Information Collection

Specialty Crop Block Grant Program-Farm Bill (State)

IC 223491 under ICR 201910-0581-002 · OMB 0581-0240.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0240 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Specialty Crop Block Grant Program-Farm Bill (State)	Form and Instruction
Final Performance Report SCBGP Final Report 8-18-16.docx www.ams.usda.gov	Form and Instruction
Specialty Crop Block Grant Program Request for Applicati SCBGP Request for Applications.pdf www.ams.usda.gov	Form and Instruction
State Plan (Narrative) SCBGP State Plan Narrative 8-30-16.pdf www.ams.usda.gov	Form and Instruction
AMS-33 Agreement Face Sheet AMS-33 Agreement Face Sheet 8-17-16.pdf www.ams.usda.gov	Form and Instruction
Registration with SAM.gov SAM.gov Screen Shot.pdf www.SAM.gov	Form and Instruction
Interim Performance Report SCBGP Interim Report.docx www.ams.usda.gov	Form and Instruction
Audit Report Example.pdf Audit Report (Narrative) SAMPLE	IC Document
Request for Grant Amendment Example.pdf Request for Grant Amendment	IC Document

IC Title:

Specialty Crop Block Grant Program-Farm Bill (State)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

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	None	Final Performance Report	SCBGP Final Report 8-18-16.docx	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Specialty Crop Block Grant Program Request for Applications	SCBGP Request for Applications.pdf	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	AMS-33	Agreement Face Sheet	AMS-33 Agreement Face Sheet 8-17-16.pdf	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Interim Performance Report	SCBGP Interim Report.docx	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Registration with SAM.gov	SAM.gov Screen Shot.pdf	www.SAM.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	State Plan (Narrative)	SCBGP State Plan Narrative 8-30-16.pdf	www.ams.usda.gov	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-616	616
Annual IC Time Burden (Hours)	-2,016	2,016
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Audit Report (Narrative) SAMPLE	Audit Report Example.pdf	09/12/2016
Request for Grant Amendment	Request for Grant Amendment Example.pdf	09/12/2016

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