Information Collection

7 CFR 1783, Grant Program to Estb. a Revolving Fund Program (RFP) to finance Water and Wastewater Proj.

IC 1887 under ICR 201403-0572-006 · OMB 0572-0138.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0138 can be found here:

Documents and Forms

Document Name Document Type
Form SF 424 7 CFR 1783, Grant Program to Estb. a Revolving Fund Program (RFP) to finance Water and Wastewater Proj. Form and Instruction
SF 424 Application for Federal Assistance SF424_2_1-V2.1.pdf www.rurdev.usda.gov/FormsAndPublications.html Form and Instruction
RD 400-1 Equal Opportunity Agreement RD400-1.pdf www.rurdev.usda.gov/FormsAndPublications.html Form and Instruction
AD 1048 Certf. Regarding Debarment AD-1048-F-01-92.docx www.rurdev.usda.gov/FormsAndPublications.html Form and Instruction
RD 400-4 Assurance Agreement RD400-4.pdf www.rurdev.usda.gov/FormsAndPublications.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	7 CFR 1783, Grant Program to Estb. a Revolving Fund Program (RFP) to finance Water and Wastewater Proj.	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 1783

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF 424	Application for Federal Assistance	SF424_2_1-V2.1.pdf	http://www.rurdev.usda.gov/FormsAndPublications.html	Yes	No	Fillable Fileable
Form and Instruction	RD 400-1	Equal Opportunity Agreement	RD400-1.pdf	http://www.rurdev.usda.gov/FormsAndPublications.html	Yes	No	Fillable Printable
Form and Instruction	AD 1048	Certf. Regarding Debarment	AD-1048-F-01-92.docx	http://www.rurdev.usda.gov/FormsAndPublications.html	Yes	No	Fillable Printable
Form and Instruction	RD 400-4	Assurance Agreement	RD400-4.pdf	http://www.rurdev.usda.gov/FormsAndPublications.html	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	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	60	22	38
Annual IC Time Burden (Hours)	374	61	313
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.