
RD 400-1 Equal Opportunity Agreement
RD0400-0001.pdf
Form
RD 400-4 Assurance Agreement
RD0400-0004.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
7 CFR 1944-N (State, Local and Tribal )
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 1944.651(d) - 683
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
AD-1049
Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative 1 - For Grantees Other Than Individuals
AD-1049.pdf
Yes
No
Fillable Printable
Form
RD 1940-20
Request for Environmental Information
RD1940-20.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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
412
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
2,748
0
0
-4,916
0
7,664
Annual IC Time Burden (Hours)
2,496
0
0
-4,456
0
6,952
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.