Information Collection

7 CFR 1944-N (State, Local and Tribal )

IC 188414 under ICR 201901-0575-002 · OMB 0575-0115.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0115 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative 1 - For Grantees Other Than Individuals 7 CFR 1944-N (State, Local and Tribal )	Form
Form RD 400-1 Equal Opportunity Agreement 7 CFR 1944-N (State, Local and Tribal )	Form
Form RD 400-4 Assurance Agreement 7 CFR 1944-N (State, Local and Tribal )	Form
Form SF 425 Federal Financing reprot 7 CFR 1944-N (State, Local and Tribal )	Form
Form SF 424 Application for Federal Assistance 7 CFR 1944-N (State, Local and Tribal )	Form
Form SF 270 Request for Advance or Reimbursement 7 CFR 1944-N (State, Local and Tribal )	Form
Form SF 272 Federal Cash Transactions 7 CFR 1944-N (State, Local and Tribal )	Form
Non-Forms.docx	Other-WRITTEN
AD-1049 Certification Regarding Drug-Free Workplace Requirements AD-1049.pdf	Form
RD 400-1 Equal Opportunity Agreement RD0400-0001.pdf	Form
RD 400-4 Assurance Agreement RD0400-0004.pdf	Form
SF 425 Federal Financing reprot SF425 Fed.Financing Rpt..pdf	Form
SF 424 Application for Federal Assistance SF424-App.for Fed. Asstnc..pdf	Form
SF 270 Request for Advance or Reimbursement SF-270 (Request for Advance or Reimbursement).pdf	Form
SF 272 Federal Cash Transactions SF 272-Federal CashTransactions.pdf	Form

IC Title:

7 CFR 1944-N (State, Local and Tribal )

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 1944.651(d) - 683

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-1049		Yes	No	Fillable Printable
Form	RD 400-1		Yes	No	Fillable Printable
Form	RD 400-4		Yes	No	Fillable Printable
Form	SF 425	Grants.gov	Yes	No	Fillable Printable
Form	SF 424	Grants.gov	Yes	No	Fillable Fileable Signable
Form	SF 270	Grants.gov	Yes	No	Fillable Printable
Form	SF 272	Grants.gov	Yes	No	Fillable Printable
Other-WRITTEN			No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 383

Number of Respondents for Small Entity: 0

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	2,452	-296	2,748
Annual IC Time Burden (Hours)	2,467	-29	2,496
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.

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