Information Collection Request

7 CFR 1776, Household Water Well System Grant Program

ICR 202006-0572-006 · OMB 0572-0139 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form AD-1049 Certification Regarding Drug-Free Workplace Requirements Form Modified Available
Form AD-1048 Certification Regarding Debarment Form Modified Available
Form AD-1047 Certification Regarding Debarment-Primary Form Modified Available
Form AD-1047 7 CFR 1776, "Household Water Well System Grant Program" Form Modified Repair queued
SF424A-V1.0.pdf Supplementary Document Uploaded 2020-12-16 Available
SF424A-V1.0.pdf Supplementary Document Uploaded 2020-12-16 Repair queued
RD0400-0001_000500V01.pdf Supplementary Document Uploaded 2020-12-16 Available
RD0400-0001_000500V01.pdf Supplementary Document Uploaded 2020-12-16 Repair queued
HWWS 0572-0139 supp stmt OMB comments (RD response) clean.docx Supporting Statement A Uploaded 2021-12-13 Available
HWWS 0572-0139 supp stmt.docx Supporting Statement A Uploaded 2020-12-16 Missing upstream
HWWS 0572-0139 spreadsheet 12.16.20.xls Supplementary Document Uploaded 2020-12-16 Available
HWWS 0572-0139 spreadsheet 12.16.20.xls Supplementary Document Uploaded 2020-12-16 Repair queued
ND_FormRD400-4_AssuranceAgreement.pdf Supplementary Document Uploaded 2020-12-16 Available
ND_FormRD400-4_AssuranceAgreement.pdf Supplementary Document Uploaded 2020-12-16 Repair queued
SF424_3_0-V3.0.pdf Supplementary Document Uploaded 2020-12-16 Available
SF424_3_0-V3.0.pdf Supplementary Document Uploaded 2020-12-16 Repair queued
7 CFR 1776.pdf Supplementary Document Uploaded 2020-12-16 Available
7 CFR 1776.pdf Supplementary Document Uploaded 2020-12-16 Repair queued
7 USC 1926.pdf Supplementary Document Uploaded 2020-12-16 Available
7 USC 1926.pdf Supplementary Document Uploaded 2020-12-16 Missing upstream
SF270-V1.0.pdf Supplementary Document Uploaded 2020-12-16 Available
SF270-V1.0.pdf Supplementary Document Uploaded 2020-12-16 Repair queued
SF425_2_0-V2.0.pdf Supplementary Document Uploaded 2020-12-16 Available
SF425_2_0-V2.0.pdf Supplementary Document Uploaded 2020-12-16 Repair queued
SFLLL_2_0-V2.0.pdf Supplementary Document Uploaded 2020-12-16 Available
SFLLL_2_0-V2.0.pdf Supplementary Document Uploaded 2020-12-16 Repair queued
SF424B-V1.1.pdf Supplementary Document Uploaded 2020-12-16 Available
SF424B-V1.1.pdf Supplementary Document Uploaded 2020-12-16 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
1889 7 CFR 1776, "Household Water Well System Grant Program" Form ModifiedCertification Regarding Drug-Free Workplace Requirements
1889 7 CFR 1776, "Household Water Well System Grant Program" Form ModifiedCertification Regarding Debarment
1889 7 CFR 1776, "Household Water Well System Grant Program" Form ModifiedCertification Regarding Debarment-Primary
1889 7 CFR 1776, "Household Water Well System Grant Program" Form Modified
ICR Details
0572-0139 202006-0572-006
Active 201710-0572-001
USDA/RUS
7 CFR 1776, Household Water Well System Grant Program
Revision of a currently approved collection   No
Regular
Approved with change 01/06/2022
Retrieve Notice of Action (NOA) 12/16/2020
  Inventory as of this Action Requested Previously Approved
01/31/2025 36 Months From Approved 01/31/2022
130 0 146
666 0 770
0 0 0

This collection consists of items required to apply for a Household Water Well System Grant and those items necessary for reporting purposes after grant award.

PL: Pub.L. 107 - 171 306e Name of Law: Grants to Non-Profit Organizations to Finance the Construction, Refurbishing, and Servicing, etc.
   US Code: 7 USC 1926e Name of Law: Consolidated Farm & Rural Development Act
  
None

Not associated with rulemaking

  85 FR 60960 09/29/2020
85 FR 81442 12/16/2020
No

  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 130 146 0 0 -16 0
Annual Time Burden (Hours) 666 770 0 0 -104 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The number of borrowers has remained constant over the prior three fiscal years averaging six. There have been no changes in the information collection requirements. Based on agency experience, there were minor agency adjustments in some grantees needing amended award amounts, having workplan changes, and submitting requests related to project duration extensions. This submission has a total of 130 responses. In the previous submission the total responses were 146. There has been an overall reduction in burden hours, from 770 to 666, due to a decrease in the average number grant awards.

$17,318
No
    No
    No
No
No
No
No
Lynn Gilbert 202 690-2682 [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.
12/16/2020