Agriculture Innovation Centers

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD 1047 Agriculture Innovation Centers	Form and Instruction	Modified	Available
30 day FRn 0570-0045.pdf	Supplementary Document	Uploaded 2019-10-01	Available
AIC Information Collection 2019 Supporting Statement final 3-7-19.docx	Supporting Statement A	Uploaded 2019-03-07	Available
60-day notice.pdf	Supplementary Document	Uploaded 2019-03-05	Available
AIC Information Collection 2019 Notice final.docx	Supplementary Document	Uploaded 2019-03-05	Available
AIC Information Collection 2019 Spreadsheet.xlsm.xlsx	Supplementary Document	Uploaded 2019-03-07	Available
SF425.pdf	Supplementary Document	Uploaded 2019-03-05	Available
SF270.pdf	Supplementary Document	Uploaded 2019-03-05	Available
SF424B.pdf	Supplementary Document	Uploaded 2019-03-05	Available
SF424A.pdf	Supplementary Document	Uploaded 2019-03-05	Available
SF424.pdf	Supplementary Document	Uploaded 2019-03-05	Available
SF LLL.pdf	Supplementary Document	Uploaded 2019-03-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1741	Agriculture Innovation Centers	Form and Instruction	Modified

ICR Details

OMB Control No: 0570-0045	ICR Reference No: 201902-0570-002
Status: Active	Previous ICR Reference No: 201511-0570-001
Agency/Subagency: USDA/RBS	Agency Tracking No:
Title: Agriculture Innovation Centers
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: 11/04/2019
	Date Received in OIRA: 03/13/2019
Terms of Clearance: In accordance with 5 CFR 1320, this information collection has been approved for 3 years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2022	36 Months From Approved	11/30/2019
Responses	89	0	15
Time Burden (Hours)	1,053	0	30
Cost Burden (Dollars)	0	0	0

---

Abstract: The primary objective of this program is to provide funds to Agriculture Innovation Centers (Centers) which provide agricultural producers with technical and business development assistance. Cooperative Programs collects information from applicants to confirm eligibility for the program and to evaluate the quality of the applications. Recipients of awards are required to submit reporting and payment request information to facilitate monitoring of the award and disbursement of funds.

---

Authorizing Statute(s): PL: Pub.L. 107 - 171 6402 Name of Law: Farm Security and Rural Investment Act of 2002
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 62292	12/03/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 9074	03/13/2019
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Agriculture Innovation Centers	RD 4280-2, RD 400-4, AD 1047, AD 1048, AD 1049, RD 1940-1, RD 1942-46, AD 3030, AD 3031	Certification Regarding Debarement, Suspension, and Other Responsibility Matters ,   Certification Regarding Debarement, Suspension, and Other Responsibility Matters - Lower Tier ,   Certification Regarding Drug-Free Workplace Requirements ,   Request for Obligation of Funds ,   Letter of Intent to Meet Conditons ,   Assurance Agreement ,   REPRESENTATIONS REGARDING FELONY CONVICTION AND TAX DELINQUENT STATUS FOR CORPORATE APPLICANTS ,   ASSURANCE REGARDING FELONY CONVICTION OR TAX DELINQUENT STATUS FOR CORPORATE APPLICANTS ,   RURAL BUSINESS-COOPERATIVE SERVICE FINANCIAL ASSISTANCE AGREEMENT

---

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	89	15	0	0	74	0
Annual Time Burden (Hours)	1,053	30	0	0	1,023	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: We have estimated a significant increase in burden. The primary reason for this increase is because there is some evidence that it may be utilized at a higher level than in previous years. Thus, we have increased the number of applicants from 2 to 25 and we expect to increase the number of recipients from 2 to 3. These increases, along with an increase in wage rates, account for the increase in burden

---

Annual Cost to Federal Government: $33,810

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

---

Common Form ICR:  No

---

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: 03/13/2019

---