Information Collection

RMAP - Tribal

IC 190847 under ICR 201610-0570-001 · OMB 0570-0062.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0062 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-1047 RMAP - Tribal	Form
AD-1047 Certification Regarding Debarment AD1047-F-01-92.pdf	Form
RD 1910-11 Certification of No Federal Debt RD1910-0011_020900V01.pdf	Form
RD 1940-1 Request for Advance or Reimbursement RD1940-0001_080700V04.pdf	Form
RD 400-8 Compliance Review RD0400-0008_100600V08.pdf	Form
RD 402-1 Deposit Agreement RD0402-0001_100600V05.pdf	Form
RD 1942-46 Letter of Intent to Meet Conditions RD1942-0046_100600V01.pdf	Form
RD 4274-3 Promissory Note RD4274-0003_110100V03.pdf	Form
RD 4274-4 Loan Agreement RD4274-0004_100600V02.pdf	Form
RD 4280-2 Rural Business-Cooperative Service Financial Assistance RD4280-2.pdf	Form
RD 400-4 Assurance Agreement RD0400-0004_100600V04.pdf	Form

IC Title:

RMAP - 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:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-1047	Yes	Yes	Fillable Printable
Form	RD 1910-11	Yes	Yes	Fillable Printable
Form	RD 1940-1	Yes	Yes	Fillable Printable
Form	RD 400-8	Yes	Yes	Fillable Printable
Form	RD 402-1	Yes	Yes	Fillable Printable
Form	RD 1942-46	Yes	Yes	Fillable Printable
Form	RD 4274-3	Yes	Yes	Fillable Printable
Form	RD 4274-4	Yes	Yes	Fillable Printable
Form	RD 4280-2	Yes	No	Fillable Printable
Form	RD 400-4	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	379	-16	395
Annual IC Time Burden (Hours)	825	-7	832
Annual IC Cost Burden (Dollars)	0	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.

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