January 4, 2023
This change request is being submitted to correct language in the Privacy Act statements for the following forms; the changes are reflected below:
AD-1047 - Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions
Old language: “The provisions of appropriate criminal, civil, fraud, privacy, and other statutes may be applicable to the information provided.”
New language: “The provisions of appropriate criminal or civil fraud, privacy, and other statutes may be applicable to the information provided.”
New language: (REV 12/22)
AD-1048 - Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions
Old language: “The provisions of appropriate criminal, civil, fraud, privacy, and other statutes may be applicable to the information provided.”
New language: “The provisions of appropriate criminal or civil fraud, privacy, and other statutes may be applicable to the information provided.”
New language: (REV 12/22)
AD-1049 - Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I – For Grantees Other Than Individual
Old language: “The provisions of appropriate criminal, civil, fraud, privacy, and other statutes may be applicable to the information provided.”
New language: “The provisions of appropriate criminal or civil fraud, privacy, and other statutes may be applicable to the information provided.”
Old language: “USDA is an equal opportunity provider, employer and lender..”
New language: “USDA is an equal opportunity provider, employer and lender.”
Old language:
The grantee certifies that it will or will continue to provide a drug-free workplace by:
4. Notifying the employee in the statement required by paragraph A.1 that, as a condition of employment under grant, the employee will –
New language:
The grantee certifies that it will or will continue to provide a drug-free workplace by:
4. Notifying the employee in the statement required by paragraph A.1 that, as a condition of employment under the grant, the employee will –
New language: (REV 12/22)
AD-1050 - Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative II – For Grantees Who Are Individuals
Old language: “The provisions of appropriate criminal, civil, fraud, privacy, and other statutes may be applicable to the information provided.”
New language: “The provisions of appropriate criminal or civil fraud, privacy, and other statutes may be applicable to the information provided.”
Old language: “USDA is an equal opportunity provider, employer and lender..”
New language: “USDA is an equal opportunity provider, employer and lender.”
New language: (REV 12/22)
AD 1052 - Certification Regarding Drug-Free Workplace, State and State Agencies, Federal Fiscal Year___
Old language: “The provisions of appropriate criminal, civil, fraud, privacy, and other statutes may be applicable to the information provided.”
New language: “The provisions of appropriate criminal or civil fraud, privacy, and other statutes may be applicable to the information provided.”
Old language: “USDA is an equal opportunity provider, employer and lender..”
New language: “USDA is an equal opportunity provider, employer and lender.”
The grantee certifies that it will or will continue to provide a drug-free workplace by:
4. Notifying the employee in the statement required by paragraph A.1 that, as a condition of employment under grant, the employee will –
New language:
The grantee certifies that it will or will continue to provide a drug-free workplace by:
4. Notifying the employee in the statement required by paragraph A.1 that, as a condition of employment under the grant, the employee will –
New language: (REV 12/22)
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Brown, Ruth - OCIO |
| File Modified | 0000-00-00 |
| File Created | 2023-09-10 |