Information Collection

7 CFR 1944-I - Local/State & Tribal Governments

IC 1907 under ICR 201810-0575-001 · OMB 0575-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 424 7 CFR 1944-I - Local/State & Tribal Governments	Form
RD 400-1 Equal Opportunity Agreement 400-1.pdf	Form
RD 400-4 Assurance Agreement rd 400-4.pdf	Form
SF 424 Application for Fedral Assistance SF424_2_1-V2.1.pdf	Form
AD 1049 Certifiction Regarding Drug-Free Workplace Requirments AD_1049-V1.0.pdf	Form
AD 1047 Certificaion Regarding Debarrment, Suspension and other AD_1047-V1.0.pdf	Form

IC Title:

7 CFR 1944-I - Local/State & Tribal Governments

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 1944-I (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF 424	Application for Fedral Assistance	SF424_2_1-V2.1.pdf	Yes	No	Fillable Printable
Form	AD 1049	Certifiction Regarding Drug-Free Workplace Requirments	AD_1049-V1.0.pdf	Yes	No	Fillable Printable
Form	RD 400-1	Equal Opportunity Agreement	400-1.pdf	Yes	No	Fillable Printable
Form	RD 400-4	Assurance Agreement	rd 400-4.pdf	Yes	No	Fillable Printable
Form	AD 1047	Certificaion Regarding Debarrment, Suspension and other Responsibility Matters	AD_1047-V1.0.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 2

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	40	-235	275
Annual IC Time Burden (Hours)	7	-255	262
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.