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Federal forms, ICRs, and supporting documents

Information Collection

Suspension and Debarment and Drug-Free Workplace Certifications

IC 217590 under ICR 202301-0505-001 · OMB 0505-0027.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Suspension and Debarment and Drug-Free Workplace Certifications
 
No Modified
 
Voluntary
 

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 Primary COvered Transactions AD-1047 508-v3.pdf Yes No Fillable Fileable
Form and Instruction AD-1048 Cdrtification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions AD-1048 508-v3.pdf Yes No Fillable Fileable
Form and Instruction AD-1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantee Other Than Individuals AD-1049_508-v3.pdf Yes No Fillable Fileable
Form and Instruction AD-1050 Certofocatopm Regarding Drug-Free Workplace Requirements (Grants) Alternative II - For Grantees Who are Individuals AD-1050_508-v3.pdf Yes No Fillable Fileable
Form and Instruction AD-1052 Certification Regarding Drug-Free Workplace State and State Agencies, Federal Fiscal Year AD-1052_508-v3.pdf Yes No Fillable Fileable

Natural Resources Agricultural Innovation and Services

 

1 0
   
Individuals or Households
 
   0 %

  Approved 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 1 0 0 0 0 1
Annual IC Time Burden (Hours) 1 0 0 0 0 1
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.