Information Collection

Farm and Food Workers and Relief Program Only

IC 249631 under ICR 202110-0581-001 · OMB 0581-0331.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0331 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Farm and Food Workers and Relief Program Only	Form and Instruction
Peer Reviewer Application and Qualification Form Peer Reviewer Application and Qualification Form_10-18-19.pdf	Form and Instruction
Peer Reviewer Application and Qualification Form Peer Reviewer Application and Qualification Form_10-18-19.pdf	Form and Instruction
Peer Reviewer AMS Grant Program Score Sheet Peer Reviewer AMS Grant Programs Score Sheet_10-18-19.xlsx	Form and Instruction
Peer Reviewer AMS Grant Program Score Sheet Peer Reviewer AMS Grant Programs Score Sheet_10-18-19.xlsx	Form and Instruction
FFWR narrative Submission 2021_FFWR NarrativeFormClean.docx	Form and Instruction
FFWR narrative Submission 2021_FFWR NarrativeFormClean.docx	Form and Instruction
Negotiated Indirect Cost Agreement Negotiated Indirect Cost Rate Agreement_10-18-19.docx	Form and Instruction
Negotiated Indirect Cost Agreement Negotiated Indirect Cost Rate Agreement_10-18-19.docx	Form and Instruction
Project Beneficiaries Questionnaire Project Beneficiaries Questionnaire_10-18-19.docx	Form and Instruction
Project Beneficiaries Questionnaire Project Beneficiaries Questionnaire_10-18-19.docx	Form and Instruction
Accounting System and Financial Capability Questionnaire Accounting System and Financial Capability Questionnaire_10-18-19.docx	Form and Instruction
Accounting System and Financial Capability Questionnaire Accounting System and Financial Capability Questionnaire_10-18-19.docx	Form and Instruction

IC Title:

Farm and Food Workers and Relief Program Only

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Peer Reviewer Application and Qualification Form	Peer Reviewer Application and Qualification Form_10-18-19.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	None	Peer Reviewer AMS Grant Program Score Sheet	Peer Reviewer AMS Grant Programs Score Sheet_10-18-19.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	None	FFWR narrative Submission	2021_FFWR NarrativeFormClean.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	Negotiated Indirect Cost Agreement	Negotiated Indirect Cost Rate Agreement_10-18-19.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	Project Beneficiaries Questionnaire	Project Beneficiaries Questionnaire_10-18-19.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	Accounting System and Financial Capability Questionnaire	Accounting System and Financial Capability Questionnaire_10-18-19.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: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	504	504
Annual IC Time Burden (Hours)	994	994
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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