OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Suspension and Debarment and Drug-Free Workplace Certifications

OMB 0505-0027 · USDA/OCFO.

OMB 0505-0027

To certify information on applicant suitability concerning distribution of financial assistance in compliance with Federal Suspension and Debarment and Drug-Free Workplace regulations.

The latest form for Suspension and Debarment and Drug-Free Workplace Certifications expires 2022-04-30 and is listed under ICR 201910-0505-002.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form AD-1052 Certification Regarding Drug-Free Workplace State and State Agencies, Federal Fiscal YearForm and Instruction
Form AD-1050 Certofocatopm Regarding Drug-Free Workplace Requirements (Grants) Alternative II - For Grantees Who are IndividualsForm and Instruction
Form AD-1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantee Other Than IndividualsForm and Instruction
Form AD-1048 Cdrtification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered TransactionsForm and Instruction
Form AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary COvered TransactionsForm and Instruction
Form AD-1047 Suspension and Debarment and Drug-Free Workplace CertificationsForm and Instruction
Change Justifications - OMB Control Nos. 0505-0027_1.4.23_v1.docx Justification for No Material/Nonsubstantive Change
Change Justifications - OMB Control Nos. 0505-0027_1.4.23_v1.docx Justification for No Material/Nonsubstantive Change
00505-0027-22 SStmt Final -USDA SD DFWP Certs. 090822.docxSupporting Statement A
00505-0027-22 SStmt Final -USDA SD DFWP Certs. 090822.docxSupporting Statement A
Suspension and Debarment and Drug-Free Workplace Certifications Form and Instruction
Suspension and Debarment and Drug-Free Workplace Certifications Form and Instruction
Suspension and Debarment and Drug-Free Workplace Certifications Form and Instruction
Suspension and Debarment and Drug-Free Workplace Certifications Form and Instruction
Suspension and Debarment and Drug-Free Workplace Certifications Form and Instruction
Suspension and Debarment and Drug-Free Workplace Certifications Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202301-0505-001 No material or nonsubstantive change to a currently approved collection 2023-01-05 Approved without change
202204-0505-001 Revision of a currently approved collection 2022-04-29 Approved with change
201910-0505-002 No material or nonsubstantive change to a currently approved collection 2019-10-17 Approved without change
201907-0505-002 No material or nonsubstantive change to a currently approved collection 2019-07-11 Approved without change
201902-0505-001 Revision of a currently approved collection 2019-02-12 Approved without change
201605-0505-001 No material or nonsubstantive change to a currently approved collection 2016-05-17 Approved without change
201507-0505-001 New collection (Request for a new OMB Control Number) 2015-07-23 Approved with change