Information Collection

7 CFR 1944-N (State, Local and Tribal )

IC 188414 under ICR 201901-0575-002 · OMB 0575-0115.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0115 can be found here:

Documents and Forms

Document Name Document Type
Form AD-1049 7 CFR 1944-N (State, Local and Tribal ) Form
Non-Forms.docx Other-WRITTEN
AD-1049 Certification Regarding Drug-Free Workplace Requirements AD-1049.pdf Form
RD 400-1 Equal Opportunity Agreement RD0400-0001.pdf Form
RD 400-4 Assurance Agreement RD0400-0004.pdf Form
SF 425 Federal Financing reprot SF425 Fed.Financing Rpt..pdf Grants.gov Form
SF 424 Application for Federal Assistance SF424-App.for Fed. Asstnc..pdf Grants.gov Form
SF 270 Request for Advance or Reimbursement SF-270 (Request for Advance or Reimbursement).pdf Grants.gov Form
SF 272 Federal Cash Transactions SF 272-Federal CashTransactions.pdf Grants.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	7 CFR 1944-N (State, Local and Tribal )	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 1944.651(d) - 683

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative 1 - For Grantees Other Than Individuals	AD-1049.pdf		Yes	No	Fillable Printable
Form	RD 400-1	Equal Opportunity Agreement	RD0400-0001.pdf		Yes	No	Fillable Printable
Form	RD 400-4	Assurance Agreement	RD0400-0004.pdf		Yes	No	Fillable Printable
Form	SF 425	Federal Financing reprot	SF425 Fed.Financing Rpt..pdf	Grants.gov	Yes	No	Fillable Printable
Form	SF 424	Application for Federal Assistance	SF424-App.for Fed. Asstnc..pdf	Grants.gov	Yes	No	Fillable Fileable Signable
Form	SF 270	Request for Advance or Reimbursement	SF-270 (Request for Advance or Reimbursement).pdf	Grants.gov	Yes	No	Fillable Printable
Form	SF 272	Federal Cash Transactions	SF 272-Federal CashTransactions.pdf	Grants.gov	Yes	No	Fillable Printable
Other-WRITTEN			Non-Forms.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 383	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,452	-296	2,748
Annual IC Time Burden (Hours)	2,467	-29	2,496
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.