7 CFR 1780, Water and Waste Loan and Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form RD 1940-Q Exhibit Certifications for Contracts, Grants and Loans (Regarding Lobbying)	Form	Modified	Available
Form RUS 1780-9 Bulleti User Agreement	Form and Instruction	Modified	Available
Form RUS 1780-7 Agreements for Professional Services	Form and Instruction	Modified	Available
Form RD 1934-16 Pre-Construction Conference	Form	Modified	Available
Form AD-1048 Certification Regarding Debarment-Lower Tier Coverd. Trans.	Form and Instruction	Modified	Available
Form AD-1049 Certification Regarding Drug-Free Workplace Requirements	Form and Instruction	Modified	Available
Form AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters	Form and Instruction	Modified	Available
Form RUS Bulletin 1780- Loan Resolution Security Agreement	Form and Instruction	Modified	Available
Form RUS Bulletin 1780- Water and Waste Systems Grant Agreement	Form and Instruction	Modified	Available
Form RUS Bulletin 1780- Loan Resolution	Form and Instruction	Modified	Available
Form RD 1934-16 RECORD OF PRE-CONSTRUCTION CONFERENCE	Form	Modified	Available
Form RUS Bulletin 1780- Loan Resolution, Security Agreement	Form and Instruction	Modified	Available
Form RUS Bulletin 1780- Loan Resolution (Public Bodies)	Form and Instruction	Modified	Available
Form RUS Bulletin 1780- Grant Agreement	Form and Instruction	Modified	Available
Form RUS 1780-9 User agreement	Form and Instruction	Modified	Available
Form RUS Bulletin 1780- Agreements for professional services	Form and Instruction	Modified	Available
Form RD 1940-Q Exhibit Cert. for Contracts, Grants, and Loans (Regarding Lobbying	Form	Modified	Available
Form AD 1048 Certification Regarding Debarment- Lower Tier Covered Trans	Form and Instruction	Modified	Available
Form AD 1049 Certification Regardin Drug-Free WorkPlace	Form and Instruction	Modified	Available
Form AD 1047 Certification Regarding Debarment Suspension and other Responsibility Matters	Form and Instruction	Modified	Available
0572-0121 spreadsheet ROCIS.xlsm	Supplementary Document	Uploaded 2018-01-16	Available
0572-0121 SS - ROCIS (2).docx	Supporting Statement A	Uploaded 2018-03-12	Available
Rd 1924-07.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 1924-12.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 1924-18.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 1924-10.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 1924-9.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 442-30.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 442-02.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 442-22.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 1927-10.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 1927-9.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 442-22.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 400-8.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD1942-0046.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 442-03.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 1942-08.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 400-4.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 400-1 EQUAL OPPORTUNITY AGREEMENT.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 442-7.pdf	Supplementary Document	Uploaded 2018-01-16	Available
AD-3031 ASSURANCE REGARDING FELONY CONVICTION.pdf	Supplementary Document	Uploaded 2018-01-16	Available
sf424b.pdf	Supplementary Document	Uploaded 2018-01-16	Available
sf424a.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD1942-19.pdf	Supplementary Document	Uploaded 2018-01-16	Available
RD 400-1 EQUAL OPPORTUNITY AGREEMENT.pdf	Supplementary Document	Uploaded 2018-01-16	Available
AD-3030 REPRESENTATIONS REGARDING FELONY CONVICTION & Tax Delinq..pdf	Supplementary Document	Uploaded 2018-01-16	Available
0572-0121 2017 Q 15 breakdown 82417.xlsm	Supplementary Document	Uploaded 2018-01-12	Available
SF424_2_1-V2.1.pdf	Supplementary Document	Uploaded 2018-01-09	Available
RD1942-19.pdf	Supplementary Document	Uploaded 2018-01-09	Available
0440-11 cleared 0575-0015.pdf	Supplementary Document	Uploaded 2018-01-09	Available
TITLE 7.doc	Supplementary Document	Uploaded 2018-01-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form	Modified	Certifications for Contracts, Grants and Loans (Regarding Lobbying)
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form and Instruction	Modified	User Agreement
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form and Instruction	Modified	Agreements for Professional Services
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form	Modified	Pre-Construction Conference
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form and Instruction	Modified	Certification Regarding Debarment-Lower Tier Coverd. Trans.
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form and Instruction	Modified	Certification Regarding Drug-Free Workplace Requirements
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form and Instruction	Modified	Certification Regarding Debarment, Suspension, and Other Responsibility Matters
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form and Instruction	Modified	Loan Resolution Security Agreement
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form and Instruction	Modified	Water and Waste Systems Grant Agreement
43532	Water and Waste Loan and Grant Program - State, Local, Tribal Government	Form and Instruction	Modified	Loan Resolution
187095	Water and Waste Loan and Grant Program - Private Sector	Form	Modified	RECORD OF PRE-CONSTRUCTION CONFERENCE
187095	Water and Waste Loan and Grant Program - Private Sector	Form and Instruction	Modified	Loan Resolution, Security Agreement
187095	Water and Waste Loan and Grant Program - Private Sector	Form and Instruction	Modified	Loan Resolution (Public Bodies)
187095	Water and Waste Loan and Grant Program - Private Sector	Form and Instruction	Modified	Grant Agreement
187095	Water and Waste Loan and Grant Program - Private Sector	Form and Instruction	Modified	User agreement
187095	Water and Waste Loan and Grant Program - Private Sector	Form and Instruction	Modified	Agreements for professional services
187095	Water and Waste Loan and Grant Program - Private Sector	Form	Modified	Cert. for Contracts, Grants, and Loans (Regarding Lobbying
187095	Water and Waste Loan and Grant Program - Private Sector	Form and Instruction	Modified	Certification Regarding Debarment- Lower Tier Covered Trans
187095	Water and Waste Loan and Grant Program - Private Sector	Form and Instruction	Modified	Certification Regardin Drug-Free WorkPlace
187095	Water and Waste Loan and Grant Program - Private Sector	Form and Instruction	Modified	Certification Regarding Debarment Suspension and other Responsibility Matters

ICR Details

OMB Control No: 0572-0121	ICR Reference No: 201711-0572-004
Status: Historical Active	Previous ICR Reference No: 201410-0572-001
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: 7 CFR 1780, Water and Waste Loan and 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 without change	Conclusion Date: 05/17/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/13/2018
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	05/31/2021	36 Months From Approved	05/31/2018
Responses	60,109	0	51,185
Time Burden (Hours)	156,339	0	107,003
Cost Burden (Dollars)	0	0	0

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Abstract: This regulation promulgated the policies and procedures for the Water and Waste loan and grant program. The Water and Waste loan and grant program provides loans and grants to fund the development of drinking water, wastewater, and solid waste disposal facilities in rural areas with populations of up to 10,000 residents.

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Authorizing Statute(s): US Code: 7 USC 1926 Name of Law: Sec. 306 Consolidated Farm & Rural Development
  

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 49783	10/27/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 10825	03/13/2018
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
Water and Waste Loan and Grant Program - Private Sector	RD 1940-Q Exhibit A1, AD 1047, AD 1049, AD 1048, RUS Bulletin 1780-7 , RUS 1780-9, RUS Bulletin 1780-12, RUS Bulletin 1780-27, RUS Bulletin 1780-28, RD 1934-16	Certification Regarding Debarment Suspension and other Responsibility Matters ,   Certification Regardin Drug-Free WorkPlace ,   Certification Regarding Debarment- Lower Tier Covered Trans ,   Cert. for Contracts, Grants, and Loans (Regarding Lobbying ,   Agreements for professional services ,   User agreement ,   Grant Agreement ,   Loan Resolution (Public Bodies) ,   Loan Resolution, Security Agreement ,   RECORD OF PRE-CONSTRUCTION CONFERENCE
Water and Waste Loan and Grant Program - State, Local, Tribal Government	AD-1048, RD 1934-16, RUS 1780-9 Bulletin, AD-1047, RUS Bulletin 1780-12, RUS Bulletin 1780-28, AD-1049, RUS Bulletin 1780-27, RUS 1780-7, RD 1940-Q Exhibit 1	Loan Resolution ,   Water and Waste Systems Grant Agreement ,   Loan Resolution Security Agreement ,   Certification Regarding Debarment, Suspension, and Other Responsibility Matters ,   Certification Regarding Drug-Free Workplace Requirements ,   Certification Regarding Debarment-Lower Tier Coverd. Trans. ,   Pre-Construction Conference ,   Agreements for Professional Services ,   User Agreement ,   Certifications for Contracts, Grants and Loans (Regarding Lobbying)

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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	60,109	51,185	0	8,924	0	0
Annual Time Burden (Hours)	156,339	107,003	0	49,336	0	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 is a revision of a currently approved collection. The total number of respondents increased by 3 from 862 in the previous collection to 865 for this collection. The total burden hours for this collection is 156,339, an increase of 49,336 from the previous information collection package estimate (which was 107,003 burden hours). The increase in burden for this collection due to adjustments to the number of responses and frequency of forms that were used by respondents during this cycle.

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Annual Cost to Federal Government: $16,868,464

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: 03/13/2018

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