Information Collection Request

The Rural Alaska Village Grant (RAVG) Program

ICR 201809-0572-001 · OMB 0572-0150 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form AD -1047 non-profit / private sector Form Modified Repair queued
Form AD-1047 State and Local Governments Form Modified Repair queued
0572-0150 Spreadsheet 2018 11-20-2018.xls Supplementary Document Uploaded 2018-11-20 Repair queued
2018 0572-0150 SuptStmt 2-19-2019(Rev.3).docx Supporting Statement A Uploaded 2019-02-19 Available
UP_ET_form_266.pdf Supplementary Document Uploaded 2018-09-05 Repair queued
SFLLL_1_2-V1.2.pdf Supplementary Document Uploaded 2018-09-05 Repair queued
Individual_SF424D-V1.1.pdf Supplementary Document Uploaded 2018-09-05 Repair queued
SF424C_2_0-V2.0.pdf Supplementary Document Uploaded 2018-09-05 Repair queued
Individual_SF424B-V1.1.pdf Supplementary Document Uploaded 2018-09-05 Repair queued
SF424_2_1-V2.1.pdf Supplementary Document Uploaded 2018-09-05 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
209670 non-profit / private sector Form Modified
209668 State and Local Governments Form Modified
ICR Details
0572-0150 201809-0572-001
Active 201507-0572-001
USDA/RUS
The Rural Alaska Village Grant (RAVG) Program
Extension without change of a currently approved collection   No
Regular
Approved with change 02/19/2019
Retrieve Notice of Action (NOA) 11/26/2018
In accordance with 5 CFR 1320, the information collection is approved for three years.
  Inventory as of this Action Requested Previously Approved
02/28/2022 36 Months From Approved 02/28/2019
345 0 345
469 0 469
0 0 0

The RAVG regulations are at 7 CFR Part 1784. Under the RAVG program, the Secretary may make grants to the State of Alaska for the benefit of rural or Native Villages in Alaska to provide for the development and construction of water and wastewater systems to improve the health and sanitation conditions in those villages. This collection involves the information collected from applicants, grantees, and consultants to the program.

US Code: 7 USC 1926(d) Name of Law: Consolidated Farm and Rural Development Act (CONACT)
  
None

Not associated with rulemaking

  83 FR 24457 05/28/2018
83 FR 59355 11/23/2018
Yes

2
IC Title Form No. Form Name
non-profit / private sector AD -1047, AD- 1048, AD - 1049, RD Instruction 1940Q A-1, RD 400-1, RD 400-4, RD 442-22, None, RUS Bulletin 1780-12, RD 1942-46, SF 424, None Certification Regarding Debarment ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction ,   Certification Regarding Drug-Free Workplace ,   Certification for Contracts, Grants and Loans REgarding Lobbying ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Opinion of COunsel relative to RIght-of-Way & Easments ,   Letter of Intent to Meet Conditions ,   Application for Federal Assistance ,   RUS Bulletin 1780-12 ,   RAVG SOA Grant Agreement ,   RAVG ANTHC Grant Agreement
State and Local Governments AD-1047, AD-1048, RD Instruction 1940Q A-1, RD 400-1, RD 400-4, RD 442-22, RD 1942-46, SF 424, None, RUS Bulletin 1780-12, None, AD-1049 Certificate Regarding Debarment ,   Certification Regarding Debarment, Suspension and other Responsibility Matters - Lower Tier Covered Transactions. ,   Certification Regarding Drug-Free Workplace Requirements (Grrants) Alternative I - for Grantees Other Than Individuals ,   Certification for Contracts, Grants, and Loans ,   Equal opportunity Agreement ,   Assurance Agreement ,   Opinion of Counsel Regarding Right of Way ,   Letter of Intent to Meet Conditions ,   Application for Federal Assistance ,   RUS Bulletin 1780-12 ,   RAVG ANTHC Grant Agreement ,   RAVG SOA Grant Agreement

  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 345 345 0 0 0 0
Annual Time Burden (Hours) 469 469 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$878,691
No
    No
    No
No
No
No
Uncollected
Rebecca Hunt 202 205-3660 [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.
11/26/2018