Information Collection

REAP - State & Local

IC 205328 under ICR 201301-0570-002 · OMB 0570-0067.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0067 can be found here:

Documents and Forms

Document Name Document Type
Form AD 1047 REAP - State & Local Form
AD 1047 Certification Regarding Debarment, Suspension, and Other AD1047-F-01-92.pdf Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibi AD1048-F-01-92.pdf Form
AD 1049 CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS AD1049-F-05-90.pdf Form
RD 4280-2 Rural Business and Cooperative Service Grant Agreement REAP Grant Agreement changes from proposed rule clean version 3-26-13.docx Form
RD 4279-1 Application for Loan Guarantee RD4279-0001_081000V08.pdf Form
RD 4279-1A Application for Loan Guarantee-One Doc and 9006 Program RD4279-0001A_081000V08.pdf Form
RD 4279-3 Conditional Commitment RD4279-0003_080700V04.pdf Form
RD 4279-4 Lender's Agreement rd4279-0004_061100V05.pdf Form
RD 4279-6 Assignment Guarantee Agreement RD4279-0006_050700V03.pdf Form
RD 4279-14 Unconditional Guarantee RD4279-0014_091100V01.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	REAP - State & Local	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 4280 7 CFR 4287 7 CFR 4279

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD 1047	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	AD1047-F-01-92.pdf	Yes	No	Fillable Printable
Form	AD 1048	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions	AD1048-F-01-92.pdf	Yes	No	Fillable Printable
Form	AD 1049	CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS)	AD1049-F-05-90.pdf	Yes	No	Fillable Printable
Form	RD 4280-2	Rural Business and Cooperative Service Grant Agreement	REAP Grant Agreement changes from proposed rule clean version 3-26-13.docx	Yes	No	Fillable Printable
Form	RD 4279-1	Application for Loan Guarantee	RD4279-0001_081000V08.pdf	Yes	No	Fillable Printable
Form	RD 4279-1A	Application for Loan Guarantee-One Doc and 9006 Program	RD4279-0001A_081000V08.pdf	Yes	No	Fillable Printable
Form	RD 4279-3	Conditional Commitment	RD4279-0003_080700V04.pdf	Yes	No	Fillable Printable
Form	RD 4279-4	Lender's Agreement	rd4279-0004_061100V05.pdf	Yes	No	Fillable Printable
Form	RD 4279-6	Assignment Guarantee Agreement	RD4279-0006_050700V03.pdf	Yes	No	Fillable Printable
Form	RD 4279-14	Unconditional Guarantee	RD4279-0014_091100V01.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: 1,187	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,243	20,243
Annual IC Time Burden (Hours)	67,267	67,267
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.