View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Suspension and Debarment and Drug-Free Workplace Certifications
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
AD-1047
Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary COvered Transactions
AD-1047 Section 508 Compliant (OCFO Update 7.10.19).pdf
Yes
No
Fillable Fileable
Form and Instruction
AD-1048
Cdrtification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions
AD-1048 Section 508 Compliant (OCFO Update 7.10.19).pdf
Yes
No
Fillable Fileable
Form and Instruction
AD-1049
Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantee Other Than Individuals
AD-1049 Section 508 Compliant - Update 10.8.19.pdf
Yes
No
Fillable Fileable
Form and Instruction
AD-1050
Certofocatopm Regarding Drug-Free Workplace Requirements (Grants) Alternative II - For Grantees Who are Individuals
AD-1050 Section 508 Compliant (OCFO Update 7.10.19).pdf
Yes
No
Fillable Fileable
Form and Instruction
AD-1052
Certification Regarding Drug-Free Workplace State and State Agencies, Federal Fiscal Year
AD-1052 Section 508 Compliant -- Update 10.8.19.pdf
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
1
0
0
0
0
1
Annual IC Time Burden (Hours)
1
0
0
0
0
1
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.