Information Collection

7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.)

IC 1827 under ICR 202504-0572-002 · OMB 0572-0110.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD 1047 7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.)	Form
Form AD 1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters 7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.)	Form
Form AD 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion 7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.)	Form
Form AD 1049 Certification Regarding Drug-Free Workplace Requirements (Grants) 7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.)	Form
Form RD 400-8 Compliance Review 7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.)	Form
Written Requirements Placeholder 0572-0110.docx	Other-Written Requirements Placehold
Written Requirements Placeholder 0572-0110.docx	Other-Written Requirements Placehold
AD 1047 Certification Regarding Debarment, Suspension, and Other AD-1047.pdf	Form
AD 1047 Certification Regarding Debarment, Suspension, and Other AD-1047.pdf	Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibi AD-1048.pdf	Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibi AD-1048.pdf	Form
AD 1049 Certification Regarding Drug-Free Workplace Requirements AD-1049.pdf	Form
AD 1049 Certification Regarding Drug-Free Workplace Requirements AD-1049.pdf	Form
RD 400-8 Compliance Review RD 400-8 2.18.25.pdf	Form
RD 400-8 Compliance Review RD 400-8 2.18.25.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 1778

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD 1047	Yes	Yes	Fillable Printable
Form	AD 1048	Yes	Yes	Fillable Printable
Form	AD 1049	Yes	Yes	Fillable Printable
Other-Written Requirements Placeholder		No		Paper Only
Form	RD 400-8	Yes	Yes	Fillable Fileable

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 21215

Number of Respondents: 49

Number of Respondents for Small Entity: 49

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	409	409
Annual IC Time Burden (Hours)	3,173	3,173
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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