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Private Sector - Business
Rural Development Consolidated Programs - ARRA Funding
OMB: 0575-0194
IC ID: 190294
OMB.report
USDA/RHS
OMB 0575-0194
ICR 200908-0575-001
IC 190294
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0194 can be found here:
2010-04-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form RD 442-2
Private Sector - Business
Form
RD 3570-3 Agreement for Administrative Requirements for Community
RD3570-3.pdf
Form
RD 1942-52 Cash Flow Projection
RD1942-52.pdf
Form
RD 1942-53 Cash Flow Report
RD1942-53.pdf
Form
RD 1942-54 Applicant's Feasibility Report
RD1942-54.pdf
Form
AD 1047 Certification Regarding Debarment
AD1047-F-01-92.pdf
Form
AD 1049 Certification Regarding Drug-Free Workplace
AD1049-F-05-90.pdf
Form
RD 442-7 Operating Budget
RD442-7.pdf
Form
RD 442-3 Balance Sheet
RD442-3.pdf
Form
RD 1942-19 Agreement for Engineering Services
RD1942-19.pdf
Form
RD 1942-8 Resolution of Members or Stockholders
RD1942-8.pdf
Form
RD 1942-16 Letter of Intent to Meet Conditions
RD1942-46.pdf
Form
RD 442-20 Right-of-Way Easement
RD442-20.pdf
Form
RD 442-21 Right-of-Way Certificate
RD442-21.pdf
Form
RD 442-22 Opinion of Counsel Relative to Rights-of-Way
RD442-22.pdf
Form
RD 1942-47 Loan Resolution (Public Bodies)
RD1942-47.pdf
Form
RD 1942-9 Loan Resolution Security Agreement
RD1942-9.pdf
Form
RD 440-11 Estimate of Funds Needed for 30-Day Period Commencing __
RD440-11.pdf
Form
RD 442-2 Statement of Budget, Income, and Equity
RD442-2.pdf
Form
RD 442-28 Bond Registration Book
RD442-28.pdf
Form
RD 440-24 Position Fidelity Schedule Bond Declarations
RD440-24.pdf
Form
RD 442-30 Water Purchase Contract
RD442-30.pdf
Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibl
AD1048-F-01-92.pdf
Form
SF 272 Federal Cash Transaction Report
sf272.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Private Sector - Business
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 1780
7 CFR 1942
7 CFR 3570
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
RD 442-2
Statement of Budget, Income, and Equity
RD442-2.pdf
Yes
No
Fillable Printable
Form
RD 442-28
Bond Registration Book
RD442-28.pdf
Yes
No
Fillable Printable
Form
RD 440-24
Position Fidelity Schedule Bond Declarations
RD440-24.pdf
Yes
No
Fillable Printable
Form
RD 442-30
Water Purchase Contract
RD442-30.pdf
Yes
No
Fillable Printable
Form
AD 1048
Certification Regarding Debarment, Suspension, Ineligiblity and Vol. Excl.
AD1048-F-01-92.pdf
Yes
No
Fillable Printable
Form
SF 272
Federal Cash Transaction Report
sf272.pdf
Yes
No
Fillable Printable
Form
RD 3570-3
Agreement for Administrative Requirements for Community Facilities Grants
RD3570-3.pdf
Yes
No
Fillable Printable
Form
RD 1942-52
Cash Flow Projection
RD1942-52.pdf
Yes
No
Fillable Printable
Form
RD 1942-53
Cash Flow Report
RD1942-53.pdf
Yes
No
Fillable Printable
Form
RD 1942-54
Applicant's Feasibility Report
RD1942-54.pdf
Yes
No
Fillable Printable
Form
AD 1047
Certification Regarding Debarment
AD1047-F-01-92.pdf
Yes
No
Fillable Printable
Form
AD 1049
Certification Regarding Drug-Free Workplace
AD1049-F-05-90.pdf
Yes
No
Fillable Printable
Form
RD 442-7
Operating Budget
RD442-7.pdf
Yes
No
Fillable Printable
Form
RD 442-3
Balance Sheet
RD442-3.pdf
Yes
No
Fillable Printable
Form
RD 1942-19
Agreement for Engineering Services
RD1942-19.pdf
Yes
No
Fillable Printable
Form
RD 1942-8
Resolution of Members or Stockholders
RD1942-8.pdf
Yes
No
Fillable Printable
Form
RD 1942-16
Letter of Intent to Meet Conditions
RD1942-46.pdf
Yes
No
Fillable Printable
Form
RD 442-20
Right-of-Way Easement
RD442-20.pdf
Yes
No
Fillable Printable
Form
RD 442-21
Right-of-Way Certificate
RD442-21.pdf
Yes
No
Fillable Printable
Form
RD 442-22
Opinion of Counsel Relative to Rights-of-Way
RD442-22.pdf
Yes
No
Fillable Printable
Form
RD 1942-47
Loan Resolution (Public Bodies)
RD1942-47.pdf
Yes
No
Fillable Printable
Form
RD 1942-9
Loan Resolution Security Agreement
RD1942-9.pdf
Yes
No
Fillable Printable
Form
RD 440-11
Estimate of Funds Needed for 30-Day Period Commencing _______
RD440-11.pdf
Yes
No
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:
10,485
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
105,144
105,144
0
0
0
0
Annual IC Time Burden (Hours)
194,827
194,827
0
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.