Information Collection

Certified Mediation Program (7 CFR part 785) - Private Sector

IC 1421 under ICR 202609-0560-002 · OMB 0560-0165.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-270 REQUEST FOR ADVANCE OR REIMBURSEMENT Certified Mediation Program (7 CFR part 785) - Private Sector	Form
Form SF-424 Application for Federal Assistance Certified Mediation Program (7 CFR part 785) - Private Sector	Form
Form SF-424A BUDGET INFORMATION - Non-Construction Programs Certified Mediation Program (7 CFR part 785) - Private Sector	Form
Form SF-424B ASSURANCES - NON-CONSTRUCTION PROGRAMS Certified Mediation Program (7 CFR part 785) - Private Sector	Form
Form SF-425 Federal Financial Report Certified Mediation Program (7 CFR part 785) - Private Sector	Form
SF-270 REQUEST FOR ADVANCE OR REIMBURSEMENT SF270-V1.0.pdf www.gsa.gov/forms-library	Form
SF-424 Application for Federal Assistance SF424_4_0-V4.0.pdf www.gsa.gov/forms-library	Form
SF-424A BUDGET INFORMATION - Non-Construction Programs SF424A-V1.0.pdf www.gsa.gov/forms-library	Form
SF-424B ASSURANCES - NON-CONSTRUCTION PROGRAMS SF424B-V1.1.pdf www.gsa.gov/forms-library	Form
SF-425 Federal Financial Report SF425_3_0-V30b.pdf www.gsa.gov/forms-library	Form

IC Title:

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 785

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-270	https://www.gsa.gov/forms-library	Yes	No	Fillable Printable
Form	SF-424	https://www.gsa.gov/forms-library	Yes	No	Fillable Printable
Form	SF-424A	https://www.gsa.gov/forms-library	Yes	No	Fillable Printable
Form	SF-424B	https://www.gsa.gov/forms-library	Yes	No	Fillable Printable
Form	SF-425	https://www.gsa.gov/forms-library	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21

Number of Respondents for Small Entity: 5

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	252	-252	504
Annual IC Time Burden (Hours)	609	-2,163	2,772
Annual IC Cost Burden (Dollars)	0	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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