Agriculture Innovation Centers

Agriculture Innovation Centers

OMB: 0570-0045

IC ID: 1741

Information Collection (IC) Details

View Information Collection (IC)

Agriculture Innovation Centers
 
No Modified
 
Required to Obtain or Retain Benefits
 
7 CFR 4284-K  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction AD 1047 Certification Regarding Debarement, Suspension, and Other Responsibility Matters AD-1047.pdf Yes No Fillable Printable
Form and Instruction AD 1048 Certification Regarding Debarement, Suspension, and Other Responsibility Matters - Lower Tier AD-1048.pdf Yes No Fillable Printable
Form and Instruction AD 1049 Certification Regarding Drug-Free Workplace Requirements AD-1049.pdf Yes No Fillable Printable
Form RD 1940-1 Request for Obligation of Funds RD1940-0001.pdf Yes No Fillable Printable
Form RD 1942-46 Letter of Intent to Meet Conditons RD1942-0046.pdf Yes No Fillable Printable
Form RD 400-4 Assurance Agreement RD 400-4.pdf Yes No Fillable Printable
Form AD 3030 REPRESENTATIONS REGARDING FELONY CONVICTION AND TAX DELINQUENT STATUS FOR CORPORATE APPLICANTS AD-3030 REPRESENTATIONS REGARDING FELONY CONVICTION.pdf Yes No Fillable Printable
Form AD 3031 ASSURANCE REGARDING FELONY CONVICTION OR TAX DELINQUENT STATUS FOR CORPORATE APPLICANTS AD-3031 ASSURANCE REGARDING FELONY CONVICTION.pdf Yes No Fillable Printable
Form RD 4280-2 RURAL BUSINESS-COOPERATIVE SERVICE FINANCIAL ASSISTANCE AGREEMENT RD 4280-2.pdf Yes No Fillable Printable

Economic Development Business and Industry Development

 

25 1
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   60 %

  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 89 0 0 74 0 15
Annual IC Time Burden (Hours) 1,053 0 0 1,023 0 30
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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