Information Collection

Technical assistance Program 7 CFR 1775 (0572-0112)

IC 228826 under ICR 201609-0505-001 · OMB 0505-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0505-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD 3030 Technical assistance Program 7 CFR 1775 (0572-0112)	Form and Instruction
AD 3030 Representation Regarding Felony Conviction and Tax Delin Place holder for AD 3030 Series Forms.docx	Form and Instruction

IC Title:

Technical assistance Program 7 CFR 1775 (0572-0112)

Agency IC Tracking Number:

0572-0112

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 and Instruction	AD 3030	Representation Regarding Felony Conviction and Tax Deliniquent Status - Corporate	Place holder for AD 3030 Series Forms.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 82

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	82	82
Annual IC Time Burden (Hours)	21	21
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.