View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

USDA Forms (SLT)
 
Unchanged
 
Voluntary
 

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 (Dec '15).pdf Yes No Fillable Fileable
Form and Instruction AD-1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions AD-1047 (Dec '15).pdf Yes No Fillable Fileable
Form and Instruction AD-1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I – For Grantees Other Than Individuals AD-1049 (Dec '15).pdf Yes No Fillable Fileable
Form and Instruction AD-1052 Certification Regarding Drug-Free Workplace, State and State Agencies AD-1052 (Dec '15).pdf Yes No Fillable Fileable

Income Security Food and Nutrition Assistance

 

1,197 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 1,197 0 0 0 0 1,197
Annual IC Time Burden (Hours) 299 0 0 0 0 299
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.