Information Collection

State and Local Governments

IC 209668 under ICR 202101-0572-002 · OMB 0572-0150.

Documents and Forms

Document Name Document Type
Other Reporting Requirements - Non Form.docx Other-Reporting Requirements-Non For
Other Reporting Requirements - Non Form.docx Other-Reporting Requirements-Non For
Application Submissions-Non Forms.docx Other-Application Submissions-Non Fo
Application Submissions-Non Forms.docx Other-Application Submissions-Non Fo
SF-424A.pdf Budget Information-Non-Construction Program IC Document
SF-424A.pdf Budget Information-Non-Construction Program IC Document
SF-424B.pdf Assurances-Non-Construction Programs IC Document
SF-424B.pdf Assurances-Non-Construction Programs IC Document
SF-424C.pdf Budget Information - Construction Programs IC Document
SF-424C.pdf Budget Information - Construction Programs IC Document
SF-424D.pdf Assurances - Construction Programs IC Document
SF-424D.pdf Assurances - Construction Programs IC Document
SF-LLL.pdf Disclosure of Lobbying Activities IC Document
SF-LLL.pdf Disclosure of Lobbying Activities IC Document
RUS Form 266.pdf Compliance Assurance IC Document
RUS Form 266.pdf Compliance Assurance IC Document
RD 400-1.pdf Equal Opportunity Agreement IC Document
RD 400-1.pdf Equal Opportunity Agreement IC Document
RD 442-22.pdf Opinion of Counsel Relative to Right-of-Way and Easements IC Document
RD 442-22.pdf Opinion of Counsel Relative to Right-of-Way and Easements IC Document
RD 400-4.pdf Assurance Agreement IC Document
RD 400-4.pdf Assurance Agreement IC Document
RD 1942-46.pdf Letter of Intent to Meet Conditions IC Document
RD 1942-46.pdf Letter of Intent to Meet Conditions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local Governments	Agency IC Tracking Number:	0572

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 1784

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Reporting Requirements-Non Form			Other Reporting Requirements - Non Form.docx		Yes	Yes	Paper Only
Other-Application Submissions-Non Forms			Application Submissions-Non Forms.docx		Yes	Yes	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title: USDA/RDâ1 Current or Prospective Producers or Landowners, Applicants, Borrowers, Grantees, Tenants, and other participants in RD programs.	FR Citation: 84 FR 21315

Number of Respondents: 36	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	324	-122	239	207
Annual IC Time Burden (Hours)	523	-75	317	281
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Budget Information-Non-Construction Program	SF-424A.pdf	06/11/2021
Assurances-Non-Construction Programs	SF-424B.pdf	06/11/2021
Budget Information - Construction Programs	SF-424C.pdf	06/11/2021
Assurances - Construction Programs	SF-424D.pdf	06/11/2021
Disclosure of Lobbying Activities	SF-LLL.pdf	06/11/2021
Compliance Assurance	RUS Form 266.pdf	06/11/2021
Equal Opportunity Agreement	RD 400-1.pdf	11/18/2021
Opinion of Counsel Relative to Right-of-Way and Easements	RD 442-22.pdf	11/18/2021
Assurance Agreement	RD 400-4.pdf	11/18/2021
Letter of Intent to Meet Conditions	RD 1942-46.pdf	11/18/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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