Rural Community Development Initiative (RCDI)

OMB 0575-0180

The Rural Community Development Initiative's intent is to develop the capacity and ability of rural area recipients through a program of technical assistance provided by qualified intermediary organizations.

The latest form for Rural Community Development Initiative (RCDI) expires 2021-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form AD-1047 Public/Tribal Form
RCDI Supporting Statement-final.docx Supporting Statement A
ICR 0575-0180 Summary Worksheet final.xlsm Supplementary Document
Private Other-
Public/Tribal Form

OMB Details

Private

Federal Enterprise Architecture: Community and Social Services - Community and Regional Development

Form RD 400-1	Equal Opportunity Agreement	Fillable Printable	Form
Form AD 3030	Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants	Fillable Printable	Form
Form AD-1049	Certification Regarding Drug-free Workplace	Fillable Printable	Form
Form AD-1047	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	Fillable Printable	Form
Form AD-1048	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - for Grantees other than Individuals	Fillable Printable	Form
Form RD 442-3	Balance Sheet	Fillable Printable	Form
Form RD 442-2	Statement of Budget, Income and Equity	Fillable Printable	Form
Form RD 400-4	Assurance Agreement	Fillable Printable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.

202102-0575-004 Approved with change	Revision of a currently approved collection	2021-07-20
201804-0575-001 Approved without change	Revision of a currently approved collection	2018-05-21
201401-0575-003 Approved with change	Revision of a currently approved collection	2014-01-30
201006-0575-004 Approved without change	Revision of a currently approved collection	2010-10-28
200705-0575-003 Approved without change	Revision of a currently approved collection	2007-08-13
200405-0575-001 Approved without change	Revision of a currently approved collection	2004-05-05
200009-0575-001 Approved without change	Extension without change of a currently approved collection	2000-09-26
200003-0575-001 Approved without change	New collection (Request for a new OMB Control Number)	2000-03-02