Specialty Crop Multi-State Program (State)

AMS Grant Programs

OMB: 0581-0240

IC ID: 223524

⚠️ Notice: This information collection may be referencing outdated material.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

2024-03-26 - Reinstatement with change of a previously approved collection

Documents and Forms

Document Name Document Type
Specialty Crop Multi-State Program (State) Form and Instruction
SCMP Application Components Screenshot.docx www.ams.usda.gov Instruction
Request for Applications SCMP Request for Applications.pdf www.ams.usda.gov Form and Instruction
Application Screening Checklist Application Screening Checklist 8-18-16.pdf www.ams.usda.gov Form and Instruction
Registration with SAM.gov (screenshot) SAM.gov Screen Shot.pdf www.SAM.gov Form and Instruction
Accounting System & Financial Capability Questionnaire Accounting System Financial Capability Questionnaire 8-17-16.docx www.ams.usda.gov Form and Instruction
Project Beneficiaries Questionnaire Project Beneficiaries Questionnaire 8-17-16.docx 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
Interim Performance Report SCMP Interim Report.pdf www.ams.usda.gov Form and Instruction
Final Performance Report SCMP Final Report.pdf www.ams.usda.gov Form and Instruction
AMS Worksheet to Accompany each SF-270 Request AMS Worksheet to Accompany each SF-270 Request 8-17-16.xlsx www.ams.usda.gov Form and Instruction
Peer Reviewer Application & Qualification form Peer Reviewer Application & Qualification Form.xls www.ams.usda.gov Form and Instruction
AMS-34 AMS Conflict of Interest & Confidentiality for Grant Rev AMS-34 AMS Conflict of Interest and Confidentiality Statement 8-17-16.pdf www.ams.usda.gov Form and Instruction
Consensus Scoresheet & Comments Consensus Scoresheet.xlsx www.ams.usda.gov Form and Instruction
Individual Reviewer Scoresheet Individual Reviewer Scoresheet.xlsx www.ams.usda.gov Form and Instruction
Request for Grant Amendment Example.pdf Request for Grant Amendment (Narrative) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Specialty Crop Multi-State Program (State)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Registration with SAM.gov (screenshot)	SAM.gov Screen Shot.pdf	www.SAM.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Accounting System & Financial Capability Questionnaire	Accounting System Financial Capability Questionnaire 8-17-16.docx	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Project Beneficiaries Questionnaire	Project Beneficiaries Questionnaire 8-17-16.docx	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	SCMP Interim Report.pdf	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Final Performance Report	SCMP Final Report.pdf	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	AMS-34	AMS Conflict of Interest & Confidentiality for Grant Reviewers	AMS-34 AMS Conflict of Interest and Confidentiality Statement 8-17-16.pdf	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Consensus Scoresheet & Comments	Consensus Scoresheet.xlsx	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Instruction			SCMP Application Components Screenshot.docx	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Request for Applications	SCMP Request for Applications.pdf	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Peer Reviewer Application & Qualification form	Peer Reviewer Application & Qualification Form.xls	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Individual Reviewer Scoresheet	Individual Reviewer Scoresheet.xlsx	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	AMS Worksheet to Accompany each SF-270 Request	AMS Worksheet to Accompany each SF-270 Request 8-17-16.xlsx	www.ams.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	None	Application Screening Checklist	Application Screening Checklist 8-18-16.pdf	www.ams.usda.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-2,876	2,876
Annual IC Time Burden (Hours)	-6,744	6,744
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Grant Amendment (Narrative)	Request for Grant Amendment Example.pdf	09/13/2016

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