Information Collection

SEARCH - Private Sector

IC 188744 under ICR 200903-0572-003 · OMB 0572-0143.

Documents and Forms

Document Name Document Type
Form AD-1047 SEARCH - Private Sector Form
AD-1047 Certification Regarding Debarment ad1047.pdf www.rurdev.usda.gov/regs//formstoc.html#AD Form
AD-1049 Certification for a Drug-Free Workplace ad1049.pdf www.rurdev.usda.gov/regs//formstoc.html#AD Form
AD-1048 Certification Regarding Debarment AD1048.pdf rurdev.usda.gov/regs//formstoc.html#AD Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SEARCH - Private Sector	Agency IC Tracking Number:	AD-1047

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-1047	Certification Regarding Debarment	ad1047.pdf	http://www.rurdev.usda.gov/regs//formstoc.html#AD	Yes	No	Printable Only
Form	AD-1049	Certification for a Drug-Free Workplace	ad1049.pdf	http://www.rurdev.usda.gov/regs//formstoc.html#AD	Yes	No	Printable Only
Form	AD-1048	Certification Regarding Debarment	AD1048.pdf	http://rurdev.usda.gov/regs//formstoc.html#AD	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 47

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	820	820
Annual IC Time Burden (Hours)	1,050	1,050
Annual IC Cost Burden (Dollars)	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.