The Rural Alaska Village Grant (RAVG) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
RAVG ANTHC Grant Agreement	Form	Removed	Available
RAVG SOA Grant Agreement	Form	Removed	Available
Form RUS Bulletin 1780- RUS Bulletin 1780-12	Form and Instruction	Removed	Available
Form SF 424 Application for Federal Assistance	Form and Instruction	Removed	Available
Form RD 1942-46 Letter of Intent to Meet Conditions	Form	Removed	Available
Form RD 442-22 Opinion of COunsel relative to RIght-of-Way & Easments	Form	Removed	Available
Form RD 400-4 Assurance Agreement	Form	Removed	Available
Form RD 400-1 Equal Opportunity Agreement	Form	Removed	Available
Form RD Instruction 194 Certification for Contracts, Grants and Loans REgarding Lobbying	Form and Instruction	Removed	Available
Form AD - 1049 Certification Regarding Drug-Free Workplace	Form	Removed	Available
Form AD- 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction	Form	Removed	Available
Form AD -1047 Certification Regarding Debarment	Form	Removed	Available
Form AD -1047 non-profit / private sector	Form	Removed	Repair queued
0572-0150 (RAVG) Spreadsheet-11-18-2021.xls	Supplementary Document	Uploaded 2021-11-18	Available
0572-0150 (RAVG) Spreadsheet-11-18-2021.xls	Supplementary Document	Uploaded 2021-11-18	Repair queued
OMB-83-I -RUS 0572-0150 RAVG Program 11-18-2021.pdf	Supplementary Document	Uploaded 2021-11-18	Available
OMB-83-I -RUS 0572-0150 RAVG Program 11-18-2021.pdf	Supplementary Document	Uploaded 2021-11-18	Missing upstream
0572-0150 (RAVG) SuptStmt 12-15-2021.docx	Supporting Statement A	Uploaded 2021-12-15	Available
0572-0150 (RAVG) SuptStmt 12-15-2021.docx	Supporting Statement A	Uploaded 2021-12-15	Repair queued
Published 60-day Notice.pdf	Supplementary Document	Uploaded 2021-08-20	Available
Published 60-day Notice.pdf	Supplementary Document	Uploaded 2021-08-20	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209670	non-profit / private sector	Form	Removed	RAVG ANTHC Grant Agreement
209670	non-profit / private sector	Form	Removed	RAVG SOA Grant Agreement
209670	non-profit / private sector	Form and Instruction	Removed	RUS Bulletin 1780-12
209670	non-profit / private sector	Form and Instruction	Removed	Application for Federal Assistance
209670	non-profit / private sector	Form	Removed	Letter of Intent to Meet Conditions
209670	non-profit / private sector	Form	Removed	Opinion of COunsel relative to RIght-of-Way & Easments
209670	non-profit / private sector	Form	Removed	Assurance Agreement
209670	non-profit / private sector	Form	Removed	Equal Opportunity Agreement
209670	non-profit / private sector	Form and Instruction	Removed	Certification for Contracts, Grants and Loans REgarding Lobbying
209670	non-profit / private sector	Form	Removed	Certification Regarding Drug-Free Workplace
209670	non-profit / private sector	Form	Removed	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction
209670	non-profit / private sector	Form	Removed	Certification Regarding Debarment
209670	non-profit / private sector	Form	Removed
209668	State and Local Governments	Other-Reporting Requirements-Non Form	Modified

ICR Details

OMB Control No: 0572-0150	ICR Reference No: 202101-0572-002
Status: Active	Previous ICR Reference No: 201809-0572-001
Agency/Subagency: USDA/RUS	Agency Tracking No: 0572-0150
Title: The Rural Alaska Village Grant (RAVG) Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/21/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/22/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2026	36 Months From Approved	04/30/2023
Responses	324	0	345
Time Burden (Hours)	523	0	469
Cost Burden (Dollars)	0	0	0

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Abstract: The RAVG regulations are at 7 CFR Part 1784. Under the RAVG program, the Secretary may make grants to the State of Alaska for the benefit of rural or Native Villages in Alaska to provide for the development and construction of water and wastewater systems to improve the health and sanitation conditions in those villages. This collection involves the information collected from applicants, grantees, and consultants to the program.

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Authorizing Statute(s): US Code: 7 USC 1926(d) Name of Law: Consolidated Farm and Rural Development Act (CONACT)
  

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:
	86 FR 43989	08/11/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 9308	02/18/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
State and Local Governments
non-profit / private sector	None, RUS Bulletin 1780-12, AD -1047, AD- 1048, AD - 1049, RD Instruction 1940Q A-1, RD 400-1, RD 400-4, RD 442-22, RD 1942-46, SF 424, None	Certification Regarding Debarment ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction ,   Certification Regarding Drug-Free Workplace ,   Certification for Contracts, Grants and Loans REgarding Lobbying ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Opinion of COunsel relative to RIght-of-Way & Easments ,   Letter of Intent to Meet Conditions ,   Application for Federal Assistance ,   RUS Bulletin 1780-12 ,   RAVG SOA Grant Agreement ,   RAVG ANTHC Grant Agreement

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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	324	345	0	-260	239	0
Annual Time Burden (Hours)	523	469	0	-263	317	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Currently, there are no changes in the regulations or program operations, however, there was an increase in the estimated number of burden hours from the previous submission of 469 to 523 resulting from an increase in the number of applications received and the number of applications obligated. The three-year average of applications received resulted in an increased number of respondents from 25 to 36, while the number of applications obligated increased from 15 to19. It is important to note that all applications received are not obligated in the same fiscal year received. There was also an unexpected increase in the estimated cost to deliver the RVAG program from 552,639 to 928499, from both the public and private sectors. The increased cost was due to more applications received during that timeframe along with a rise in wages for both the public and private sector.

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Annual Cost to Federal Government: $1,252,563

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: 02/22/2022

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