Information Collection

RBDG- State, Local, and Tribal Governments

IC 214891 under ICR 202209-0570-001 · OMB 0570-0070.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form SF LLL
RBDG- State, Local, and Tribal Governments
Form
No Form - Request for Appeal.docx Other-written
No Form (policy)-Evidence of Fidelity Bond Insurance.docx Other-written
No Form (written)-Appraisal Report.docx Other-written
No Form (written)-Audit Report.docx Other-written
No Form (written)-Brief Narrative on Selection Priorities.docx Other-written
No Form (written)-Budget.docx Other-written
No Form (written)-Commitment by Busienss of Jobs Created-Supported.docx Other-written
No Form (written)-Evidence of commitment by Other Funding Sources.docx Other-written
No Form (written)-Evidence of Commitment by Small Business.docx Other-written
No Form (written)-Evidence of Experience.docx Other-written
No Form (written)-Evidence Project is Covered by a Plan.docx Other-written
No Form (written)-Financial Information.docx Other-written
No Form (written)-Organizational Documents.docx Other-written
No Form (written)-Plan to Provide Financial Assistance to Thrid Parties.docx Other-written
No Form (written)-Project Perfomance Report.docx Other-written
No Form (written)-Scope of Work.docx Other-written
No Form(written)-Intergovernmental Consultations.docx Other-written
SF LLL Disclosure of Lobbying Activities
SF LLL.pdf
Form
SF 424 Application for Federal Assistance
Form_SF_424.pdf
Form
SF 270 Request for Advance or Reimbursement
sf270.pdf
Form
AD-1047 Cert. Regarding Debarment Suspension & Other Resp. Matte
AD-1047-Certf. Regarding Debarment Suspension & other Resp. Matters Primary Covd. Trans..docx

www.ocio.usda.gov/document/ad-1047
Form
AD- 1048 Regtarding Debarment, Suspension, Inelig. and Bol. Excl.
AD-1048-Cert. Regarding Debarment, Suspension,Inelig. and Vol.Excl..docx

www.ocio.usda.gov/document/ad-1048
Form
AD- 1049 Requirements (Grants)Alternative I-for Grantees other th
AD-1049-Reqmts. (Grants) Alternative I-for Grantees other than Indvid..docx

www.ocio.usda.gov/document/ad-1049
Form
RD 400-4 Assurance Agreement
RD 400-4 Assurance Agreement.pdf

forms.sc.egov.usda.gov/efcommon/eFileServices/eFormsAdmin/RD0400-0004_970300V01.pdf
Form
RD 1970-A Environmental (Exhibit C)
RD 1970-A Environmental (Exhibit C) pages 1,2,65-69.pdf

www.rd.usda.gov/files/1970a.pdf
Form
RD 1942-46 Letter of Intent to Meet Conditions
RD1942-0046-Ltr.of Intent to Meet Conditions.pdf

forms.sc.egov.usda.gov/efcommon/eFileServices/eFormsAdmin/RD1942-0046.pdf
Form
RD 1951-4 Report of IRP-RDLT Lending Activvity
RD1951-4 Rpt. of IRP-RDLF Lending Activity.pdf

www.rd.usda.gov/files/1951e.pdf
Form
SF 425 Federal Financial Report
SF425-Federal Financial Report.pdf

www.grants.gov/forms/post-award-reporting-forms.html
Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 SF LLL Disclosure of Lobbying Activities SF LLL.pdf Yes No Fillable Printable
Form SF 424 Application for Federal Assistance Form_SF_424.pdf Yes No Fillable Printable
Form SF 270 Request for Advance or Reimbursement sf270.pdf Yes No Fillable Printable
Form AD-1047 Cert. Regarding Debarment Suspension & Other Resp. Matters Primary Covd. AD-1047-Certf. Regarding Debarment Suspension & other Resp. Matters Primary Covd. Trans..docx https://www.ocio.usda.gov/document/ad-1047 Yes No Fillable Printable
Form AD- 1048 Regtarding Debarment, Suspension, Inelig. and Bol. Excl. AD-1048-Cert. Regarding Debarment, Suspension,Inelig. and Vol.Excl..docx https://www.ocio.usda.gov/document/ad-1048 Yes No Fillable Printable
Form AD- 1049 Requirements (Grants)Alternative I-for Grantees other than Individ. AD-1049-Reqmts. (Grants) Alternative I-for Grantees other than Indvid..docx https://www.ocio.usda.gov/document/ad-1049 Yes No Fillable Printable
Other-written No Form - Request for Appeal.docx No   Paper Only
Other-written No Form (policy)-Evidence of Fidelity Bond Insurance.docx No   Paper Only
Other-written No Form (written)-Appraisal Report.docx No   Paper Only
Other-written No Form (written)-Audit Report.docx No   Paper Only
Other-written No Form (written)-Brief Narrative on Selection Priorities.docx No   Paper Only
Other-written No Form (written)-Budget.docx No   Paper Only
Other-written No Form (written)-Commitment by Busienss of Jobs Created-Supported.docx No   Paper Only
Other-written No Form (written)-Evidence of commitment by Other Funding Sources.docx No   Paper Only
Other-written No Form (written)-Evidence of Commitment by Small Business.docx No   Paper Only
Other-written No Form (written)-Evidence of Experience.docx No   Paper Only
Other-written No Form (written)-Evidence Project is Covered by a Plan.docx No   Paper Only
Other-written No Form (written)-Financial Information.docx No   Paper Only
Other-written No Form (written)-Organizational Documents.docx No   Paper Only
Other-written No Form (written)-Plan to Provide Financial Assistance to Thrid Parties.docx No   Paper Only
Other-written No Form (written)-Project Perfomance Report.docx No   Paper Only
Other-written No Form (written)-Scope of Work.docx No   Paper Only
Other-written No Form(written)-Intergovernmental Consultations.docx No   Paper Only
Form RD 400-4 Assurance Agreement RD 400-4 Assurance Agreement.pdf https://forms.sc.egov.usda.gov/efcommon/eFileServices/eFormsAdmin/RD0400-0004_970300V01.pdf Yes No Fillable Printable
Form RD 1970-A Environmental (Exhibit C) RD 1970-A Environmental (Exhibit C) pages 1,2,65-69.pdf https://www.rd.usda.gov/files/1970a.pdf No   Paper Only
Form RD 1942-46 Letter of Intent to Meet Conditions RD1942-0046-Ltr.of Intent to Meet Conditions.pdf https://forms.sc.egov.usda.gov/efcommon/eFileServices/eFormsAdmin/RD1942-0046.pdf No   Fillable Fileable
Form RD 1951-4 Report of IRP-RDLT Lending Activvity RD1951-4 Rpt. of IRP-RDLF Lending Activity.pdf https://www.rd.usda.gov/files/1951e.pdf Yes No Fillable Fileable
Form SF 425 Federal Financial Report SF425-Federal Financial Report.pdf https://www.grants.gov/forms/post-award-reporting-forms.html Yes Yes Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 0 -2,130 0 2,130
Annual IC Time Burden (Hours) 0 0 0 -9,024 0 9,024
Annual IC Cost Burden (Dollars) 0 0 0 0 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.