Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
State and Local Governments New 724 753 0 Form AD-1047 Certificate Regarding Debarment
Form AD-1048 Certification Regarding Debarment, Suspension and other Responsibility Matters - Lower Tier Covered Transactions.
Form AD-1049 Certification Regarding Drug-Free Workplace Requirements (Grrants) Alternative I - for Grantees Other Than Individuals
Form and Instruction RD Instruction 1940Q A-1 Certification for Contracts, Grants, and Loans
Form RD 400-1 Equal opportunity Agreement
Form RD 400-4 Assurance Agreement
Form and Instruction RD 442-2 Statement of Budget, Income and Equity
Form RD 442-3 Balance Sheet
Form RD 442-7 Operating Budget
Form RD 442-22 Opinion of Counsel Regarding Right of Way
Form RD 1942-19 Agreement for Engineering Services
Form RD 1942-46 Letter of Intent to Meet Conditions
Form and Instruction SF 424 Application for Federal Assistance
non-profit / private sector New 486 503 0 Form AD -1047 Certification Regarding Debarment
Form AD- 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction
Form AD - 1049 Certification Regarding Drug-Free Workplace
Form and Instruction RD Instruction 1940Q A-1 Certification for Contracts, Grants and Loans REgarding Lobbying
Form RD 400-1 Equal Opportunity Agreement
Form RD 400-4 Assurance Agreement
Form RD442-2 Statement of Budget, Income and Equity
Form RDC 442-3 balance Sheet
Form RD 442-7 Operating Budget
Form RD 442-22 Opinion of COunsel relative to RIght-of-Way & Easments
Form RD 1942-19 Agreement ffor Engineering Services
Form RD 1942-46 Letter of Intent to Meet Conditions
Form and Instruction SF 424 Application for Federal Assistance
Total burden requested under this ICR: 1210 1256 0  
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