7 CFR 4284-F, Rural Cooperative Development Grant

Rural Cooperative Development Grants - 7 CFR 4284-F

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0006 can be found here:

Documents and Forms

Document Name Document Type
Form 1940-1 7 CFR 4284-F, Rural Cooperative Development Grant Form
1942-46 LETTER OF INTENT TO MEET CONDITIONS RD1942-0046_100600V02.pdf Form
1940-1 Request for Obligation of Funds RD1940-0001_100600V05.pdf Form
1940-20 Request for Environmental Information RD1940-0020_060400V01.pdf Form
AD-1047 Certification Regarding Debarment, Suspension, and Other AD-1047 DebarmentCert-PrimaryCovered.pdf Form
AD-1048 Certification Regarding Debarment, Suspension, Ineligibi AD-1048 DebarmentCert-LowerTierCovered.pdf Form
AD-1049 Certification Regarding Drug-Free Workplace Requirements AD-1049 DrugFreeCert-Alt1.pdf Form
RD 400-4 Assurance Agreeement RD 400-4.pdf Form

Information Collection (IC) Details

IC Title:	7 CFR 4284-F, Rural Cooperative Development Grant	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 4284.11-16 7 CFR 4284.510-516

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1940-1	Request for Obligation of Funds	RD1940-0001_100600V05.pdf	Yes	No	Fillable Printable
Form	AD-1047	Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions	AD-1047 DebarmentCert-PrimaryCovered.pdf	Yes	No	Fillable Printable
Form	AD-1048	Certification Regarding Debarment, Suspension, Ineligibility and Vountary Exclusion Lower Tier Covered Technician	AD-1048 DebarmentCert-LowerTierCovered.pdf	Yes	No	Fillable Printable
Form	AD-1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals	AD-1049 DrugFreeCert-Alt1.pdf	Yes	No	Fillable Printable
Form	RD 400-4	Assurance Agreeement	RD 400-4.pdf	Yes	No	Fillable Printable
Form	1940-20	Request for Environmental Information	RD1940-0020_060400V01.pdf	Yes	No	Fillable Printable
Form	1942-46	LETTER OF INTENT TO MEET CONDITIONS	RD1942-0046_100600V02.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 27

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	471	9	0	462
Annual IC Time Burden (Hours)	7,264	0	922	6,342
Annual IC Cost Burden (Dollars)	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.