Information Collection

Rural Partners Certification

IC 264466 under ICR 202401-2501-001 · OMB 2501-0044.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2501-0044 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RPN CN Certification Form Instructions.pdf	Instruction
RPN CN Certification Form Instructions.pdf	Instruction
pending Rural Partners Network Certification Form RPN CN Certification Form (update).pdf	Form and Instruction
pending Rural Partners Network Certification Form RPN CN Certification Form (update).pdf	Form and Instruction

IC Title:

Rural Partners Certification

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Instruction			RPN CN Certification Form Instructions.pdf		Yes	No	Fillable Fileable
Form and Instruction	pending	Rural Partners Network Certification Form	RPN CN Certification Form (update).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: n/a

FR Citation: 89 FR 936

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	960	960
Annual IC Time Burden (Hours)	480	480
Annual IC Cost Burden (Dollars)	23,448	23,448

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.