View Information Collection (IC)

View Information Collection (IC)

IC Title:	7 CFR 1778, Emergency & Imminent Community Water Assistance Grants (state, local and tribal govts.)	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 1778

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	AD-1047.pdf		Yes	Yes	Fillable Printable
Form	AD 1048	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion	AD-1048.pdf		Yes	Yes	Fillable Printable
Form	AD 1049	Certification Regarding Drug-Free Workplace Requirements (Grants)	AD-1049.pdf		Yes	Yes	Fillable Printable
Form	RD 400-8	COMPLIANCE REVIEW	RD 400-8.pdf		Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: NA	FR Citation: 7 FR 1778

Number of Respondents: 26	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	209	0	0	109	0	100
Annual IC Time Burden (Hours)	1,462	0	0	1,262	0	200
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.