Document Name Document 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)

IC Title:	RBDG- State, Local, and Tribal Governments	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 4280, Subpart E (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection 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

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 138	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-2,130	2,130
Annual IC Time Burden (Hours)	-9,024	9,024
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.

RBDG- State, Local, and Tribal Governments

Rural Business Development Grants

OMB: 0570-0070

IC ID: 214891

View Information Collection (IC)