Information Collection Request

Rural Community Development Initiative (RCDI)

ICR 202102-0575-004 · OMB 0575-0180 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form AD 3030 Representations Regarding Felony Conviction and Tax Delinquent Status for Coporate Applicants Form Removed Available
Form RD 442-3 Balance Sheet Form Removed Available
Form RD 442-2 Statement of Budget, Income and Equity Form Removed Available
Form RD 400-4 Assurance Agreement Form Removed Available
Form RD 400-1 Equal Opportunity Agreement Form Removed Available
Form AD-1049 Certification for Drug-Free Workplace Form Removed Available
Form AD-1048 Certification Regarding Debarrment, etc. - Lower Tier Form Removed Available
Form AD-1047 Certification Regarding Debarrment, etc. Form Removed Available
Form AD-1047 Public/Tribal Form Removed Repair queued
RCDI Supporting Statement-final updated 1-28-22.docx Supporting Statement A Uploaded 2022-01-28 Available
RCDI Supporting Statement-final.docx Supporting Statement A Uploaded 2021-03-15 Repair queued
ICR 0575-0180 Summary Worksheet final.xlsm Supplementary Document Uploaded 2021-02-17 Available
ICR 0575-0180 Summary Worksheet final.xlsm Supplementary Document Uploaded 2021-02-17 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
2036 Private Other- Modified
181552 Public/Tribal Form RemovedRepresentations Regarding Felony Conviction and Tax Delinquent Status for Coporate Applicants
181552 Public/Tribal Form RemovedBalance Sheet
181552 Public/Tribal Form RemovedStatement of Budget, Income and Equity
181552 Public/Tribal Form RemovedAssurance Agreement
181552 Public/Tribal Form RemovedEqual Opportunity Agreement
181552 Public/Tribal Form RemovedCertification for Drug-Free Workplace
181552 Public/Tribal Form RemovedCertification Regarding Debarrment, etc. - Lower Tier
181552 Public/Tribal Form RemovedCertification Regarding Debarrment, etc.
181552 Public/Tribal Form Removed
ICR Details
0575-0180 202102-0575-004
Active 201804-0575-001
USDA/RHS
Rural Community Development Initiative (RCDI)
Revision of a currently approved collection   No
Regular
Approved with change 01/28/2022
Retrieve Notice of Action (NOA) 07/20/2021
  Inventory as of this Action Requested Previously Approved
01/31/2025 36 Months From Approved 01/31/2022
3,130 0 3,640
4,194 0 4,549
0 0 0

The Rural Community Development Initiative's intent is to develop the capacity and ability of rural area recipients through a program of technical assistance provided by qualified intermediary organizations.

PL: Pub.L. 106 - 78 306 Name of Law: Agriculture, Rural Development, FDA 7 Related Agencies Appropriations Act 2000
  
None

Not associated with rulemaking

  85 FR 243 12/17/2020
86 FR 37731 07/16/2021
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 3,130 3,640 0 0 -510 0
Annual Time Burden (Hours) 4,194 4,549 0 0 -355 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
With this renewal, annual responses decreased by 510 to 3,130 and hours decreased by 355 for a total of 4,194 in burden. The adjustment decrease in both the number of responses and hours is based on a decrease in the number of respondents. In addition, several required forms are no longer required. The Certifications and Representations have historically been collected via forms such as AD 1047, AD 1048 and AD1049. To decrease burden and costs of separate requests for information, the collection of this information has been incorporated within SAM.gov registration, Financial Assistance General Certifications and Representations.

$306,964
No
    Yes
    Yes
No
No
No
No
Shirley Stevenson 202 205-9685

  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.
07/20/2021