Information Collection Request

Technical Assistance Program - 7 CFR 1775

ICR 202411-0572-004 · OMB 0572-0112 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form AD - 1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Form and Instruction Removed Repair queued
Form AD-1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Form and Instruction Removed Repair queued
Form AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters Form and Instruction Removed Available
Form AD-1047 Technical Assistance Program - American Indian Tribes Form and Instruction Removed Repair queued
2024-20899 Published 60-day notice.pdf Supplementary Document Uploaded 2024-11-19 Repair queued
2024-20899 Published 60-day notice.pdf Supplementary Document Uploaded 2024-11-19 Available
0572-0112 Spreadsheet 11182024.xlsm Supplementary Document Uploaded 2024-11-19 Repair queued
0572-0112 Spreadsheet 11182024.xlsm Supplementary Document Uploaded 2024-11-19 Available
0572-0112 Supp Stmt 11182024.docx Supporting Statement A Uploaded 2024-11-19 Repair queued
0572-0112 Supp Stmt 11182024.docx Supporting Statement A Uploaded 2024-11-19 Available
7CFR1775.docx Supplementary Document Uploaded 2020-06-25 Repair queued
7CFR1775.docx Supplementary Document Uploaded 2020-06-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
193387 Technical Assistance Program - American Indian Tribes Form and Instruction RemovedCertification Regarding Drug-Free Workplace Requirements (Grants)
193387 Technical Assistance Program - American Indian Tribes Form and Instruction RemovedCertification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
193387 Technical Assistance Program - American Indian Tribes Form and Instruction RemovedCertification Regarding Debarment, Suspension, and Other Responsibility Matters
193387 Technical Assistance Program - American Indian Tribes Form and Instruction Removed
1830 Technical Assistance Program - Private Sector Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2029 36 Months From Approved 06/30/2026
1,100 0 1,385
5,558 0 5,892
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Technical Assistance Program - American Indian Tribes AD-1048, AD - 1049, AD-1047 ,   ,  
Technical Assistance Program - Private Sector

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,100 1,385 0 -202 -83 0
Annual Time Burden (Hours) 5,558 5,892 0 20 -354 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No