SEARCH - American Indian Tribes

Special Evaluation Assistance for Rural Communities and Households Program (SEARCH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0146 can be found here:

Documents and Forms

Document Name Document Type
Form AD-1047 SEARCH - American Indian Tribes Form
AD-1047 Certification Regarding Debarment AD1047-F-01-92.pdf www.rurdev.usda.gov/FormsAndPublications.html Form
AD-1049 Certification of Frug-Free Workplace AD1049-F-05-90.pdf www.rurdev.usda.gov/FormsAndPublications.html Form
RUS Bulletin -1780 Grant Agreement RUS Bulletin-1780-12.pdf www.rurdev.usda.gov/FormsAndPublications.html Form
AD1048 Certification of Debarment, Suspension, Ineligibility an AD1048-F-01-92.pdf www.ocio.usda.gov/policy-directives-records-forms/forms-management/approved-computer-generated-forms Form

Information Collection (IC) Details

IC Title:	SEARCH - American Indian Tribes	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	URL	Available Electronically?	Electronic Capability
Form	AD-1047	Certification Regarding Debarment	AD1047-F-01-92.pdf	http://www.rurdev.usda.gov/FormsAndPublications.html	No	Fillable Printable
Form	AD-1049	Certification of Frug-Free Workplace	AD1049-F-05-90.pdf	http://www.rurdev.usda.gov/FormsAndPublications.html	No	Fillable Printable
Form	RUS Bulletin -1780-12	Grant Agreement	RUS Bulletin-1780-12.pdf	http://www.rurdev.usda.gov/FormsAndPublications.html	No	Fillable Printable
Form	AD1048	Certification of Debarment, Suspension, Ineligibility and Vol. Exclusion - Lower Tier Covered Transactions	AD1048-F-01-92.pdf	http://www.ocio.usda.gov/policy-directives-records-forms/forms-management/approved-computer-generated-forms	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 2

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	24	-8	32
Annual IC Time Burden (Hours)	63	-5	68
Annual IC Cost Burden (Dollars)	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.