Information Collection

Assurance of Compliance With Department of Agriculture Regulations

IC 274092 under ICR 202502-0524-001 · OMB 0524-0026.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NIFA-666 Assurance of Compliance With Department of Agriculture Regulations	Form
Form NIFA-666 Organizational Information Assurance of Compliance With Department of Agriculture Regulations	Form
NIFA-666 Organizational Information 0524-0026 Fillable Org Info Form.pdf	Form
NIFA-666 Organizational Information 0524-0026 Fillable Org Info Form.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 3016 7 CFR 3019 7 CFR 3015

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
Form	NIFA-666				Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 115

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	200	150	50
Annual IC Time Burden (Hours)	1,260	1,260	0
Annual IC Cost Burden (Dollars)	70,370	70,370	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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