OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees

ICR 201501-0505-001 · OMB 0505-0025 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form AD-3030 Felony or Tax Delinquent Corporations Form Modified Repair queued
0505-0025 Chg Req Jan 2015.docx Justification for No Material/Nonsubstantive Change Uploaded 2015-01-20 Available
0505-0025 Justification for Change.docx Justification for No Material/Nonsubstantive Change Uploaded 2013-04-03 Repair queued
SuptStmt 12-12-12 renewal final.docx Supporting Statement A Uploaded 2012-12-13 Repair queued
2012 renewal Spreadsheet -Final.xlsm Supplementary Document Uploaded 2012-12-13 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
202726 Felony or Tax Delinquent Corporations Form Modified
ICR Details
0505-0025 201501-0505-001
Historical Active 201304-0505-001
USDA/OCFO
Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/21/2015
Retrieve Notice of Action (NOA) 01/20/2015
  Inventory as of this Action Requested Previously Approved
02/29/2016 02/29/2016 02/29/2016
2,256,097 0 2,256,097
564,024 0 564,024
0 0 0
Information collected will be used to evaluate corporate applicants and awardees felony conviction and tax delinquency status prior to entering into new non-procurement contracts, grants, loans, loan guarantees, cooperative agreements and some memoranda of agreement. The information is needed to ensure fiscal year funds are not inappropriately disbursed.
None
PL: Pub.L. 113 - 235 744 and 745 Name of Law: Consolidated and Further Continuation Appropriations Act, 2015
Not associated with rulemaking
  77 FR 62213 10/12/2012
77 FR 74164 12/13/2012
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,256,097 2,256,097 0 0 0 0
Annual Time Burden (Hours) 564,024 564,024 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$49,478,800
No
No
No
No
No
Uncollected
Charlene Parker 202 720-8681 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/20/2015