View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Local Food Promotion Program (Private)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
None
Request for Applications
LFPP Request for Applications 8-18-16.pdf
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Application Components
FMPP-LFPP Application Components.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Project beneficiaries Questionnaire
Project Beneficiaries Questionnaire 8-17-16.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
AMS-33
Agreement Face Sheet
AMS-33 Agreement Face Sheet 8-17-16.pdf
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Accounting System & Financial capability Questionnaire
Accounting System Financial Capability Questionnaire 8-17-16.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Confirmation of Match
Confirmation of Match 8-17-16.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Grant Terms & Conditions of Award (Reading)
LFPP Grant Terms and Conditions 8-18-16.pdf
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Peer Reviewer Application & Qualification Form
Peer Reviewer Application Form.xls
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
AMS-34
AMS Conflict of Interest & Confidentiality Statement for Grant Reviewers
AMS-34 AMS Conflict of Interest and Confidentiality Statement 8-17-16.pdf
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Consensus Scoresheet & Comments
Consensus Scoresheet.xlsx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Individual reviewer Scoresheeet
Individual Reviewer Scoresheet.xlsx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
AMS Worksheet to Accompany each SF-270 Request
AMS Worksheet to Accompany each SF-270 Request 8-17-16.xlsx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Interim Performance Report
LFPP Interim Performance Report 8-18-16.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Final Performance Report
LFPP Final Performance Report 8-18-16.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Registration with SAM.gov (screenshot)
SAM.gov Screen Shot.pdf
www.SAM.gov
Yes
Yes
Fillable Fileable
Form and Instruction
HUD Form 50153
HUD Promise Zone Certification Form
HUD Promise Zone Certification Form 50153.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
592
Number of Respondents for Small Entity:
36
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
6,514
0
-10,800
17,314
0
0
Annual IC Time Burden (Hours)
16,509
0
-34,988
51,497
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Grant Amendment (Narrative)
Request for Grant Amendment Example.pdf
09/13/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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