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AD Forms Burden Hours Requested
AD Burden Hours for 0584-0512 April 2019.xlsx
Uniform Grant Application for Non-Entitlement Discretionary Grants (COMPETITIVE; NON-COMPETITIVE and State Plans)
AD Forms Burden Hours Requested
OMB: 0584-0512
OMB.report
USDA/FNS
OMB 0584-0512
ICR 202403-0584-004
AD Forms Burden Hours Requested
( Supplementary Document )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0584-0512 can be found here:
2024-08-02 - No material or nonsubstantive change to a currently approved collection
Document [xlsx]
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IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
HRS per Form
Responses per form
USDA Forms (SLT)
Unchanged
1197
299
0
Form and Instruction
AD-1047
Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions
74.75
299.25
Form and Instruction
AD-1048
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions
74.75
299.25
Form and Instruction
AD-1049
Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I – For Grantees Other Than Individuals
74.75
299.25
Form and Instruction
AD-1052
Certification Regarding Drug-Free Workplace, State and State Agencies
74.75
299.25
USDA Forms (Business)
Unchanged
1020
255
0
Form and Instruction
AD-3030
Corporate Felony Convictions and Corporate Federal Tax Delinquencies
45
204
Form and Instruction
AD-1047
Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions
45
204
Form and Instruction
AD-1048
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions
45
204
Form and Instruction
AD-1049
Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I – For Grantees Other Than Individuals
45
204
Form and Instruction
AD-1052
Certification Regarding Drug-Free Workplace, State and State
45
204
File Type
application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified
0000-00-00
File Created
0000-00-00
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