Information Collection

Technical Assistance Program - American Indian Tribes

IC 193387 under ICR 202411-0572-004 · OMB 0572-0112.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-1047 Technical Assistance Program - American Indian Tribes	Form and Instruction
Form AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters Technical Assistance Program - American Indian Tribes	Form and Instruction
Form AD-1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Technical Assistance Program - American Indian Tribes	Form and Instruction
Form AD - 1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Technical Assistance Program - American Indian Tribes	Form and Instruction
AD-1047 Certification Regarding Debarment, Suspension, and Other AD_1047-V1.0.pdf www.grants.gov/web/grants/forms/sf-424-family.html#sortby=1	Form and Instruction
AD-1047 Certification Regarding Debarment, Suspension, and Other AD_1047-V1.0.pdf www.grants.gov/web/grants/forms/sf-424-family.html#sortby=1	Form and Instruction
AD-1048 Certification Regarding Debarment, Suspension, Ineligibi AD_1048-V1.0.pdf www.grants.gov/web/grants/forms/sf-424-family.html#sortby=1	Form and Instruction
AD-1048 Certification Regarding Debarment, Suspension, Ineligibi AD_1048-V1.0.pdf www.grants.gov/web/grants/forms/sf-424-family.html#sortby=1	Form and Instruction
AD - 1049 Certification Regarding Drug-Free Workplace Requirements AD_1049-V1.0.pdf www.grants.gov/web/grants/forms/sf-424-family.html#sortby=1	Form and Instruction
AD - 1049 Certification Regarding Drug-Free Workplace Requirements AD_1049-V1.0.pdf www.grants.gov/web/grants/forms/sf-424-family.html#sortby=1	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Technical Assistance Program - American Indian Tribes

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 1775

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	AD-1047	https://www.grants.gov/web/grants/forms/sf-424-family.html#sortby=1	Yes	Yes	Fillable Fileable Signable
Form and Instruction	AD-1048	https://www.grants.gov/web/grants/forms/sf-424-family.html#sortby=1	Yes	Yes	Fillable Fileable Signable
Form and Instruction	AD - 1049	https://www.grants.gov/web/grants/forms/sf-424-family.html#sortby=1	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: USDA/RDâ1 Current or Prospective Producers or Landowners, Applicants, Borrowers, Grantees, Tenants, and other participants in RD programs

FR Citation: 84 FR 21315

Number of Respondents: 4

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	-83	83
Annual IC Time Burden (Hours)	-354	354
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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