Value Added Producer Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4280-2 Rural Business Cooperatvie Service Grant Agreement	Form	Modified	Available
Form DD-214 Certificate of Release or Discharge from Active Duty	Form	Modified	Available
Form RD 1940-1 Request for Obligation of Funds	Form	Modified	Available
Form RD 1942-46 Letter of Intent to Meet Conditons	Form	Modified	Available
Form RD 400-4 Assurance Agreement	Form	Modified	Repair queued
Form AD 1049 Certificaqtion Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals	Form	Modified	Available
Form AD 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions	Form	Modified	Repair queued
Form AD 1047 Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transaction	Form	Modified	Available
Form 4280-2 Rural Business Cooperative Service Grant Agreement	Form	Modified	Available
Form RD 1940-1 Request for Obligation of Funds	Form	Modified	Available
Form RD 1942-46 Letter of Intent to Meet Conditions	Form	Modified	Available
Form RD 400-4 Assurance Agreement	Form	Modified	Available
Form AD 1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals	Form	Modified	Available
Form AD 1048 Certification Regarding Debarment, Suspension, Inelgiblity and Voluntary Exclusion - Lower Tier Covered Tranaction	Form	Modified	Available
Form AD 1047 Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transaction	Form	Modified	Available
VAPG 2018 Burden Package Spreadsheet -Final.xlsx	Supplementary Document	Uploaded 2018-12-18	Available
VAPG 2018 Burden Package Supporting Statement - Final.doc	Supporting Statement A	Uploaded 2018-12-18	Available
SF-LLL.pdf	Supplementary Document	Uploaded 2018-12-18	Available
SF-270.pdf	Supplementary Document	Uploaded 2018-12-18	Available
SF-425.pdf	Supplementary Document	Uploaded 2018-12-18	Available
SF-424 B.pdf	Supplementary Document	Uploaded 2018-12-18	Available
SF-424 A.pdf	Supplementary Document	Uploaded 2018-12-18	Available
SF-424.pdf	Supplementary Document	Uploaded 2018-12-18	Available
0570-0064 FR.pdf	Supplementary Document	Uploaded 2018-12-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194177	Value-Added Producer Grants - Individuals	Form	Modified	Rural Business Cooperatvie Service Grant Agreement
194177	Value-Added Producer Grants - Individuals	Form	Modified	Certificate of Release or Discharge from Active Duty
194177	Value-Added Producer Grants - Individuals	Form	Modified	Request for Obligation of Funds
194177	Value-Added Producer Grants - Individuals	Form	Modified	Letter of Intent to Meet Conditons
194177	Value-Added Producer Grants - Individuals	Form	Modified	Assurance Agreement
194177	Value-Added Producer Grants - Individuals	Form	Modified	Certificaqtion Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals
194177	Value-Added Producer Grants - Individuals	Form	Modified	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions
194177	Value-Added Producer Grants - Individuals	Form	Modified	Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transaction
194172	Value-Added Producer Grants - Business	Form	Modified	Rural Business Cooperative Service Grant Agreement
194172	Value-Added Producer Grants - Business	Form	Modified	Request for Obligation of Funds
194172	Value-Added Producer Grants - Business	Form	Modified	Letter of Intent to Meet Conditions
194172	Value-Added Producer Grants - Business	Form	Modified	Assurance Agreement
194172	Value-Added Producer Grants - Business	Form	Modified	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals
194172	Value-Added Producer Grants - Business	Form	Modified	Certification Regarding Debarment, Suspension, Inelgiblity and Voluntary Exclusion - Lower Tier Covered Tranaction
194172	Value-Added Producer Grants - Business	Form	Modified	Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transaction

ICR Details

OMB Control No: 0570-0064	ICR Reference No: 201812-0570-001
Status: Historical Active	Previous ICR Reference No: 201505-0570-001
Agency/Subagency: USDA/RBS	Agency Tracking No:
Title: Value Added Producer 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: 02/28/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/28/2019
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	02/28/2022	36 Months From Approved	02/28/2019
Responses	3,564	0	3,660
Time Burden (Hours)	52,818	0	54,498
Cost Burden (Dollars)	0	0	0

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Abstract: The collection of information is vital to Rural Development to make decisions regarding the eligibility of grant recipients in order to ensure compliance with the regulations and to ensure that the funds obtained from the Government are being used for the purposes for which they were awarded.

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Authorizing Statute(s): PL: Pub.L. 110 - 246 6202 Name of Law: Food, Conservation, and Energy Act
  

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:
	83 FR 39981	08/13/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 65622	12/21/2018
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
Value-Added Producer Grants - Business	RD 1942-46, RD 1940-1, AD 1047, AD 1048, AD 1049, RD 400-4, 4280-2	Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transaction ,   Certification Regarding Debarment, Suspension, Inelgiblity and Voluntary Exclusion - Lower Tier Covered Tranaction ,   Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals ,   Assurance Agreement ,   Letter of Intent to Meet Conditions ,   Request for Obligation of Funds ,   Rural Business Cooperative Service Grant Agreement
Value-Added Producer Grants - Individuals	RD 400-4, RD 1942-46, RD 1940-1, DD-214, AD 1047, AD 1048, AD 1049, 4280-2	Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transaction ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions ,   Certificaqtion Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals ,   Assurance Agreement ,   Letter of Intent to Meet Conditons ,   Request for Obligation of Funds ,   Certificate of Release or Discharge from Active Duty ,   Rural Business Cooperatvie Service Grant Agreement

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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	3,564	3,660	0	0	-96	0
Annual Time Burden (Hours)	52,818	54,498	0	0	-1,680	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This package reflects minor changes from the previous submission in terms of the number of applicants and recipients, which are slightly less than previously submitted resulting in a decrease of responses (-96) and hours (-1,680.) However, wage rates have increased, resulting in a similar total cost amount.

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Annual Cost to Federal Government: $1,102,363

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: 01/28/2019

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