Community Facilities Technical Assistance and Training Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form RD 3570-4 Community Facilities Technical Assistance and Training Grant Agreement	Form	Modified	Available
Form RD 400-4 Assurance Agreement	Form	Modified	Repair queued
Form RD 400-1 Equal Opportunity Agreement	Form	Modified	Repair queued
Form AD 1049 Certification Regarding Drug Free Workplace Requirements	Form	Modified	Available
Form AD 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion	Form	Modified	Available
Form AD 1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters	Form	Modified	Available
Form RD 3570-4 Community Facilities Technical Assistance and Training Grant Agreement	Form	Modified	Available
Form RD 400-4 Assurance Agreement	Form	Modified	Available
Form RD 400-1 Equal Opportunity Agreement	Form	Modified	Repair queued
Form AD 1049 Certification Regarding Drug-Free Workplace Requirements	Form	Modified	Available
Form AD 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion	Form	Modified	Repair queued
Form AD 1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters	Form	Modified	Available
SF425-V1.0.pdf	Supplementary Document	Uploaded 2016-06-29	Available
SFLLL_1_2_P-V1.2.pdf	Supplementary Document	Uploaded 2016-06-29	Available
SF270-V1.0.pdf	Supplementary Document	Uploaded 2016-06-29	Available
RRSF424_SF424B-V1.1.pdf	Supplementary Document	Uploaded 2016-06-29	Available
SF424A-V1.0.pdf	Supplementary Document	Uploaded 2016-06-29	Available
SF424_8-2016.pdf	Supplementary Document	Uploaded 2016-02-01	Available
2016_TAT_Spreadsheet915.xlsm	Supplementary Document	Uploaded 2016-11-08	Available
2016_TAT_SprtStclean915.docx	Supporting Statement A	Uploaded 2016-11-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
219233	State, Local & Tribal Governments (Public Bodies)	Form	Modified	Community Facilities Technical Assistance and Training Grant Agreement
219233	State, Local & Tribal Governments (Public Bodies)	Form	Modified	Assurance Agreement
219233	State, Local & Tribal Governments (Public Bodies)	Form	Modified	Equal Opportunity Agreement
219233	State, Local & Tribal Governments (Public Bodies)	Form	Modified	Certification Regarding Drug Free Workplace Requirements
219233	State, Local & Tribal Governments (Public Bodies)	Form	Modified	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
219233	State, Local & Tribal Governments (Public Bodies)	Form	Modified	Certification Regarding Debarment, Suspension, and Other Responsibility Matters
219227	Private Sector (Non-Profit Institutions)	Form	Modified	Community Facilities Technical Assistance and Training Grant Agreement
219227	Private Sector (Non-Profit Institutions)	Form	Modified	Assurance Agreement
219227	Private Sector (Non-Profit Institutions)	Form	Modified	Equal Opportunity Agreement
219227	Private Sector (Non-Profit Institutions)	Form	Modified	Certification Regarding Drug-Free Workplace Requirements
219227	Private Sector (Non-Profit Institutions)	Form	Modified	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
219227	Private Sector (Non-Profit Institutions)	Form	Modified	Certification Regarding Debarment, Suspension, and Other Responsibility Matters

ICR Details

OMB Control No: 0575-0198	ICR Reference No: 201606-0575-003
Status: Historical Active	Previous ICR Reference No: 201602-0575-001
Agency/Subagency: USDA/RHS	Agency Tracking No:
Title: Community Facilities Technical Assistance and Training Grant Program
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: 11/15/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/26/2016
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	36 Months From Approved	11/30/2016
Responses	1,260	0	1,260
Time Burden (Hours)	2,238	0	2,238
Cost Burden (Dollars)	0	0	0

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Abstract: The Community Facilities Technical Assistance and Training (TAT) is a competitive grant program which the Rural Housing Service (RHS) administers. Section 6006 of the Agriculture Act of 2014 authorized grants be made to public bodies and private nonprofit corporations (including Indian Tribes) that will serve rural areas for the purpose of enabling the grantees to provide to associations technical assistance and training with respect to essential community facilities authorized under Section 306(a) (1) of the Consolidated Farm and Rural Development Act (7 U.S.C. 1926(a)). Grants can be made for 100 percent of the cost of assistance.

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Authorizing Statute(s): PL: Pub.L. 113 - 79 6006 Name of Law: Agriculture Act of 2014
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 1861	01/14/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 48738	07/26/2016
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Private Sector (Non-Profit Institutions)	AD 1048, AD 1047, AD 1049, RD 400-1, RD 400-4, RD 3570-4	Certification Regarding Debarment, Suspension, and Other Responsibility Matters ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion ,   Certification Regarding Drug-Free Workplace Requirements ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Community Facilities Technical Assistance and Training Grant Agreement
State, Local & Tribal Governments (Public Bodies)	RD 400-1, AD 1048, AD 1047, AD 1049, RD 400-4, RD 3570-4	Certification Regarding Debarment, Suspension, and Other Responsibility Matters ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion ,   Certification Regarding Drug Free Workplace Requirements ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Community Facilities Technical Assistance and Training Grant Agreement

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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	1,260	1,260	0	0	0	0
Annual Time Burden (Hours)	2,238	2,238	0	0	0	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:

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Annual Cost to Federal Government: $143,472

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

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Common Form ICR:  No

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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: 07/26/2016

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