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Water and Waste Loan and Grant Program - State, Local, Tribal Government
7 CFR 1780, Water and Waste Loan and Grant Program
OMB: 0572-0121
IC ID: 43532
OMB.report
USDA/RUS
OMB 0572-0121
ICR 201711-0572-004
IC 43532
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0121 can be found here:
2021-06-29 - Revision of a currently approved collection
2021-05-20 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form RUS Bulletin 1780-
Water and Waste Loan and Grant Program - State, Local, Tribal Government
Form and Instruction
RUS Bulletin 1780- Loan Resolution
Bulletin 1780-27.pdf
http:www.rurdev.usda.gov/RDU_Bulletins.html
Form and Instruction
RUS Bulletin 1780- Water and Waste Systems Grant Agreement
Bulletin 1780-12.pdf
http:www.rurdev.usda.gov?RDU_Bulletins.html
Form and Instruction
RUS Bulletin 1780- Loan Resolution Security Agreement
Bulletin 1780-28.pdf
http:www.rurdev.usda.gov/RDU_Bulletins.html
Form and Instruction
AD-1047 Certification Regarding Debarment, Suspension, and Other
AD1047-F-01-92.pdf
www.rurdev.usda.gov/FormsAndPublications.html
Form and Instruction
AD-1049 Certification Regarding Drug-Free Workplace Requirements
AD1049-F-05-90.pdf
www.rurdev.usda.gov/FormsAndPublications.html
Form and Instruction
AD-1048 Certification Regarding Debarment-Lower Tier Coverd. Tra
AD-1048 (Dec '15).pdf
www.rurdev.usda.gov/FormsAndPublications.html
Form and Instruction
RD 1934-16 Pre-Construction Conference
RD1924-16.pdf
www.rurdev.usda.gov/FormsAndPublications.html
Form
RUS 1780-7 Agreements for Professional Services
RUS 1780-7 Bulletin and Written.pdf
www.rurdev.usda.gov/FormsAndPublications.html
Form and Instruction
RUS 1780-9 Bulleti User Agreement
RUS 1780-9 Bulletin and Written.pdf
www.rurdev.usda.gov/FormsAndPublications.html
Form and Instruction
RD 1940-Q Exhibit Certifications for Contracts, Grants and Loans (Regardin
RD 1940-Q_ExhA1.pdf
www.rurdev.usda.gov/FormsAndPublications.html
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Water and Waste Loan and Grant Program - State, Local, Tribal Government
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 1780
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
RUS Bulletin 1780-27
Loan Resolution
Bulletin 1780-27.pdf
http:www.rurdev.usda.gov/RDU_Bulletins.html
Yes
No
Fillable Printable
Form and Instruction
RUS Bulletin 1780-12
Water and Waste Systems Grant Agreement
Bulletin 1780-12.pdf
http:www.rurdev.usda.gov?RDU_Bulletins.html
Yes
No
Fillable Printable
Form and Instruction
RUS Bulletin 1780-28
Loan Resolution Security Agreement
Bulletin 1780-28.pdf
http:www.rurdev.usda.gov/RDU_Bulletins.html
Yes
No
Fillable Printable
Form and Instruction
AD-1047
Certification Regarding Debarment, Suspension, and Other Responsibility Matters
AD1047-F-01-92.pdf
http://www.rurdev.usda.gov/FormsAndPublications.html
Yes
No
Fillable Printable
Form and Instruction
AD-1049
Certification Regarding Drug-Free Workplace Requirements
AD1049-F-05-90.pdf
http://www.rurdev.usda.gov/FormsAndPublications.html
Yes
No
Fillable Printable
Form and Instruction
AD-1048
Certification Regarding Debarment-Lower Tier Coverd. Trans.
AD-1048 (Dec '15).pdf
http://www.rurdev.usda.gov/FormsAndPublications.html
Yes
No
Fillable Printable
Form
RD 1934-16
Pre-Construction Conference
RD1924-16.pdf
http://www.rurdev.usda.gov/FormsAndPublications.html
Yes
No
Fillable Printable
Form and Instruction
RUS 1780-7
Agreements for Professional Services
RUS 1780-7 Bulletin and Written.pdf
http://www.rurdev.usda.gov/FormsAndPublications.html
Yes
No
Fillable Printable
Form and Instruction
RUS 1780-9 Bulletin
User Agreement
RUS 1780-9 Bulletin and Written.pdf
http://www.rurdev.usda.gov/FormsAndPublications.html
Yes
No
Fillable Printable
Form
RD 1940-Q Exhibit 1
Certifications for Contracts, Grants and Loans (Regarding Lobbying)
RD 1940-Q_ExhA1.pdf
http://www.rurdev.usda.gov/FormsAndPublications.html
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
741
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
52,895
0
8,894
0
0
44,001
Annual IC Time Burden (Hours)
142,529
0
50,507
0
0
92,022
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.