Information Collection Request

7 CFR 1780, Water and Waste Loan and Grant Program

ICR 201711-0572-004 · OMB 0572-0121 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form RUS Bulletin 1780- Water and Waste Loan and Grant Program - State, Local, Tribal Government Form and Instruction Modified Available
Form AD 1047 Water and Waste Loan and Grant Program - Private Sector 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 IDCollectionTypeStatusForm
43532 Water and Waste Loan and Grant Program - State, Local, Tribal Government Form and Instruction Modified
187095 Water and Waste Loan and Grant Program - Private Sector Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2021 36 Months From Approved 05/31/2018
60,109 0 51,185
156,339 0 107,003
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Water and Waste Loan and Grant Program - Private Sector AD 1047, AD 1049, AD 1048, RD 1940-Q Exhibit A1, 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)

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


Reginfo record details
  No