Information Collection

7 CFR 1944-N (Private Sector)

IC 1973 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⚠️ Notice: This information collection may be referencing outdated material.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
Non-Forms.docx	Other-WRITTEN
AD 1049 Certification Regarding Drug Free Work Place Requirement AD_1049 Certf. RegardingDrugFreeWorkPlace Reqmts...pdf Grants.gov	Form
RD 400-1 Equal Opportunity Agreement RD 400-1 -Equal Opp.Agreement.pdf forms.sc.egov.usda.gov/eForms/searchAction.do	Form
RD 400-4 Assurance Agreement RD 400-4 Assurance Agreement.pdf forms.sc.egov.usda.gov/eForms/searchAction.do	Form
SF 272 Federal Cash Transactions SF 272-Federal CashTransactions.pdf	Form
SF 270 Request for Advance or Reinmursement SF-270 (Request for Advance or Reimbursement).pdf Grants.gov	Form
SF 424 Application for Federal Assistance SF424-App.for Fed. Asstnc..pdf Grants.gov	Form
SF 425 Federal Financing Report SF425 Fed.Financing Rpt..pdf Grants.gov	Form

IC Title:

7 CFR 1944-N (Private Sector)

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WRITTEN			Non-Forms.docx		No		Printable Only
Form	AD 1049	Certification Regarding Drug Free Work Place Requirements	AD_1049 Certf. RegardingDrugFreeWorkPlace Reqmts...pdf	Grants.gov	No		Fillable Printable
Form	RD 400-1	Equal Opportunity Agreement	RD 400-1 -Equal Opp.Agreement.pdf	https://forms.sc.egov.usda.gov/eForms/searchAction.do	Yes	No	Fillable Printable
Form	RD 400-4	Assurance Agreement	RD 400-4 Assurance Agreement.pdf	https://forms.sc.egov.usda.gov/eForms/searchAction.do	Yes	No	Fillable Printable
Form	SF 272	Federal Cash Transactions	SF 272-Federal CashTransactions.pdf		Yes	No	Fillable Printable
Form	SF 270	Request for Advance or Reinmursement	SF-270 (Request for Advance or Reimbursement).pdf	Grants.gov	Yes	No	Fillable Printable
Form	SF 424	Application for Federal Assistance	SF424-App.for Fed. Asstnc..pdf	Grants.gov	Yes	Yes	Fillable Fileable Signable
Form	SF 425	Federal Financing Report	SF425 Fed.Financing Rpt..pdf	Grants.gov	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 710

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	4,553	-1,026	5,579
Annual IC Time Burden (Hours)	4,582	-484	5,066
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.