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7 CFR 1944-I - Local/State & Tribal Governments
7 CFR 1944-I, "Self-Help Technical Assistance Grants"
OMB: 0575-0043
IC ID: 1907
OMB.report
USDA/RHS
OMB 0575-0043
ICR 201810-0575-001
IC 1907
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0043 can be found here:
2021-12-13 - Revision of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
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
40
0
0
-235
0
275
Annual IC Time Burden (Hours)
7
0
0
-255
0
262
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.