Information Collection

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

IC 1887 under ICR 201901-0572-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Rd 400-1 7 CFR 1783, Grant Program to Estb. a Revolving Fund Program (RFP) to finance Water and Wastewater Proj. Form and Instruction
Rd 400-1 Equal Opportunity Agreement RD 400-1.pdf www.rd.usda.gov/files/vtnh.RBDG_.RD%20400-1.16.pdf Form and Instruction
AD 1047 Primary Covered Transactions AD1047_PrimaryCoveredTransactions_final.pdf www.rd.usda.gov/files/vtnh.RBDG_.RD%20400-1.16.pdf Form and Instruction
AD 1048 Lower Tier Covered Transactions AD1048_LowerTierCoveredTransactions_final.pdf www.rd.usda.gov/files/UEP_sample_DebarLT.pdf Form and Instruction
RD 400-4 Assurance Agreement RD0400-4.pdf www.rd.usda.gov/files/ND_FormRD400-4_AssuranceAgreement.pdf Form and Instruction
AD 1049, Certification Regarding Drug-Free Workplace Requirements AD1049_Alt1_GranteesOtherThanIndividuals_v2_final.pdf www.gipsa.usda.gov/fgis/forms-fgis/ad1049.pdf 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

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	66	66
Annual IC Time Burden (Hours)	376	376
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.

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