Information Collection

Value-Added Producer Grants - Business

IC 194172 under ICR 201403-0570-001 · OMB 0570-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0064 can be found here:

Documents and Forms

Document Name Document Type
Form AD 1047 Value-Added Producer Grants - Business Form
AD 1047 Certification Regarding Debarment, Suspension and Other AD1047-F-01-92-0064.docx Form
AD 1048 Certification Regarding Debarment, Suspension, Inelgibli AD1048-F-01-92-0064.docx Form
AD 1049 Certification Regarding Drug-Free Workplace Requirements AD1049-F-05-90-0064.docx Form
SF-424 Application for Federal Assistance SF424_2_1-V2.1.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Value-Added Producer Grants - Business	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 4284

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 Transaction	AD1047-F-01-92-0064.docx	Yes	No	Fillable Printable
Form	AD 1048	Certification Regarding Debarment, Suspension, Inelgiblity and Voluntary Exclusion - Lower Tier Covered Tranaction	AD1048-F-01-92-0064.docx	Yes	No	Fillable Printable
Form	AD 1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals	AD1049-F-05-90-0064.docx	Yes	No	Fillable Printable
Form	SF-424	Application for Federal Assistance	SF424_2_1-V2.1.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: 315	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,480	-1,846	3,326
Annual IC Time Burden (Hours)	33,673	-26,350	60,023
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.