Information Collection Request

7 CFR 1778, Emergency and Imminent Community Water Assistance Grants

ICR 201902-0572-003 · OMB 0572-0110 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form RD 400-8 COMPLIANCE REVIEW Form Modified Available
Form AD 1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Form Modified Available
Form AD 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Form Modified Available
Form AD 1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters Form Modified Available
Form RD 400-8 Compliance Review Form Modified Available
Form AD-1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Form Modified Available
Form AD-1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Form Modified Available
Form AD 1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters Form Modified Available
30 day FRN 0572-0110.pdf Supplementary Document Uploaded 2019-10-01 Available
SS 0572-0110 ECWAG supporting statement.doc Supporting Statement A Uploaded 2019-11-04 Available
UWP_Bulletin_1780-12.pdf Supplementary Document Uploaded 2019-03-14 Available
0572-0110 60 Day FR Notice.pdf Supplementary Document Uploaded 2019-03-06 Available
60 ECWAG Notice.docx Supplementary Document Uploaded 2019-03-06 Repair queued
2019 0572-0110 Spreadsheet- Reg References.xls Supplementary Document Uploaded 2019-11-04 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
1827 7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.) Form ModifiedCOMPLIANCE REVIEW
1827 7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.) Form ModifiedCertification Regarding Drug-Free Workplace Requirements (Grants)
1827 7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.) Form ModifiedCertification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
1827 7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.) Form ModifiedCertification Regarding Debarment, Suspension, and Other Responsibility Matters
178410 7 CFR 1778, Emergency and Imminent Community Water Assistance Grants (non-profit) Form ModifiedCompliance Review
178410 7 CFR 1778, Emergency and Imminent Community Water Assistance Grants (non-profit) Form ModifiedCertification Regarding Drug-Free Workplace Requirements (Grants)
178410 7 CFR 1778, Emergency and Imminent Community Water Assistance Grants (non-profit) Form ModifiedCertification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
178410 7 CFR 1778, Emergency and Imminent Community Water Assistance Grants (non-profit) Form ModifiedCertification Regarding Debarment, Suspension, and Other Responsibility Matters

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2022 36 Months From Approved 11/30/2019
419 0 200
2,924 0 400
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.) AD 1048, RD 400-8, AD 1047, AD 1049 ,   ,   ,  
7 CFR 1778, Emergency and Imminent Community Water Assistance Grants (non-profit) AD-1048, RD 400-8, AD 1047, AD-1049 ,   ,   ,  

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 419 200 0 0 219 0
Annual Time Burden (Hours) 2,924 400 0 0 2,524 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No