View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Federal State Marketing Improvement Prog. (State, Local, Tribal Gov't.)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
7 CFR 3015
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
AMS-33
Agreement Face Sheet
AMS-33 Agreement Face Sheet 8-17-16.pdf
Yes
Yes
Fillable Printable
Form and Instruction
None
Grant Program Project Beneficiaries Questionnaire
Project Beneficiaries Questionnaire 8-17-16.docx
Yes
Yes
Fillable Fileable
Instruction
Grant Terms and Conditions 8-17-16.pdf
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form
None
AMS Grant Programs Worksheet to Accompany the SF-270 Request for Advance/Reimbursement
AMS Worksheet to Accompany each SF-270 Request 8-17-16.xlsx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Final Performance Report
FSMIP Final Report Template 8-18-16.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form
None
Peer Reviewer Application & Qualifications Form
FSMIP Peer reviewer application 8-18-16.xlsx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Instruction
AMS-34 AMS Conflict of Interest and Confidentiality Statement 8-17-16.pdf
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form
None
Individual Reviewer Scoresheet
Individual Reviewer 8-18-16.xlsx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form
HUD Form 50153
Certification of Consistency with Promise Zone Goals and Implementation
HUD Promise Zone Certification Form 50153.pdf
Yes
Yes
Fillable Fileable
Form
None
Consensus Scoresheet & Comments
Consensus Scoresheet.xlsx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form
None
Registration with SAM.gov (screenshot)
SAM.gov Screen Shot.pdf
www.SAM.gov
Yes
Yes
Fillable Fileable
Instruction
FSMIP Application Components Screenshot.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form
None
FSMIP Interim Performance Report
FSMIP Interim Report Template.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form
None
Grant Program Accounting System & Financial Capability Questionnaire
Accounting System Financial Capability Questionnaire 8-17-16.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form
None
Match Verification Letter
Match Verification Letter 8-17-16.docx
www.ams.usda.gov
Yes
Yes
Fillable Fileable
Form and Instruction
None
Request for Applications
Request for Applications 8-17-16.pdf
www.ams.usda.gov
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:
70
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
994
0
0
562
0
432
Annual IC Time Burden (Hours)
2,416
0
0
-2,947
0
5,363
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Grant Amendment Example Letter
Request for Grant Amendment Example.pdf
09/29/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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