AMS Grant Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF-270 (OMB #4040- Request for Advance or Reimbursement	Form and Instruction	Modified	Repair queued
Request for Applications (Sample)	Form and Instruction	Modified	Repair queued
Interim Performance Report Template	Form	Modified	Repair queued
Final Performance Report Template	Form and Instruction	Modified	Repair queued
Form AMS-33 Notice of Award & Grant Agreement Face Sheet	Form	Modified	Repair queued
Form SF-270 (OMB #4040- Standardized Forms All AMS Grant Programs	Form and Instruction	Modified	Repair queued
State Plan	Form and Instruction	New	Repair queued
Non-Competitive AMS Grant Program:SCBGP Only	Form and Instruction	New	Repair queued
Project Beneficiaries Questionnaire	Form and Instruction	New	Repair queued
Peer Reviewer Application & Qualification Form	Form and Instruction	New	Available
Peer Reviewer AMS Grant Programs Score Sheet	Form and Instruction	New	Repair queued
Negotiated Indirect Cost Rate Agreement	Form and Instruction	New	Repair queued
SAMPLE: Grant Application into Grants.gov	Form and Instruction	New	Repair queued
Form AMS-34 Peer Review Conflict of Interest & Confidentiality Worksheet	Form and Instruction	New	Repair queued
AMS Grant Programs Worksheet (to accompany SF-270)	Form	New	Available
Accounting System & Financial Capability Questionnaire	Form	New	Repair queued
Competitive AMS Grant Programs' Forms	Form	New	Repair queued
Individual Reviewer Scoresheet	Form and Instruction	Removed	Repair queued
Consensus Scoresheet & Comments	Form and Instruction	Removed	Repair queued
Form AMS-34 AMS Conflict of Interest & Confidentiality for Grant Reviewers	Form and Instruction	Removed	Repair queued
Peer Reviewer Application & Qualification form	Form and Instruction	Removed	Repair queued
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	Removed	Repair queued
Final Performance Report	Form and Instruction	Removed	Repair queued
Interim Performance Report	Form and Instruction	Removed	Repair queued
Form AMS-33 Agreement Face Sheet	Form and Instruction	Removed	Repair queued
Project Beneficiaries Questionnaire	Form and Instruction	Removed	Repair queued
Accounting System & Financial Capability Questionnaire	Form and Instruction	Removed	Repair queued
Registration with SAM.gov (screenshot)	Form and Instruction	Removed	Repair queued
Application Screening Checklist	Form and Instruction	Removed	Repair queued
Request for Applications	Form and Instruction	Removed	Repair queued
Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Repair queued
Form HUD Form 50153 HUD Promise Zone Certification Form	Form and Instruction	Removed	Repair queued
Registration with SAM.gov (screenshot)	Form and Instruction	Removed	Repair queued
Final Performance Report	Form and Instruction	Removed	Repair queued
Interim Performance Report	Form and Instruction	Removed	Repair queued
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	Removed	Repair queued
Individual reviewer Scoresheeet	Form and Instruction	Removed	Repair queued
Consensus Scoresheet & Comments	Form and Instruction	Removed	Repair queued
Form AMS-34 AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers	Form and Instruction	Removed	Repair queued
Peer Reviewer Application & Qualification Form	Form and Instruction	Removed	Repair queued
Grant Terms & Conditions of Award (Reading)	Form and Instruction	Removed	Repair queued
Confirmation of Match	Form and Instruction	Removed	Repair queued
Accounting System & Financial capability Questionnaire	Form and Instruction	Removed	Repair queued
Form AMS-33 Agreement Face Sheet	Form and Instruction	Removed	Repair queued
Project beneficiaries Questionnaire	Form and Instruction	Removed	Repair queued
Application Components	Form and Instruction	Removed	Repair queued
Request for Applications	Form and Instruction	Removed	Repair queued
Local Food Promotion Program (Private)	Form and Instruction	Removed	Repair queued
Form HUD Form 50153 HUD Promise Zone Certification Form	Form and Instruction	Removed	Repair queued
Registration with SAM.gov (screenshot)	Form and Instruction	Removed	Repair queued
Final Performance Report	Form and Instruction	Removed	Repair queued
Interim Performance Report	Form and Instruction	Removed	Repair queued
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	Removed	Repair queued
Individual Reviewer Scoresheet	Form and Instruction	Removed	Repair queued
Consensus Scoresheet & Comments	Form and Instruction	Removed	Repair queued
Form AMS-34 AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers	Form and Instruction	Removed	Repair queued
Peer Reviewer Application & Qualification Form	Form and Instruction	Removed	Repair queued
Grant terms & Conditions of Award (Reading)	Form and Instruction	Removed	Repair queued
Confirmation of Match	Form and Instruction	Removed	Repair queued
Accounting System & Financial Capability Questionnaire	Form and Instruction	Removed	Repair queued
Form AMS-33 Agreement Face Sheet	Form and Instruction	Removed	Repair queued
Project Beneficiaries Questionnaire	Form and Instruction	Removed	Repair queued
Application Components	Form and Instruction	Removed	Repair queued
Request for Applications	Form and Instruction	Removed	Repair queued
Local Food Promotion Program (State)	Form and Instruction	Removed	Repair queued
Form AMS-34 AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers	Form and Instruction	Removed	Repair queued
Form HUD Form 50153 HUD Promise Zone Certification Form	Form and Instruction	Removed	Repair queued
Registration with SAM.gov	Form and Instruction	Removed	Repair queued
Final POerformance Report	Form and Instruction	Removed	Repair queued
Interim Performance Report	Form and Instruction	Removed	Repair queued
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	Removed	Repair queued
Individual Reviewer Scoresheet	Form and Instruction	Removed	Repair queued
Consensus Scoresheet & Comments	Form and Instruction	Removed	Repair queued
Peer reviewer Application & Qualification Form	Form and Instruction	Removed	Repair queued
Grant Terms & Conditions of Award	Form and Instruction	Removed	Repair queued
Accounting System & Financial Capability Questionnaire	Form and Instruction	Removed	Repair queued
Form AMS-33 Agreement Face Sheet	Form and Instruction	Removed	Repair queued
Project Beneficiaries Questionnaire	Form and Instruction	Removed	Repair queued
Application Components	Form and Instruction	Removed	Repair queued
Request for Applications	Form and Instruction	Removed	Repair queued
Farmers Market Promotion Program (State)	Form and Instruction	Removed	Repair queued
Form HUD Form 50153 HUD Promise Zone Certification form	Form and Instruction	Removed	Repair queued
Registration with SAM.gov (screenshot)	Form and Instruction	Removed	Repair queued
Final Performance Report	Form and Instruction	Removed	Repair queued
Interim Performance Report	Form and Instruction	Removed	Repair queued
AMS Worksheet to Accompany each SF-270 Request	Form and Instruction	Removed	Repair queued
Individual Reviewer Scoresheet	Form and Instruction	Removed	Repair queued
Consensus Scoresheet & Comments	Form and Instruction	Removed	Repair queued
Form AMS-34 AMS Conflict of Interest & Confidentiality Statement for Reviewers	Form and Instruction	Removed	Repair queued
Peer Revviewer Application & Qualifications Form	Form and Instruction	Removed	Repair queued
Grant Terms & Conditions of Award (Reading)	Form and Instruction	Removed	Repair queued
Accounting System & Financial Capability Questionnaire	Form and Instruction	Removed	Repair queued
Form AMS-33 Agreement Face Sheet	Form and Instruction	Removed	Repair queued
Project Beneficiaries Questionnaire	Form and Instruction	Removed	Repair queued
Application Components	Form and Instruction	Removed	Repair queued
Request for Applications	Form and Instruction	Removed	Repair queued
Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Repair queued
Interim Performance Report	Form and Instruction	Removed	Repair queued
Registration with SAM.gov	Form and Instruction	Removed	Repair queued
Form AMS-33 Agreement Face Sheet	Form and Instruction	Removed	Repair queued
State Plan (Narrative)	Form and Instruction	Removed	Repair queued
Specialty Crop Block Grant Program Request for Applications	Form and Instruction	Removed	Repair queued
Final Performance Report	Form and Instruction	Removed	Repair queued
Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	Removed	Repair queued
SF-428 B Tangible Personal Property Final Report_10-18-19.pdf	Supplementary Document	Uploaded 2019-10-23	Repair queued
SF-428 C Tangible Personal Property Report Disposition Request Report_10-18-19.pdf	Supplementary Document	Uploaded 2019-10-23	Repair queued
Q15 rev 2. 11-5-19.xls	Supplementary Document	Uploaded 2019-11-06	Repair queued
Copy of AMS-71 rev. 10-27-19.xls	Supplementary Document	Uploaded 2019-10-28	Repair queued
SF-424 Application for Federal Assistance_10-18-19.pdf	Supplementary Document	Uploaded 2019-10-23	Repair queued
Electronic Code of Federal Regulations 3019.mht	Supplementary Document	Uploaded 2019-11-19	Repair queued
Electronic Code of Federal Regulations 3016.mht	Supplementary Document	Uploaded 2019-11-19	Repair queued
Electronic Code of Federal Regulations 3015.mht	Supplementary Document	Uploaded 2019-11-19	Repair queued
AGRICULTURAL MARKETING ACT OF 1946.doc	Supplementary Document	Uploaded 2019-11-19	Repair queued
SF-425 Federal Financial Report_10-18-19.pdf	Supplementary Document	Uploaded 2019-10-23	Repair queued
SuptStmt Grant Programs 11-7-19.doc	Supporting Statement A	Uploaded 2019-11-07	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45630	Standardized Forms All AMS Grant Programs	Form and Instruction	Modified	Request for Advance or Reimbursement
45630	Standardized Forms All AMS Grant Programs	Form and Instruction	Modified	Request for Applications (Sample)
45630	Standardized Forms All AMS Grant Programs	Form	Modified	Interim Performance Report Template
45630	Standardized Forms All AMS Grant Programs	Form and Instruction	Modified	Final Performance Report Template
45630	Standardized Forms All AMS Grant Programs	Instruction	Modified
45630	Standardized Forms All AMS Grant Programs	Form	Modified	Notice of Award & Grant Agreement Face Sheet
45630	Standardized Forms All AMS Grant Programs	Form and Instruction	Modified
238313	Non-Competitive AMS Grant Program:SCBGP Only	Form and Instruction	New	State Plan
238313	Non-Competitive AMS Grant Program:SCBGP Only	Form and Instruction	New
238298	Competitive AMS Grant Programs' Forms	Form and Instruction	New	Project Beneficiaries Questionnaire
238298	Competitive AMS Grant Programs' Forms	Form and Instruction	New	Peer Reviewer Application & Qualification Form
238298	Competitive AMS Grant Programs' Forms	Form and Instruction	New	Peer Reviewer AMS Grant Programs Score Sheet
238298	Competitive AMS Grant Programs' Forms	Form and Instruction	New	Negotiated Indirect Cost Rate Agreement
238298	Competitive AMS Grant Programs' Forms	Form and Instruction	New	SAMPLE: Grant Application into Grants.gov
238298	Competitive AMS Grant Programs' Forms	Form and Instruction	New	Peer Review Conflict of Interest & Confidentiality Worksheet
238298	Competitive AMS Grant Programs' Forms	Form	New	AMS Grant Programs Worksheet (to accompany SF-270)
238298	Competitive AMS Grant Programs' Forms	Form	New	Accounting System & Financial Capability Questionnaire
238298	Competitive AMS Grant Programs' Forms	Form	New
223524	Specialty Crop Multi-State Program (State)	Instruction	Removed
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Individual Reviewer Scoresheet
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Consensus Scoresheet & Comments
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	AMS Conflict of Interest & Confidentiality for Grant Reviewers
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Peer Reviewer Application & Qualification form
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	AMS Worksheet to Accompany each SF-270 Request
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Final Performance Report
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Interim Performance Report
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Agreement Face Sheet
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Project Beneficiaries Questionnaire
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Accounting System & Financial Capability Questionnaire
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Registration with SAM.gov (screenshot)
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Application Screening Checklist
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed	Request for Applications
223524	Specialty Crop Multi-State Program (State)	Form and Instruction	Removed
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	HUD Promise Zone Certification Form
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Registration with SAM.gov (screenshot)
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Final Performance Report
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Interim Performance Report
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	AMS Worksheet to Accompany each SF-270 Request
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Individual reviewer Scoresheeet
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Consensus Scoresheet & Comments
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Peer Reviewer Application & Qualification Form
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Grant Terms & Conditions of Award (Reading)
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Confirmation of Match
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Accounting System & Financial capability Questionnaire
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Agreement Face Sheet
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Project beneficiaries Questionnaire
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Application Components
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed	Request for Applications
223523	Local Food Promotion Program (Private)	Form and Instruction	Removed
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	HUD Promise Zone Certification Form
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Registration with SAM.gov (screenshot)
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Final Performance Report
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Interim Performance Report
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	AMS Worksheet to Accompany each SF-270 Request
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Individual Reviewer Scoresheet
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Consensus Scoresheet & Comments
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Peer Reviewer Application & Qualification Form
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Grant terms & Conditions of Award (Reading)
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Confirmation of Match
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Accounting System & Financial Capability Questionnaire
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Agreement Face Sheet
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Project Beneficiaries Questionnaire
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Application Components
223522	Local Food Promotion Program (State)	Form and Instruction	Removed	Request for Applications
223522	Local Food Promotion Program (State)	Form and Instruction	Removed
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	HUD Promise Zone Certification Form
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Registration with SAM.gov
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Final POerformance Report
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Interim Performance Report
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	AMS Worksheet to Accompany each SF-270 Request
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Individual Reviewer Scoresheet
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Consensus Scoresheet & Comments
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Peer reviewer Application & Qualification Form
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Grant Terms & Conditions of Award
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Accounting System & Financial Capability Questionnaire
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Agreement Face Sheet
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Project Beneficiaries Questionnaire
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Application Components
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed	Request for Applications
223497	Farmers Market Promotion Program (State)	Form and Instruction	Removed
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	HUD Promise Zone Certification form
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Registration with SAM.gov (screenshot)
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Final Performance Report
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Interim Performance Report
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	AMS Worksheet to Accompany each SF-270 Request
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Individual Reviewer Scoresheet
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Consensus Scoresheet & Comments
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	AMS Conflict of Interest & Confidentiality Statement for Reviewers
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Peer Revviewer Application & Qualifications Form
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Grant Terms & Conditions of Award (Reading)
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Accounting System & Financial Capability Questionnaire
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Agreement Face Sheet
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Project Beneficiaries Questionnaire
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Application Components
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed	Request for Applications
223496	Farmers Market Promotion Program ((Private)	Form and Instruction	Removed
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	Removed	Interim Performance Report
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	Removed	Registration with SAM.gov
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	Removed	Agreement Face Sheet
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	Removed	State Plan (Narrative)
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	Removed	Specialty Crop Block Grant Program Request for Applications
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	Removed	Final Performance Report
223491	Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction	Removed

ICR Details

OMB Control No: 0581-0240	ICR Reference No: 201910-0581-002
Status: Historical Active	Previous ICR Reference No: 201608-0581-001
Agency/Subagency: USDA/AMS	Agency Tracking No:
Title: AMS Grant Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/13/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/19/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2024	36 Months From Approved	01/31/2021
Responses	22,457	0	20,026
Time Burden (Hours)	49,807	0	51,821
Cost Burden (Dollars)	0	0	0

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Abstract: AMS Grant Programs provide funding to State and local agricultural departments and other local entities to offer support to rural America and the Nation's agricultural sector. Grant Program funding supports a variety of programs including efforts to expand farmers markets and other local food sources.

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Authorizing Statute(s): US Code: 7 USC 3001 Name of Law: Farmer to Consumer Direct Marketing Act of 1976
   US Code: 7 USC 1621 note Name of Law: Specialty Crops Competitiveness Act of 2004
   US Code: 7 USC 1623 (b) Name of Law: Agricultural Marketing Act 1946
   US Code: 7 USC 1621 Name of Law: Agricultural Marketing Act of 1946
   PL: Pub.L. 115 - 334 10102 Name of Law: Agriculture Improvement Act of 2018
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 147	07/31/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 63605	11/18/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Competitive AMS Grant Programs' Forms	None, None, None, AMS-34, None, None, None, None	Accounting System & Financial Capability Questionnaire ,   AMS Grant Programs Worksheet (to accompany SF-270) ,   Peer Review Conflict of Interest & Confidentiality Worksheet ,   SAMPLE: Grant Application into Grants.gov ,   Negotiated Indirect Cost Rate Agreement ,   Peer Reviewer AMS Grant Programs Score Sheet ,   Peer Reviewer Application & Qualification Form ,   Project Beneficiaries Questionnaire
Farmers Market Promotion Program ((Private)	None, None, None, None, AMS-33, None, None, None, None, None, None, None, None, HUD Form 50153, AMS-34	Request for Applications ,   Application Components ,   Project Beneficiaries Questionnaire ,   Agreement Face Sheet ,   Accounting System & Financial Capability Questionnaire ,   Grant Terms & Conditions of Award (Reading) ,   Peer Revviewer Application & Qualifications Form ,   AMS Conflict of Interest & Confidentiality Statement for Reviewers ,   Consensus Scoresheet & Comments ,   Individual Reviewer Scoresheet ,   AMS Worksheet to Accompany each SF-270 Request ,   Interim Performance Report ,   Final Performance Report ,   Registration with SAM.gov (screenshot) ,   HUD Promise Zone Certification form
Farmers Market Promotion Program (State)	None, None, None, None, None, None, None, None, None, None, AMS-33, None, HUD Form 50153, AMS-34 , None	Request for Applications ,   Application Components ,   Project Beneficiaries Questionnaire ,   Agreement Face Sheet ,   Accounting System & Financial Capability Questionnaire ,   Grant Terms & Conditions of Award ,   Peer reviewer Application & Qualification Form ,   Consensus Scoresheet & Comments ,   Individual Reviewer Scoresheet ,   AMS Worksheet to Accompany each SF-270 Request ,   Interim Performance Report ,   Final POerformance Report ,   Registration with SAM.gov ,   HUD Promise Zone Certification Form ,   AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers
Local Food Promotion Program (Private)	None, AMS-34, None, None, None, None, None, HUD Form 50153, None, None, None, None, None, None, AMS-33, None	Request for Applications ,   Application Components ,   Project beneficiaries Questionnaire ,   Agreement Face Sheet ,   Accounting System & Financial capability Questionnaire ,   Confirmation of Match ,   Grant Terms & Conditions of Award (Reading) ,   Peer Reviewer Application & Qualification Form ,   AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers ,   Consensus Scoresheet & Comments ,   Individual reviewer Scoresheeet ,   AMS Worksheet to Accompany each SF-270 Request ,   Interim Performance Report ,   Final Performance Report ,   Registration with SAM.gov (screenshot) ,   HUD Promise Zone Certification Form
Local Food Promotion Program (State)	None, AMS-34, None, None, AMS-33, HUD Form 50153, None, None, None, None, None, None, None, None, None, None	Request for Applications ,   Application Components ,   Project Beneficiaries Questionnaire ,   Agreement Face Sheet ,   Accounting System & Financial Capability Questionnaire ,   Confirmation of Match ,   Grant terms & Conditions of Award (Reading) ,   Peer Reviewer Application & Qualification Form ,   AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers ,   Consensus Scoresheet & Comments ,   Individual Reviewer Scoresheet ,   AMS Worksheet to Accompany each SF-270 Request ,   Interim Performance Report ,   Final Performance Report ,   Registration with SAM.gov (screenshot) ,   HUD Promise Zone Certification Form
Non-Competitive AMS Grant Program:SCBGP Only	none	State Plan
Specialty Crop Block Grant Program-Farm Bill (State)	None, None, AMS-33, None, None, None	Final Performance Report ,   Specialty Crop Block Grant Program Request for Applications ,   State Plan (Narrative) ,   Agreement Face Sheet ,   Registration with SAM.gov ,   Interim Performance Report
Specialty Crop Multi-State Program (State)	None, None, None, AMS-33, None, None, AMS-34, None, None, None, None, None, None	Request for Applications ,   Application Screening Checklist ,   Registration with SAM.gov (screenshot) ,   Accounting System & Financial Capability Questionnaire ,   Project Beneficiaries Questionnaire ,   Agreement Face Sheet ,   Interim Performance Report ,   Final Performance Report ,   AMS Worksheet to Accompany each SF-270 Request ,   Peer Reviewer Application & Qualification form ,   AMS Conflict of Interest & Confidentiality for Grant Reviewers ,   Consensus Scoresheet & Comments ,   Individual Reviewer Scoresheet
Standardized Forms All AMS Grant Programs	SF-270 (OMB #4040-0012), AMS-33, None, None, None	Notice of Award & Grant Agreement Face Sheet ,   Final Performance Report Template ,   Interim Performance Report Template ,   Request for Applications (Sample) ,   Request for Advance or Reimbursement

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ICR Summary of Burden

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	22,457	20,026	0	-7,692	10,123	0
Annual Time Burden (Hours)	49,807	51,821	0	-45,962	43,948	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This submission has streamlined the format of individual grant programs reporting to standardization of forms to reduce the burden for respondents. The new format submitted is grouped into three categories: Standardized forms used by all nine grant programs; eight competitive programs; and one non-competitive program. This streamlining and uniformity of forms has reduced the burden by 2,014 hours. The addition of four new grant programs in this submission has increased the number of respondents.

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Annual Cost to Federal Government: $4,282,170

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/19/2019

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