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  
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