RMAP - Tribal

Rural Microentrepreneur Assistance Program - RMAP

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0062 can be found here:

Documents and Forms

Document Name Document Type
Form AD-1047 RMAP - Tribal Form
SF 270 Request for Advance or Reimbursement sf270_e.pdf Form
SF LLL Disclosure of Lobbying Activities sflllin_e.pdf Form
AD-1047 Certification Regarding Debarment AD1047-F-01-92.pdf Form
RD 1910-11 Certification of No Federal Debt RD1910-11.pdf Form
RD 1940-1 Request for Advance or Reimbursement RD1940-1.pdf Form
RD 400-8 Compliance Review RD 400-8.pdf Form
RD 402-1 Deposit Agreement RD 402-1.pdf Form
RD 1942-46 Letter of Intent to Meet Conditions RD1942-46.pdf Form
RD 4274-3 Promissory Note RD 4274-3.pdf Form
RD 4274-4 Loan Agreement RD 4274-4.pdf Form
RD 400-4 Assurance Agreement RD 400-4.pdf Form
RD 4280-3 Rural Economic Development Grant/Rural Microentrepreneur 4280-3 .doc Form

Information Collection (IC) Details

IC Title:	RMAP - Tribal	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-1047	Certification Regarding Debarment	AD1047-F-01-92.pdf	Yes	Yes	Fillable Printable
Form	SF 270	Request for Advance or Reimbursement	sf270_e.pdf	Yes	Yes	Fillable Printable
Form	SF LLL	Disclosure of Lobbying Activities	sflllin_e.pdf	Yes	Yes	Fillable Printable
Form	RD 1910-11	Certification of No Federal Debt	RD1910-11.pdf	Yes	Yes	Fillable Printable
Form	RD 1940-1	Request for Advance or Reimbursement	RD1940-1.pdf	Yes	Yes	Fillable Printable
Form	RD 400-8	Compliance Review	RD 400-8.pdf	Yes	Yes	Fillable Printable
Form	RD 402-1	Deposit Agreement	RD 402-1.pdf	Yes	Yes	Fillable Printable
Form	RD 1942-46	Letter of Intent to Meet Conditions	RD1942-46.pdf	Yes	Yes	Fillable Printable
Form	RD 4274-3	Promissory Note	RD 4274-3.pdf	Yes	Yes	Fillable Printable
Form	RD 4274-4	Loan Agreement	RD 4274-4.pdf	Yes	Yes	Fillable Printable
Form	RD 400-4	Assurance Agreement	RD 400-4.pdf	Yes	Yes	Fillable Printable
Form	RD 4280-3	Rural Economic Development Grant/Rural Microentrepreneur Assistance Program Agreement	4280-3 .doc	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	567	567
Annual IC Time Burden (Hours)	961	961
Annual IC Cost Burden (Dollars)	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.