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 Name	Document Type
Form SF LLL RBDG- State, Local, and Tribal Governments	Form
Form SF LLL Disclosure of Lobbying Activities RBDG- State, Local, and Tribal Governments	Form
Form SF 424 Application for Federal Assistance RBDG- State, Local, and Tribal Governments	Form
Form SF 270 Request for Advance or Reimbursement RBDG- State, Local, and Tribal Governments	Form
Form AD-1047 Cert. Regarding Debarment Suspension & Other Resp. Matters Primary Covd. RBDG- State, Local, and Tribal Governments	Form
Form AD- 1048 Regtarding Debarment, Suspension, Inelig. and Bol. Excl. RBDG- State, Local, and Tribal Governments	Form
Form AD- 1049 Requirements (Grants)Alternative I-for Grantees other than Individ. RBDG- State, Local, and Tribal Governments	Form
Form RD 400-4 Assurance Agreement RBDG- State, Local, and Tribal Governments	Form
Form RD 1970-A Environmental (Exhibit C) RBDG- State, Local, and Tribal Governments	Form
Form RD 1942-46 Letter of Intent to Meet Conditions RBDG- State, Local, and Tribal Governments	Form
Form RD 1951-4 Report of IRP-RDLT Lending Activvity RBDG- State, Local, and Tribal Governments	Form
Form SF 425 Federal Financial Report RBDG- State, Local, and Tribal Governments	Form
No Form - Request for Appeal.docx	Other-written
No Form - Request for Appeal.docx	Other-written
No Form (policy)-Evidence of Fidelity Bond Insurance.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)-Appraisal Report.docx	Other-written
No Form (written)-Audit 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)-Brief Narrative on Selection Priorities.docx	Other-written
No Form (written)-Budget.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)-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 Other Funding Sources.docx	Other-written
No Form (written)-Evidence of Commitment by Small Business.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 of Experience.docx	Other-written
No Form (written)-Evidence Project is Covered by a Plan.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)-Financial Information.docx	Other-written
No Form (written)-Organizational Documents.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)-Plan to Provide Financial Assistance to Thrid Parties.docx	Other-written
No Form (written)-Project Perfomance Report.docx	Other-written
No Form (written)-Project Perfomance Report.docx	Other-written
No Form (written)-Scope of Work.docx	Other-written
No Form (written)-Scope of Work.docx	Other-written
No Form(written)-Intergovernmental Consultations.docx	Other-written
No Form(written)-Intergovernmental Consultations.docx	Other-written
SF LLL Disclosure of Lobbying Activities SF LLL.pdf	Form
SF LLL Disclosure of Lobbying Activities SF LLL.pdf	Form
SF 424 Application for Federal Assistance Form_SF_424.pdf	Form
SF 424 Application for Federal Assistance Form_SF_424.pdf	Form
SF 270 Request for Advance or Reimbursement sf270.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-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- 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
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 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 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 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
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
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:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF LLL		Yes	No	Fillable Printable
Form	SF 424		Yes	No	Fillable Printable
Form	SF 270		Yes	No	Fillable Printable
Form	AD-1047	https://www.ocio.usda.gov/document/ad-1047	Yes	No	Fillable Printable
Form	AD- 1048	https://www.ocio.usda.gov/document/ad-1048	Yes	No	Fillable Printable
Form	AD- 1049	https://www.ocio.usda.gov/document/ad-1049	Yes	No	Fillable Printable
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Other-written			No		Paper Only
Form	RD 400-4	https://forms.sc.egov.usda.gov/efcommon/eFileServices/eFormsAdmin/RD0400-0004_970300V01.pdf	Yes	No	Fillable Printable
Form	RD 1970-A	https://www.rd.usda.gov/files/1970a.pdf	No		Paper Only
Form	RD 1942-46	https://forms.sc.egov.usda.gov/efcommon/eFileServices/eFormsAdmin/RD1942-0046.pdf	No		Fillable Fileable
Form	RD 1951-4	https://www.rd.usda.gov/files/1951e.pdf	Yes	No	Fillable Fileable
Form	SF 425	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 %

table that charts list of burden
	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

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.

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