OMB
.report
Search
Rural Development Grant Programs - Private Sector
Rural Development Grant Program
OMB: 0570-0056
IC ID: 186843
OMB.report
USDA/RBS
OMB 0570-0056
ICR 200810-0570-001
IC 186843
( )
Documents and Forms
Document Name
Document Type
Form AD 1047
Rural Development Grant Programs - Private Sector
Form
RD 400-1 Equal Opportunity Agreement
RD 400-1.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 400-4 Assurance Agreement
RD 400-4.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 440-11 Estimate of Funds Needed
RD 440-11.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 442-2 Statement of Budget, Income and Equity
RD 442-2.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form and Instruction
RD 442-3 Balance Sheet
RD 442-3.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form and Instruction
RD 422-7 Operating Budget
RD 442-7.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form and Instruction
RD 442-22 Opinion of Counsel Relative to Rights of Way
RD 442-22.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 442-30 Water Purchase Contract
RD 442-30.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 1924-6 Construction Contract
RD 1924-6.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 1924-7 Contract Change Order
RD 1924-7.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 1924-18 Partial Payment Estimate
RD 1924-18.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 1940-1 Request for Obligation of Funds
RD 1940-1.pdf
Form
RD 1940-20 Request for Environmental Information
RD 1940-20.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form and Instruction
RD 1942-8 Resolution of Members or Stockholders
RD 1942-8.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 1942-19 Agreement fo Engineering Services
RD 1942-19.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 1942-46 Letter of Intent to Meet Conditions
RD 1942-46.pdf
forms.sc.egov.usda.gov/eforms/mainservlet
Form
RD 5002-1 Community Facilities Grant Agreement
RD 5002-1.pdf
Form
RD 5002-2A Rural Energy for America p Program Grant Agreement
5002-2A.doc
Form
RUS Bulletin 1780- Water and Waste System Grant Agreement
RUS Bulletin 1780-12.doc
Form
AD 1047 Certification Regarding Debarment, Suspension and Other
AD1047-F-01-92.pdf
www.ocio.usda.go/forms/ocio_forms.html
Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibi
AD1048-F-01-92.pdf
www.ocio.usda.go/forms/ocio_forms.html
Form
AD 1049 Certification Regarding Drug-Free Workplace Requirements
AD1049-F-05-90.pdf
www.ocio.usda.go/forms/ocio_forms.html
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Rural Development Grant Programs - Private Sector
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 5002
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
AD 1047
Certification Regarding Debarment, Suspension and Other Responsibiility Matters
AD1047-F-01-92.pdf
http://www.ocio.usda.go/forms/ocio_forms.html
Yes
Yes
Fillable Printable
Form
AD 1048
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
AD1048-F-01-92.pdf
http://www.ocio.usda.go/forms/ocio_forms.html
Yes
Yes
Fillable Printable
Form
AD 1049
Certification Regarding Drug-Free Workplace Requirements (Grants)
AD1049-F-05-90.pdf
http://www.ocio.usda.go/forms/ocio_forms.html
Yes
Yes
Fillable Printable
Form
RD 442-22
Opinion of Counsel Relative to Rights of Way
RD 442-22.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 442-30
Water Purchase Contract
RD 442-30.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 1924-6
Construction Contract
RD 1924-6.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 1924-7
Contract Change Order
RD 1924-7.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 1924-18
Partial Payment Estimate
RD 1924-18.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 1940-1
Request for Obligation of Funds
RD 1940-1.pdf
Yes
No
Printable Only
Form and Instruction
RD 1940-20
Request for Environmental Information
RD 1940-20.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 1942-8
Resolution of Members or Stockholders
RD 1942-8.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 1942-19
Agreement fo Engineering Services
RD 1942-19.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 1942-46
Letter of Intent to Meet Conditions
RD 1942-46.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 5002-2A
Rural Energy for America p Program Grant Agreement
5002-2A.doc
Yes
No
Fillable Printable
Form
RUS Bulletin 1780-12
Water and Waste System Grant Agreement
RUS Bulletin 1780-12.doc
Yes
No
Paper Only
Form
RD 5002-1
Community Facilities Grant Agreement
RD 5002-1.pdf
Yes
No
Printable Only
Form
RD 400-1
Equal Opportunity Agreement
RD 400-1.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 400-4
Assurance Agreement
RD 400-4.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form
RD 440-11
Estimate of Funds Needed
RD 440-11.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form and Instruction
RD 442-2
Statement of Budget, Income and Equity
RD 442-2.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form and Instruction
RD 442-3
Balance Sheet
RD 442-3.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Form and Instruction
RD 422-7
Operating Budget
RD 442-7.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,216
Number of Respondents for Small Entity:
94
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
28 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
11,698
0
11,698
0
0
0
Annual IC Time Burden (Hours)
56,381
0
56,381
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.