Technical Assistance Program - 7 CFR 1775

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF-424A Budget Information - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF 270 Request for Advance or Reimbursement	Form and Instruction	Modified	Available
Form SF-425 Federal Financial Report	Form and Instruction	Modified	Available
Form SF-LLL DISCLOSURE OF LOBBYING ACTIVITIES	Form and Instruction	Modified	Repair queued
Form AD-3031 ASSURANCE REGARDING FELONY CONVICTION	Form and Instruction	Modified	Available
Form Ad-3030 REPRESENTATIONS REGARDING FELONY CONVICTION	Form and Instruction	Modified	Available
Form SF 424B Assurances - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF-424 Application for Federal Assistance	Form and Instruction	Modified	Available
Form AD - 1049 Certification Regarding Drug-Free Workplace Requirements (Grants)	Form and Instruction	Modified	Available
Form AD-1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion	Form and Instruction	Modified	Repair queued
Form AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters	Form and Instruction	Modified	Available
Form SF-424A Budget Information - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF 425 Federal Financial Assistance	Form and Instruction	Modified	Available
Form SF 270 Request For Advance or Reimbursement	Form and Instruction	Modified	Available
Form SF-424B Assurances - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF-424 Application for Federal Assistance	Form and Instruction	Modified	Available
Form SF-LLL DISCLOSURE OF LOBBYING ACTIVITIES	Form and Instruction	Modified	Available
Form AD-3031 ASSURANCE REGARDING FELONY CONVICTION	Form and Instruction	Modified	Repair queued
Form AD-3030 REPRESENTATIONS REGARDING FELONY CONVICTION	Form and Instruction	Modified	Available
Form AD-1049 Certification Regarding Drug-Free Workplace Requirements (Grants)	Form and Instruction	Modified	Available
Form AD-1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion	Form and Instruction	Modified	Repair queued
Form AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters	Form and Instruction	Modified	Repair queued
0572-0112 Spreadsheet(Form 36).xlsm	Supplementary Document	Uploaded 2017-07-11	Available
0572-0112_SupStmt.docx	Supporting Statement A	Uploaded 2017-07-11	Available
CFR-2014-title7-vol12-part1775.pd.pdf	Supplementary Document	Uploaded 2017-06-01	Available
RD-WEP-AppGuideTAT_SWM_FY2017.pdf	Supplementary Document	Uploaded 2017-06-01	Available
RUS Guide 1775-1.doc	Supplementary Document	Uploaded 2017-11-08	Repair queued
RD 400-4.pdf	Supplementary Document	Uploaded 2017-06-01	Available
RD 400-1.pdf	Supplementary Document	Uploaded 2017-06-01	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	Budget Information - Non-Construction Programs
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	Request for Advance or Reimbursement
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	Federal Financial Report
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	DISCLOSURE OF LOBBYING ACTIVITIES
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	ASSURANCE REGARDING FELONY CONVICTION
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	REPRESENTATIONS REGARDING FELONY CONVICTION
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	Assurances - Non-Construction Programs
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	Application for Federal Assistance
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	Certification Regarding Drug-Free Workplace Requirements (Grants)
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
193387	Technical Assistance Program - American Indian Tribes	Form and Instruction	Modified	Certification Regarding Debarment, Suspension, and Other Responsibility Matters
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	Budget Information - Non-Construction Programs
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	Federal Financial Assistance
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	Request For Advance or Reimbursement
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	Assurances - Non-Construction Programs
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	Application for Federal Assistance
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	DISCLOSURE OF LOBBYING ACTIVITIES
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	ASSURANCE REGARDING FELONY CONVICTION
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	REPRESENTATIONS REGARDING FELONY CONVICTION
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	Certification Regarding Drug-Free Workplace Requirements (Grants)
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
1830	Technical Assistance Program - Private Sector	Form and Instruction	Modified	Certification Regarding Debarment, Suspension, and Other Responsibility Matters

ICR Details

OMB Control No: 0572-0112	ICR Reference No: 201705-0572-001
Status: Historical Active	Previous ICR Reference No: 201307-0572-003
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: Technical Assistance Program - 7 CFR 1775
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/08/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/17/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	36 Months From Approved	11/30/2017
Responses	1,514	0	1,993
Time Burden (Hours)	6,369	0	7,008
Cost Burden (Dollars)	0	0	0

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Abstract: Technical Assistance and Training (TAT) and Solid Waste Management (SWM) are competitive grant programs administered by Rural Utilities Service (RUS) to make loans and grants to public agencies, American Indian tribes, and nonprofit corporations. The loans and grants fund the development of drinking water, wastewater, and solid waste disposal facilities in rural areas with populations of up to 10,000 residents. Grants are made for 100 percent of the cost of assistance.

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Authorizing Statute(s): US Code: 7 USC 1926(a) and 1932(b) Name of Law: Consolidated Farm and Rural Development Act
  

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:
	82 FR 15324	03/28/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 32326	07/13/2017
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
Technical Assistance Program - American Indian Tribes	SF-424A, AD-1048, SF-424, AD - 1049, Ad-3030, AD-3031, SF-LLL, SF-425, AD-1047, SF 424B, SF 270	Certification Regarding Debarment, Suspension, and Other Responsibility Matters ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion ,   Certification Regarding Drug-Free Workplace Requirements (Grants) ,   Application for Federal Assistance ,   Assurances - Non-Construction Programs ,   REPRESENTATIONS REGARDING FELONY CONVICTION ,   ASSURANCE REGARDING FELONY CONVICTION ,   DISCLOSURE OF LOBBYING ACTIVITIES ,   Federal Financial Report ,   Request for Advance or Reimbursement ,   Budget Information - Non-Construction Programs
Technical Assistance Program - Private Sector	SF-424A, AD-1047, AD-3031, SF-LLL, AD-1048, AD-1049, AD-3030, SF 270, SF-424, SF-424B, SF 425	Certification Regarding Debarment, Suspension, and Other Responsibility Matters ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion ,   Certification Regarding Drug-Free Workplace Requirements (Grants) ,   REPRESENTATIONS REGARDING FELONY CONVICTION ,   ASSURANCE REGARDING FELONY CONVICTION ,   DISCLOSURE OF LOBBYING ACTIVITIES ,   Application for Federal Assistance ,   Assurances - Non-Construction Programs ,   Request For Advance or Reimbursement ,   Federal Financial Assistance ,   Budget Information - Non-Construction Programs

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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	1,514	1,993	0	0	-479	0
Annual Time Burden (Hours)	6,369	7,008	0	0	-639	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: Since the last submission there is a program decrease of 479 responses and 672 burden hours due to a decrease in the total number of respondents from 142 to 82. Slightly offsetting the decrease is an increase in revised applications from 26 to 53. This shows the increase in the percentage of applicants that receive an award, but at a reduced value.

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Annual Cost to Federal Government: $209,929

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 07/17/2017

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