Information Collection

7 CFR 1944-N (Private Sector)

IC 1973 under ICR 200903-0575-005 · OMB 0575-0115.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0115 can be found here:

Documents and Forms

Document Name Document Type
Form AD-1049 7 CFR 1944-N (Private Sector) Form
AD-1049 Certification Regarding Drug-Free Workplace Requirements AD1049.pdf Form
SF 269 Financial Status Report sf269.pdf Form
SF 270 Request for Advance or Reimbursement sf270.pdf Form
SF 272 Federal Cash Transactions Report sf272.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	7 CFR 1944-N (Private Sector)	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 1944.651(d) - 683

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative 1 - For Grantees Other Than Individuals	AD1049.pdf	Yes	No	Fillable Printable
Form	SF 269	Financial Status Report	sf269.pdf	Yes	No	Fillable Printable
Form	SF 270	Request for Advance or Reimbursement	sf270.pdf	Yes	No	Fillable Printable
Form	SF 272	Federal Cash Transactions Report	sf272.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,166	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,768	-6,292	14,060
Annual IC Time Burden (Hours)	6,421	-5,257	11,678
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.