AMS Grant Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Request for Applications	Form and Instruction	Modified	Available
Match Verification Letter	Form	Modified	Available
Grant Program Accounting System & Financial Capability Questionnaire	Form	Modified	Available
FSMIP Interim Performance Report	Form	Modified	Available
Registration with SAM.gov (screenshot)	Form	Modified	Available
Consensus Scoresheet & Comments	Form	Modified	Available
Form HUD Form 50153 Certification of Consistency with Promise Zone Goals and Implementation	Form	Modified	Available
Individual Reviewer Scoresheet	Form	Modified	Available
Peer Reviewer Application & Qualifications Form	Form	Modified	Available
Final Performance Report	Form and Instruction	Modified	Available
AMS Grant Programs Worksheet to Accompany the SF-270 Request for Advance/Reimbursement	Form	Modified	Available
Grant Program Project Beneficiaries Questionnaire	Form and Instruction	Modified	Available
Form AMS-33 Agreement Face Sheet	Form	Modified	Available
Individual Reviewer Scoresheet	Form and Instruction	New	Available
Consensus Scoresheet & Comments	Form and Instruction	New	Available
Form AMS-34 AMS Conflict of Interest & Confidentiality for Grant Reviewers	Form and Instruction	New	Available
Peer Reviewer Application & Qualification form	Form and Instruction	New	Available
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	New	Available
Final Performance Report	Form and Instruction	New	Available
Interim Performance Report	Form and Instruction	New	Available
Form AMS-33 Agreement Face Sheet	Form and Instruction	New	Available
Project Beneficiaries Questionnaire	Form and Instruction	New	Available
Accounting System & Financial Capability Questionnaire	Form and Instruction	New	Available
Registration with SAM.gov (screenshot)	Form and Instruction	New	Available
Application Screening Checklist	Form and Instruction	New	Available
Request for Applications	Form and Instruction	New	Available
Form HUD Form 50153 HUD Promise Zone Certification Form	Form and Instruction	New	Available
Registration with SAM.gov (screenshot)	Form and Instruction	New	Available
Final Performance Report	Form and Instruction	New	Available
Interim Performance Report	Form and Instruction	New	Available
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	New	Available
Individual reviewer Scoresheeet	Form and Instruction	New	Available
Consensus Scoresheet & Comments	Form and Instruction	New	Available
Form AMS-34 AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers	Form and Instruction	New	Available
Peer Reviewer Application & Qualification Form	Form and Instruction	New	Available
Grant Terms & Conditions of Award (Reading)	Form and Instruction	New	Available
Confirmation of Match	Form and Instruction	New	Available
Accounting System & Financial capability Questionnaire	Form and Instruction	New	Available
Form AMS-33 Agreement Face Sheet	Form and Instruction	New	Available
Project beneficiaries Questionnaire	Form and Instruction	New	Available
Request for Applications	Form and Instruction	New	Available
Application Components	Form and Instruction	New	Available
Form HUD Form 50153 HUD Promise Zone Certification Form	Form and Instruction	New	Available
Registration with SAM.gov (screenshot)	Form and Instruction	New	Available
Final Performance Report	Form and Instruction	New	Available
Interim Performance Report	Form and Instruction	New	Available
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	New	Available
Individual Reviewer Scoresheet	Form and Instruction	New	Available
Consensus Scoresheet & Comments	Form and Instruction	New	Available
Form AMS-34 AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers	Form and Instruction	New	Available
Peer Reviewer Application & Qualification Form	Form and Instruction	New	Available
Grant terms & Conditions of Award (Reading)	Form and Instruction	New	Available
Confirmation of Match	Form and Instruction	New	Available
Accounting System & Financial Capability Questionnaire	Form and Instruction	New	Available
Form AMS-33 Agreement Face Sheet	Form and Instruction	New	Available
Project Beneficiaries Questionnaire	Form and Instruction	New	Available
Application Components	Form and Instruction	New	Available
Request for Applications	Form and Instruction	New	Available
Form AMS-34 AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers	Form and Instruction	New	Available
Form HUD Form 50153 HUD Promise Zone Certification Form	Form and Instruction	New	Available
Registration with SAM.gov	Form and Instruction	New	Available
Final POerformance Report	Form and Instruction	New	Available
Interim Performance Report	Form and Instruction	New	Available
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	New	Available
Individual Reviewer Scoresheet	Form and Instruction	New	Available
Consensus Scoresheet & Comments	Form and Instruction	New	Available
Peer reviewer Application & Qualification Form	Form and Instruction	New	Available
Grant Terms & Conditions of Award	Form and Instruction	New	Available
Form AMS-33 Agreement Face Sheet	Form and Instruction	New	Available
Project Beneficiaries Questionnaire	Form and Instruction	New	Available
Application Components	Form and Instruction	New	Available
Request for Applications	Form and Instruction	New	Available
Accounting System & Financial Capability Questionnaire	Form and Instruction	New	Available
Form HUD Form 50153 HUD Promise Zone Certification form	Form and Instruction	New	Available
Registration with SAM.gov (screenshot)	Form and Instruction	New	Available
Final Performance Report	Form and Instruction	New	Available
Interim Performance Report	Form and Instruction	New	Available
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	New	Available
Individual Reviewer Scoresheet	Form and Instruction	New	Available
Form AMS-34 AMS Conflict of Interest & Confidentiality Statement for Reviewers	Form and Instruction	New	Available
Peer Revviewer Application & Qualifications Form	Form and Instruction	New	Available
Grant Terms & Conditions of Award (Reading)	Form and Instruction	New	Available
Accounting System & Financial Capability Questionnaire	Form and Instruction	New	Available
Form AMS-33 Agreement Face Sheet	Form and Instruction	New	Available
Project Beneficiaries Questionnaire	Form and Instruction	New	Available
Application Components	Form and Instruction	New	Available
Request for Applications	Form and Instruction	New	Available
Consensus Scoresheet & Comments	Form and Instruction	New	Available
Interim Performance Report	Form and Instruction	New	Available
Registration with SAM.gov	Form and Instruction	New	Available
Form AMS-33 Agreement Face Sheet	Form and Instruction	New	Available
State Plan (Narrative)	Form and Instruction	New	Available
Specialty Crop Block Grant Program Request for Applications	Form and Instruction	New	Available
Final Performance Report	Form and Instruction	New	Available
AD_3031_1_1-V1.1 Assurance re Felony Conviction or Tax Deliq. Corporate.pdf	Supplementary Document	Uploaded 2016-09-07	Available
AD_3030_1_1-V1.1 Representations re Felony conviction & Tax Del. Status Corporate.pdf	Supplementary Document	Uploaded 2016-09-07	Available
SF3881-V1.0 ACH Vendor-Misc. Pymt Enrollment.pdf	Supplementary Document	Uploaded 2016-09-07	Available
SF-428 Tangible Pers. Propty Rept..pdf	Supplementary Document	Uploaded 2016-09-07	Available
SF424A-V1.0 Budgent Info.-Non-Construction Progms.pdf	Supplementary Document	Uploaded 2016-09-07	Available
CHART--FORMS APPROVED UNDER OTHER OMB APPROVED NUMBERS 7-19-16.docx	Supplementary Document	Uploaded 2016-09-07	Available
0581-0240 FINAL Q-15 Breakout - 9-27-16.xls	Supplementary Document	Uploaded 2016-09-29	Available
0581-0240 FINAL AMS-71 -9-26-16 (rev ).xls	Supplementary Document	Uploaded 2016-09-29	Available
Individual_SF424B-V1.1 Assurances - non-constr. programs.pdf	Supplementary Document	Uploaded 2016-09-07	Available
SF424_2_1-V2.1 Application for Fed. Assistance.pdf	Supplementary Document	Uploaded 2016-09-07	Repair queued
Electronic Code of Federal Regulations 3019.mht	Supplementary Document	Uploaded 2010-07-08	Source copy available
Electronic Code of Federal Regulations 3016.mht	Supplementary Document	Uploaded 2010-07-08	Available
Electronic Code of Federal Regulations 3015.mht	Supplementary Document	Uploaded 2010-07-08	Source copy available
AGRICULTURAL MARKETING ACT OF 1946.doc	Supplementary Document	Uploaded 2010-07-08	Available
SF425-V1.0 Federal Financial Rept..pdf	Supplementary Document	Uploaded 2016-09-07	Available
0581-0240 rev Final SuptStmt Grant Programs 9-29-16 (rev. 1).doc	Supporting Statement A	Uploaded 2016-09-29	Available
SF270-V1.0 Req. Advance-Reimbursement.pdf	Supplementary Document	Uploaded 2016-09-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form and Instruction	Modified	Request for Applications
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	Match Verification Letter
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	Grant Program Accounting System & Financial Capability Questionnaire
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	FSMIP Interim Performance Report
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	Registration with SAM.gov (screenshot)
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	Consensus Scoresheet & Comments
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	Certification of Consistency with Promise Zone Goals and Implementation
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	Individual Reviewer Scoresheet
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	Peer Reviewer Application & Qualifications Form
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form and Instruction	Modified	Final Performance Report
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	AMS Grant Programs Worksheet to Accompany the SF-270 Request for Advance/Reimbursement
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Instruction	Modified
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form and Instruction	Modified	Grant Program Project Beneficiaries Questionnaire
45630	Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	Form	Modified	Agreement Face Sheet
223524	Specialty Crop Multi-State Program (State)	Instruction	New
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Individual Reviewer Scoresheet
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Consensus Scoresheet & Comments
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	AMS Conflict of Interest & Confidentiality for Grant Reviewers
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Peer Reviewer Application & Qualification form
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	AMS Worksheet to Accompany each SF-270 Request
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Final Performance Report
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Interim Performance Report
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Agreement Face Sheet
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Project Beneficiaries Questionnaire
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Accounting System & Financial Capability Questionnaire
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Registration with SAM.gov (screenshot)
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Application Screening Checklist
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	New	Request for Applications
223523	Local Food Promotion Program (Private)	Form and Instruction	New	HUD Promise Zone Certification Form
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Registration with SAM.gov (screenshot)
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Final Performance Report
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Interim Performance Report
223523	Local Food Promotion Program (Private)	Form and Instruction	New	AMS Worksheet to Accompany each SF-270 Request
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Individual reviewer Scoresheeet
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Consensus Scoresheet & Comments
223523	Local Food Promotion Program (Private)	Form and Instruction	New	AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Peer Reviewer Application & Qualification Form
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Grant Terms & Conditions of Award (Reading)
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Confirmation of Match
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Accounting System & Financial capability Questionnaire
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Agreement Face Sheet
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Project beneficiaries Questionnaire
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Request for Applications
223523	Local Food Promotion Program (Private)	Form and Instruction	New	Application Components
223522	Local Food Promotion Program (State)	Form and Instruction	New	HUD Promise Zone Certification Form
223522	Local Food Promotion Program (State)	Form and Instruction	New	Registration with SAM.gov (screenshot)
223522	Local Food Promotion Program (State)	Form and Instruction	New	Final Performance Report
223522	Local Food Promotion Program (State)	Form and Instruction	New	Interim Performance Report
223522	Local Food Promotion Program (State)	Form and Instruction	New	AMS Worksheet to Accompany each SF-270 Request
223522	Local Food Promotion Program (State)	Form and Instruction	New	Individual Reviewer Scoresheet
223522	Local Food Promotion Program (State)	Form and Instruction	New	Consensus Scoresheet & Comments
223522	Local Food Promotion Program (State)	Form and Instruction	New	AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers
223522	Local Food Promotion Program (State)	Form and Instruction	New	Peer Reviewer Application & Qualification Form
223522	Local Food Promotion Program (State)	Form and Instruction	New	Grant terms & Conditions of Award (Reading)
223522	Local Food Promotion Program (State)	Form and Instruction	New	Confirmation of Match
223522	Local Food Promotion Program (State)	Form and Instruction	New	Accounting System & Financial Capability Questionnaire
223522	Local Food Promotion Program (State)	Form and Instruction	New	Agreement Face Sheet
223522	Local Food Promotion Program (State)	Form and Instruction	New	Project Beneficiaries Questionnaire
223522	Local Food Promotion Program (State)	Form and Instruction	New	Application Components
223522	Local Food Promotion Program (State)	Form and Instruction	New	Request for Applications
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	HUD Promise Zone Certification Form
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Registration with SAM.gov
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Final POerformance Report
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Interim Performance Report
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	AMS Worksheet to Accompany each SF-270 Request
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Individual Reviewer Scoresheet
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Consensus Scoresheet & Comments
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Peer reviewer Application & Qualification Form
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Grant Terms & Conditions of Award
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Agreement Face Sheet
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Project Beneficiaries Questionnaire
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Application Components
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Request for Applications
223497	Farmers Market Promotion Program (State)	Form and Instruction	New	Accounting System & Financial Capability Questionnaire
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	HUD Promise Zone Certification form
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Registration with SAM.gov (screenshot)
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Final Performance Report
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Interim Performance Report
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	AMS Worksheet to Accompany each SF-270 Request
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Individual Reviewer Scoresheet
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	AMS Conflict of Interest & Confidentiality Statement for Reviewers
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Peer Revviewer Application & Qualifications Form
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Grant Terms & Conditions of Award (Reading)
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Accounting System & Financial Capability Questionnaire
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Agreement Face Sheet
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Project Beneficiaries Questionnaire
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Application Components
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Request for Applications
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	New	Consensus Scoresheet & Comments
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	New	Interim Performance Report
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	New	Registration with SAM.gov
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	New	Agreement Face Sheet
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	New	State Plan (Narrative)
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	New	Specialty Crop Block Grant Program Request for Applications
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	New	Final Performance Report

ICR Details

OMB Control No: 0581-0240	ICR Reference No: 201608-0581-001
Status: Historical Active	Previous ICR Reference No: 201306-0581-005
Agency/Subagency: USDA/AMS	Agency Tracking No:
Title: AMS Grant Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/01/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/29/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	36 Months From Approved	10/31/2016
Responses	20,026	0	432
Time Burden (Hours)	51,821	0	5,363
Cost Burden (Dollars)	0	0	0

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Abstract: AMS Grant Programs provide funding to State and local agricultural departments and other local entities to offer support to rural America and the Nation's agricultural sector. Grant Program funding supports a variety of programs including efforts to expand farmers markets and other local food sources.

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Authorizing Statute(s): US Code: 7 USC 3001 Name of Law: Farmer to Consumer Direct Marketing Act of 1976
   US Code: 7 USC 1621 note Name of Law: Specialty Crops Competitiveness Act of 2004
   US Code: 7 USC 1623 (b) Name of Law: Agricultural Marketing Act 1946
   US Code: 7 USC 1621 Name of Law: Agricultural Marketing Act of 1946
  

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 80	04/26/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 66620	09/28/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Farmers Market Promotion Program ((Private)	None, None, None, None, AMS-33, None, None, None, None, None, None, None, None, HUD Form 50153, AMS-34	Request for Applications ,   Application Components ,   Project Beneficiaries Questionnaire ,   Agreement Face Sheet ,   Accounting System & Financial Capability Questionnaire ,   Grant Terms & Conditions of Award (Reading) ,   Peer Revviewer Application & Qualifications Form ,   AMS Conflict of Interest & Confidentiality Statement for Reviewers ,   Consensus Scoresheet & Comments ,   Individual Reviewer Scoresheet ,   AMS Worksheet to Accompany each SF-270 Request ,   Interim Performance Report ,   Final Performance Report ,   Registration with SAM.gov (screenshot) ,   HUD Promise Zone Certification form
Farmers Market Promotion Program (State)	None, None, None, None, None, None, None, None, None, None, AMS-33, None, HUD Form 50153, AMS-34 , None	Request for Applications ,   Application Components ,   Project Beneficiaries Questionnaire ,   Agreement Face Sheet ,   Accounting System & Financial Capability Questionnaire ,   Grant Terms & Conditions of Award ,   Peer reviewer Application & Qualification Form ,   Consensus Scoresheet & Comments ,   Individual Reviewer Scoresheet ,   AMS Worksheet to Accompany each SF-270 Request ,   Interim Performance Report ,   Final POerformance Report ,   Registration with SAM.gov ,   HUD Promise Zone Certification Form ,   AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers
Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)	AMS-33, None, None, None, None, None, None, None, None, None, None, None, HUD Form 50153	Agreement Face Sheet ,   Grant Program Project Beneficiaries Questionnaire ,   AMS Grant Programs Worksheet to Accompany the SF-270 Request for Advance/Reimbursement ,   Final Performance Report ,   Peer Reviewer Application & Qualifications Form ,   Individual Reviewer Scoresheet ,   Certification of Consistency with Promise Zone Goals and Implementation ,   Consensus Scoresheet & Comments ,   Registration with SAM.gov (screenshot) ,   FSMIP Interim Performance Report ,   Grant Program Accounting System & Financial Capability Questionnaire ,   Match Verification Letter ,   Request for Applications
Local Food Promotion Program (Private)	None, None, HUD Form 50153, None, None, None, None, None, None, AMS-33, None, None, AMS-34, None, None, None	Request for Applications ,   Application Components ,   Project beneficiaries Questionnaire ,   Agreement Face Sheet ,   Accounting System & Financial capability Questionnaire ,   Confirmation of Match ,   Grant Terms & Conditions of Award (Reading) ,   Peer Reviewer Application & Qualification Form ,   AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers ,   Consensus Scoresheet & Comments ,   Individual reviewer Scoresheeet ,   AMS Worksheet to Accompany each SF-270 Request ,   Interim Performance Report ,   Final Performance Report ,   Registration with SAM.gov (screenshot) ,   HUD Promise Zone Certification Form
Local Food Promotion Program (State)	None, None, None, None, None, None, None, None, None, None, AMS-34, None, AMS-33, None, None, HUD Form 50153	Request for Applications ,   Application Components ,   Project Beneficiaries Questionnaire ,   Agreement Face Sheet ,   Accounting System & Financial Capability Questionnaire ,   Confirmation of Match ,   Grant terms & Conditions of Award (Reading) ,   Peer Reviewer Application & Qualification Form ,   AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers ,   Consensus Scoresheet & Comments ,   Individual Reviewer Scoresheet ,   AMS Worksheet to Accompany each SF-270 Request ,   Interim Performance Report ,   Final Performance Report ,   Registration with SAM.gov (screenshot) ,   HUD Promise Zone Certification Form
Specialty Crop Block Grant Program-Farm Bill (State)	None, None, AMS-33, None, None, None	Final Performance Report ,   Specialty Crop Block Grant Program Request for Applications ,   State Plan (Narrative) ,   Agreement Face Sheet ,   Registration with SAM.gov ,   Interim Performance Report
Specialty Crop Multi-State Program (State)	None, None, None, AMS-33, None, None, AMS-34, None, None, None, None, None, None	Request for Applications ,   Application Screening Checklist ,   Registration with SAM.gov (screenshot) ,   Accounting System & Financial Capability Questionnaire ,   Project Beneficiaries Questionnaire ,   Agreement Face Sheet ,   Interim Performance Report ,   Final Performance Report ,   AMS Worksheet to Accompany each SF-270 Request ,   Peer Reviewer Application & Qualification form ,   AMS Conflict of Interest & Confidentiality for Grant Reviewers ,   Consensus Scoresheet & Comments ,   Individual Reviewer Scoresheet

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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	20,026	432	0	-20,970	40,564	0
Annual Time Burden (Hours)	51,821	5,363	0	-9,731	56,189	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This renewal submission includes the merging of 3 currently approved collections, and introduced a new collection resulting in an overall increase in burden of 46,458 hours and 19,594 responses but a decrease in respondents to 1,866. When merging the other grant programs standardized forms were created for all programs where possible; previous errors in affected public and per response times were also corrected resulting in a decrease of -11,143 burden hours. Combining all the grant programs under 0581-0240, the collection package was renamed "AMS Grant Programs."

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Annual Cost to Federal Government: $3,365,441

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: 09/29/2016

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