OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201904-0505-002 · OMB 0505-0025 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
0505-0025 Generic Renewal Final SuptStmt 042919.docx Supporting Statement A Uploaded 2019-04-29 Repair queued
Copy of Appendix A (OMB No. 0505-0025) (2).xlsx Supplementary Document Uploaded 2019-04-29 Repair queued
Copy of 0505-0025 - Burden Spreadsheet -Final.xlsm 2019.xlsm Supplementary Document Uploaded 2019-04-29 Available
AD-3031 Section 508 Compliant.pdf 2019.pdf Supplementary Document Uploaded 2019-04-29 Available
AD-3030 Section 508 Compliant.pdf 2019.pdf Supplementary Document Uploaded 2019-04-29 Available
IC Document Collections
IC IDCollectionTypeStatusForm
ICR Details
0505-0025 201904-0505-002
Historical Active 201609-0505-001
USDA/OCFO
Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees
Revision of a currently approved collection   No
Regular
Approved without change 06/11/2019
Retrieve Notice of Action (NOA) 04/29/2019
If this ICR is renewed, the program will need to explain if the General Services Administration’s System for Award Management is operational, and if so, why the program is still collecting this information.
  Inventory as of this Action Requested Previously Approved
06/30/2022 36 Months From Approved 06/30/2019
969,438 0 2,256,097
242,360 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.
PL: Pub.L. 116 - 6 744 and 745 Name of Law: Consolidated Appropriations Act, 2019
  
None
Not associated with rulemaking
  83 FR 62833 12/06/2018
84 FR 17996 04/29/2019
No
0
  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 969,438 2,256,097 0 0 -1,286,659 0
Annual Time Burden (Hours) 242,360 564,024 0 0 -321,664 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The decrease in the number of respondents, responses and burden hours is due to a miscalculation in the previous renewal request.
No
    No
    Yes
No
No
No
Uncollected
Martha Burton 202 205-6182
  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.
04/29/2019