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Federal forms, ICRs, and supporting documents

Information Collection

Water and Waste Loan and Grant Program - Private Sector

IC 187095 under ICR 202104-0572-002 · OMB 0572-0121.

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

Water and Waste Loan and Grant Program - Private Sector
 
No Modified
 
Required to Obtain or Retain Benefits
 
7 CFR 1780

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction AD 1047 Certification Regarding Debarment Suspension and other Responsibility Matters AD-1047 (Dec '15).pdf https://www.ocio.usda.gov/policy-directives-records-forms/forms-management/approved-computer-generated-forms Yes No Fillable Printable
Form and Instruction AD 1049 Certification Regardin Drug-Free WorkPlace AD-1049 (Dec '15).pdf https://www.ocio.usda.gov/policy-directives-records-forms/forms-management/approved-computer-generated-forms Yes No Fillable Printable
Form and Instruction AD 1048 Certification Regarding Debarment- Lower Tier Covered Trans AD-1048 (Dec '15).pdf https://www.ocio.usda.gov/policy-directives-records-forms/forms-management/approved-computer-generated-forms Yes No Fillable Printable
Form RD 1940-Q Exhibit A1 Cert. for Contracts, Grants, and Loans (Regarding Lobbying RD 1940-Q_ExhA1.pdf www.rd.usda.gov/files/IA_1940Q_ExhA1.pdf Yes No Fillable Printable
Form and Instruction RUS Bulletin 1780-7 Agreements for professional services RUS 1780-7 Bulletin and Written.pdf https://www.rd.usda.gov/files/UWP-rb-07.pdf Yes No Fillable Fileable
Form and Instruction RUS 1780-9 User agreement RUS 1780-9 Bulletin and Written.pdf https://www.rd.usda.gov/files/UWP-rb-09.pdf Yes No Fillable Printable
Form and Instruction RUS Bulletin 1780-12 Grant Agreement RUS_Bulletin_1780-12.pdf https://www.rd.usda.gov/files/UWP_Bulletin_1780-12.pdf Yes No Fillable Printable
Form and Instruction RUS Bulletin 1780-27 Loan Resolution (Public Bodies) RUS-bulletin 1780-27.pdf www.rd.usda.gov/files/UWP-bulletin%201780-27.pdf Yes No Fillable Printable
Form and Instruction RUS Bulletin 1780-28 Loan Resolution, Security Agreement RUS-bulletin 1780-28.pdf www.rd.usda.gov/files/UWP-bulletin%201780-28.pdf Yes No Fillable Printable
Form RD 1934-16 RECORD OF PRE-CONSTRUCTION CONFERENCE RD1924-16.pdf https://forms.sc.egov.usda.gov/efcommon/eFileServices/eForms/RD1924-16.PDF Yes No Fillable Printable

Economic Development Business and Industry Development

 

100 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,900 0 -314 0 0 7,214
Annual IC Time Burden (Hours) 18,314 0 100 4,404 0 13,810
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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