Information Collection

7 CFR 1944-N (State, Local and Tribal )

IC 188414 under ICR 202207-0575-001 · OMB 0575-0115.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-1049 7 CFR 1944-N (State, Local and Tribal )	Form
Non-Forms.docx	Other-WRITTEN
AD-1049 Certification Regarding Drug-Free Workplace Requirements AD-1049.pdf	Form
RD 400-1 Equal Opportunity Agreement RD0400-0001.pdf	Form
RD 400-4 Assurance Agreement RD0400-0004.pdf	Form
SF 425 Federal Financing reprot SF425 Fed.Financing Rpt..pdf	Form
SF 424 Application for Federal Assistance SF424-App.for Fed. Asstnc..pdf	Form
SF 270 Request for Advance or Reimbursement SF-270 (Request for Advance or Reimbursement).pdf	Form
SF 272 Federal Cash Transactions SF 272-Federal CashTransactions.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 1944.651(d) - 683

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	AD-1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative 1 - For Grantees Other Than Individuals	AD-1049.pdf		Yes	No	Fillable Printable
Form	RD 400-1	Equal Opportunity Agreement	RD0400-0001.pdf		Yes	No	Fillable Printable
Form	RD 400-4	Assurance Agreement	RD0400-0004.pdf		Yes	No	Fillable Printable
Form	SF 425	Federal Financing reprot	SF425 Fed.Financing Rpt..pdf	Grants.gov	Yes	No	Fillable Printable
Form	SF 424	Application for Federal Assistance	SF424-App.for Fed. Asstnc..pdf	Grants.gov	Yes	No	Fillable Fileable Signable
Form	SF 270	Request for Advance or Reimbursement	SF-270 (Request for Advance or Reimbursement).pdf	Grants.gov	Yes	No	Fillable Printable
Form	SF 272	Federal Cash Transactions	SF 272-Federal CashTransactions.pdf	Grants.gov	Yes	No	Fillable Printable
Other-WRITTEN			Non-Forms.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 383

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
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-2,452	2,452
Annual IC Time Burden (Hours)	-2,467	2,467
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.