Information Collection

7 CFR 1734, Subparts A,B,C, and D, Distance Learning and Telemedicine Loan and Grant Program

IC 43527 under ICR 201902-0572-002 · OMB 0572-0096.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0096 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Non Forms - Docume 7 CFR 1734, Subparts A,B,C, and D, Distance Learning and Telemedicine Loan and Grant Program	Form and Instruction
Non Forms - Docume DLT Applicatioon Guide 2019 FY2019_DLT Reg_App_Guide.pdf www.rd.usda.gov/files/FY2019_Reg_App_Guide.pdf	Form and Instruction
AD1049 Certification Regarding Drug-Free Workplace AD_1049-V1.0.pdf	Form
AD-1047 Certification Regarding Debarment and Suspension AD_1047-V1.0.pdf	Form

IC Title:

7 CFR 1734, Subparts A,B,C, and D, Distance Learning and Telemedicine Loan and Grant Program

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 1734

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
Form and Instruction	Non Forms - Documents	DLT Applicatioon Guide 2019	FY2019_DLT Reg_App_Guide.pdf	https://www.rd.usda.gov/files/FY2019_Reg_App_Guide.pdf	Yes	Yes	Fillable Printable
Form	AD1049	Certification Regarding Drug-Free Workplace	AD_1049-V1.0.pdf		Yes	No	Fillable Printable
Form	AD-1047	Certification Regarding Debarment and Suspension	AD_1047-V1.0.pdf		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: 190

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 17 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,104	0	4,104
Annual IC Time Burden (Hours)	10,381	-650	11,031
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.