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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Private
Modified
3276
4094
0
Form
AD-1047
Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions
Form
AD-1048
Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - for Grantees other than Individuals
Form
AD-1049
Certification Regarding Drug-free Workplace
Form
RD 400-1
Equal Opportunity Agreement
Form
RD 400-4
Assurance Agreement
Form
RD 442-2
Statement of Budget, Income and Equity
Form
RD 442-3
Balance Sheet
Form
AD 3030
Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants
Public/Tribal
Modified
364
455
0
Form
AD-1047
Certification Regarding Debarrment, etc.
Form
AD-1048
Certification Regarding Debarrment, etc. - Lower Tier
Form
AD-1049
Certification for Drug-Free Workplace
Form
RD 400-1
Equal Opportunity Agreement
Form
RD 400-4
Assurance Agreement
Form
RD 442-2
Statement of Budget, Income and Equity
Form
RD 442-3
Balance Sheet
Form
AD 3030
Representations Regarding Felony Conviction and Tax Delinquent Status for Coporate Applicants
Total burden requested under this ICR:
3640
4549
0
To view an IC, click on IC Title