Information Collection

Risk Management Education Partnerships - Targeted States

IC 219554 under ICR 201508-0563-002 · OMB 0563-0067.

Documents and Forms

Document Name Document Type
Form AD-1047 Risk Management Education Partnerships - Targeted States Form and Instruction
AD-1047 Certification Regarding Debarment, Suspension & other Re AD-1047 (Dec '15).pdf Form and Instruction
AD-1049 Certification Regarding Drug-Free Work Place Requirement AD-1049 (Dec '15).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Risk Management Education Partnerships - Targeted States	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 400

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	AD-1047	Certification Regarding Debarment, Suspension & other Responsibility Matters	AD-1047 (Dec '15).pdf		Yes	No	Printable Only
Form and Instruction	AD-1049	Certification Regarding Drug-Free Work Place Requirements (Grants)	AD-1049 (Dec '15).pdf		Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	518	518
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.