OMB
.report
Search
Value-Added Producer Grants - Individuals
Value Added Producer Grant Program
OMB: 0570-0064
IC ID: 194177
OMB.report
USDA/RBS
OMB 0570-0064
ICR 202103-0570-002
IC 194177
( )
Documents and Forms
Document Name
Document Type
Form AD 1047
Value-Added Producer Grants - Individuals
Form
AD 1047 Certification Regarding Debarment, Suspension and Other
AD_1047.pdf
Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibi
AD_1048.pdf
Form
AD 1049 Certificaqtion Regarding Drug-Free Workplace Requirement
AD_1049.pdf
Form
RD 400-4 Assurance Agreement
RD 400-4.pdf
Form
RD 1942-46 Letter of Intent to Meet Conditons
RD1942-46.pdf
Form
RD 1940-1 Request for Obligation of Funds
RD1940-1.pdf
Form
DD-214 Certificate of Release or Discharge from Active Duty
us-dod-form-dd214.pdf
Form
4280-2 Rural Business Cooperatvie Service Grant Agreement
4280-02.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Value-Added Producer Grants - Individuals
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 4284
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
AD 1047
Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transaction
AD_1047.pdf
Yes
No
Fillable Printable
Form
AD 1048
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions
AD_1048.pdf
Yes
No
Fillable Printable
Form
AD 1049
Certificaqtion Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals
AD_1049.pdf
Yes
No
Fillable Printable
Form
RD 400-4
Assurance Agreement
RD 400-4.pdf
Yes
No
Fillable Printable
Form
RD 1942-46
Letter of Intent to Meet Conditons
RD1942-46.pdf
Yes
No
Fillable Printable
Form
RD 1940-1
Request for Obligation of Funds
RD1940-1.pdf
Yes
No
Fillable Printable
Form
DD-214
Certificate of Release or Discharge from Active Duty
us-dod-form-dd214.pdf
Yes
No
Fillable Printable
Form
4280-2
Rural Business Cooperatvie Service Grant Agreement
4280-02.doc
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:
56
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
5 %
Requested
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
0
0
0
-356
0
356
Annual IC Time Burden (Hours)
0
0
0
-5,282
0
5,282
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.