Information Collection

7 CFR 1944-K, Technical and Supervisory Assistance Grants

IC 2048 under ICR 200708-0575-003 · OMB 0575-0188.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0188 can be found here:

Documents and Forms

Document Name Document Type
Form AD-1047 7 CFR 1944-K, Technical and Supervisory Assistance Grants Form
AD-1047 Certification Regarding Debarement, Suspension, and Othe AD1047-F-01-92.pdf Form
AD-1049 Certification Regarding Drug-Free Workplace Requirements AD1049-F-05-90.pdf Form
AD-1048 Certification Regarding Debarment, Suspension, Ineligibi AD1048-F-01-92.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	7 CFR 1944-K, Technical and Supervisory Assistance Grants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 1944

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-1047	Certification Regarding Debarement, Suspension, and Other Responsibility Matters - Primary Covered Transactions	AD1047-F-01-92.pdf	Yes	No	Fillable Printable
Form	AD-1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative 1 - For Grantees Other Than Individuals	AD1049-F-05-90.pdf	Yes	No	Fillable Printable
Form	AD-1048	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Teir Covered Transactions	AD1048-F-01-92.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	349	-335	684
Annual IC Time Burden (Hours)	623	-562	1,185
Annual IC Cost Burden (Dollars)	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.