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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Water and Waste Loan and Grant Program - State, Local, Tribal Government
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 1780
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Bulletin 1780-27
Loan Resolution
Bulletin 1780-27.pdf
http:www.rurdev.usda.gov/RDU_Bulletins.html
Yes
No
Fillable Printable
Form and Instruction
Bulletin 1780-12
Water and Waste Systems Grant Agreement
Bulletin 1780-12.pdf
http:www.rurdev.usda.gov?RDU_Bulletins.html
Yes
No
Fillable Printable
Form and Instruction
Bulletin 1780-28
Loan Resolution Security Agreement
Bulletin 1780-28.pdf
http:www.rurdev.usda.gov/RDU_Bulletins.html
Yes
No
Fillable Printable
Form and Instruction
AD-1047
Certification Regarding Debarment, Suspension, and Other Responsibility Matters
AD1047-F-01-92.pdf
http://www.rurdev.usda.gov/FormsAndPublications.html
Yes
No
Fillable Printable
Form and Instruction
AD-1049
Certification Regarding Drug-Free Workplace Requirements
AD1049-F-05-90.pdf
http://www.rurdev.usda.gov/FormsAndPublications.html
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:
741
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
44,001
0
0
418
0
43,583
Annual IC Time Burden (Hours)
92,022
0
0
1,016
0
91,006
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.