Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees

ICR 201910-0505-001

OMB: 0505-0025

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2019-10-17
Justification for No Material/Nonsubstantive Change
2019-08-13
Supporting Statement A
2019-04-29
Supplementary Document
2019-04-29
Supplementary Document
2019-04-29
Supplementary Document
2019-08-13
Supplementary Document
2019-08-13
IC Document Collections
IC ID
Document
Title
Status
237361 Modified
ICR Details
0505-0025 201910-0505-001
Active 201908-0505-001
USDA/OCFO
Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/23/2019
Retrieve Notice of Action (NOA) 10/17/2019
  Inventory as of this Action Requested Previously Approved
06/30/2022 06/30/2022 06/30/2022
969,438 0 969,438
242,360 0 242,360
0 0 0

Information collected will be used to evaluate corporate applicants and awardees felony conviction and tax delinquency status prior to entering into new non-procurement contracts, grants, loans, loan guarantees, cooperative agreements and some memoranda of agreement. The information is needed to ensure fiscal year funds are not inappropriately disbursed.

PL: Pub.L. 116 - 6 744 and 745 Name of Law: Consolidated Appropriations Act, 2019
  
None

Not associated with rulemaking

  83 FR 62833 12/06/2018
84 FR 17996 04/29/2019
No

1
IC Title Form No. Form Name
Agricultural Trade Promotion Program AD-3030, AD-3031 Representation Regarding Felony Conviction ,   Assurance Regarding Felony Conviction

  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 969,438 969,438 0 0 0 0
Annual Time Burden (Hours) 242,360 242,360 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The decrease in the number of respondents, responses and burden hours is due to a miscalculation in the previous renewal request.

No
    No
    Yes
No
No
No
Uncollected
Martha Burton 202 205-6182

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/17/2019


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