Information Collection

Rural Partners Certification

IC 264466 under ICR 202412-2501-006 · OMB 2501-0044.

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rural Partners Certification	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection 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: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
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

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.