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Technical Assistance Training Grant Program
Technical Assistance Grant Program, 7 CFR 1775 (Recovery Act)
OMB: 0572-0144
IC ID: 190171
OMB.report
USDA/RUS
OMB 0572-0144
ICR 200907-0572-005
IC 190171
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0144 can be found here:
2010-04-08 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form AD 1047
Technical Assistance Training Grant Program
Form
RD 0400-1 Equal Opportunity Agreement
0400-01.pdf
www.usda.gov/rus/water/wwforms.htm
Form
RD 0400-04 Assurance Agreement
0400-04.pdf
http:www.usda.gov/rus/water/wwforms.htm
Form
AD 1047 Certificate of Debarment, etc. for Primary Transactions
ad1047.pdf
www.usda.gov/rus/water/wwforms.htm
Form
AD 1049 Certificate for Drug-Free Workplace
ad1049.pdf
http:www.usda.gov/rus/water/wwforms.htm
Form
SF LLL Disclosure for LobbyingActivities
sflllin.pdf
http:www.usda.gov/rus/water/wwforms.htm
Form
usda 1048 Debarment of Lower Tier Transactions
usda1048.pdf
www.usda.gov/rus/water/wwforms.htm
Form and Instruction
Grant Agreement
Grant Agreement.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Technical Assistance Training Grant Program
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 1926
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
AD 1047
Certificate of Debarment, etc. for Primary Transactions
ad1047.pdf
http://www.usda.gov/rus/water/wwforms.htm
Yes
No
Printable Only
Form
AD 1049
Certificate for Drug-Free Workplace
ad1049.pdf
http:www.usda.gov/rus/water/wwforms.htm
Yes
No
Paper Only
Form
SF LLL
Disclosure for LobbyingActivities
sflllin.pdf
http:www.usda.gov/rus/water/wwforms.htm
Yes
No
Fillable Printable
Form and Instruction
usda 1048
Debarment of Lower Tier Transactions
usda1048.pdf
http://www.usda.gov/rus/water/wwforms.htm
Yes
No
Fillable Printable
Form
None
Grant Agreement
Grant Agreement.doc
No
Paper Only
Form
RD 0400-1
Equal Opportunity Agreement
0400-01.pdf
http://www.usda.gov/rus/water/wwforms.htm
Yes
No
Printable Only
Form
RD 0400-04
Assurance Agreement
0400-04.pdf
http:www.usda.gov/rus/water/wwforms.htm
Yes
No
Printable Only
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:
30
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
357
0
357
0
0
0
Annual IC Time Burden (Hours)
1,042
0
1,042
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.