Private Sector (Non-Profit Institutions)

Community Facilities Technical Assistance and Training Grant Program

OMB: 0575-0198

IC ID: 219227

Information Collection (IC) Details

View Information Collection (IC)

Private Sector (Non-Profit Institutions)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form RD 400-1 Equal Opportunity Agreement RD0400-0001.pdf Yes No Fillable Printable
Form AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Technician AD-1047 DebarmentCert-PrimaryCovered.pdf Yes No Fillable Printable
Form AD-1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Atlernative I-For Grantees Other Than Individuals AD-1049 DrugFreeCert-Alt1.pdf Yes No Fillable Printable
Form AD-1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions AD-1048 DebarmentCert-LowerTierCovered.pdf Yes No Fillable Printable
Form RD 400-4 Assurance Agreement RD 400-4.pdf Yes No Fillable Printable
Form RD 3570-4 Community Facilities Technical Assistance and Training Grant Agreement RD 3570-4.pdf Yes No Fillable Printable

Economic Development Business and Industry Development

 

26 0
   
Private Sector Not-for-profit institutions
 
   0 %

  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 457 0 0 -173 0 630
Annual IC Time Burden (Hours) 699 0 0 -420 0 1,119
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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