Standardized Forms All AMS Grant Programs

Local Food Purchase Assistance Cooperative Agreement Program (LFPA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0330 can be found here:

Documents and Forms

Document Name Document Type
Form AMS-20-3 Standardized Forms All AMS Grant Programs Form
AMS-20-3 Amendment Request AMS-20-3 Form Amendment-FINAL.docx Form
AMS-20-3 Amendment Request AMS-20-3 Form Amendment-FINAL.docx Form
AMS-33 Notice of Award AMS-33 Form Grant Agreement Face Sheet.pdf Form and Instruction
AMS-33 Notice of Award AMS-33 Form Grant Agreement Face Sheet.pdf Form and Instruction
General Terms and Conditions Terms and Conditions.pdf Form
General Terms and Conditions Terms and Conditions.pdf Form
Request For Application LFPA Example RFA.docx Form and Instruction
Request For Application LFPA Example RFA.docx Form and Instruction
AMS-20-1 Corporative Agreement AMS-20-1 Form - State Agencies_FINAL.docx Form
AMS-20-1 Corporative Agreement AMS-20-1 Form - State Agencies_FINAL.docx Form
SF424 Form Application for Federal Assistance.pdf Application for Federal Assistance IC Document
SF424 Form Application for Federal Assistance.pdf Application for Federal Assistance IC Document
SF270 Form Request for Advancment or Reibursement.pdf Request for Advance Reimbursement IC Document
SF270 Form Request for Advancment or Reibursement.pdf Request for Advance Reimbursement IC Document
SF425 Form Federal Financial Report.pdf Federal Financial Report IC Document
SF425 Form Federal Financial Report.pdf Federal Financial Report IC Document

Information Collection (IC) Details

IC Title:	Standardized Forms All AMS Grant Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AMS-20-3	Amendment Request	AMS-20-3 Form Amendment-FINAL.docx	Yes	Yes	Fillable Fileable
Form and Instruction	AMS-33	Notice of Award	AMS-33 Form Grant Agreement Face Sheet.pdf	Yes	Yes	Fillable Fileable
Form	none	General Terms and Conditions	Terms and Conditions.pdf	Yes	No	Printable Only
Form and Instruction	none	Request For Application	LFPA Example RFA.docx	Yes	No	Printable Only
Form	AMS-20-1	Corporative Agreement	AMS-20-1 Form - State Agencies_FINAL.docx	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: 75	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	525	525
Annual IC Time Burden (Hours)	1,394	1,394
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Application for Federal Assistance	SF424 Form Application for Federal Assistance.pdf	08/31/2021
Request for Advance Reimbursement	SF270 Form Request for Advancment or Reibursement.pdf	08/31/2021
Federal Financial Report	SF425 Form Federal Financial Report.pdf	08/31/2021

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