Information Collection

Value-Added Producer Grants - Business

IC 194172 under ICR 202502-0570-001 · OMB 0570-0064.

Documents and Forms

Document Name Document Type
Form RD 1942-46 Value-Added Producer Grants - Business Form
RD 1942-46 Letter of Intent to Meet Conditions RD1942-46.pdf Form
AD 1047 Request for Obligation of Funds AD1047_PrimaryCoveredTransactions_final.pdf Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibi AD1048_LowerTierCoveredTransactions_final.pdf Form
AD 1049 Certification Regarding Drug-Free Workplace Requirements AD1049_Alt1_GranteesOtherThanIndividuals_v2_final.pdf Form
Form RD 400-4 Assurance Agreement 400-4.pdf Form
Form RD 1940-1 Request For Obligations of Funds RD1940-0001_100600V05.pdf Form
Form RD 4280-2 Rural Business-Cooperative Service Financial Assistance Form RD 4280-2.pdf Form
DD-214 Certificate of Release or Discharge from Active Duty us-dod-form-dd214 (2).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Value-Added Producer Grants - Business	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 4284

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 1942-46	Letter of Intent to Meet Conditions	RD1942-46.pdf	Yes	No	Fillable Printable
Form	AD 1047	Request for Obligation of Funds	AD1047_PrimaryCoveredTransactions_final.pdf	Yes	No	Fillable Printable
Form	AD 1048	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions	AD1048_LowerTierCoveredTransactions_final.pdf	Yes	No	Fillable Printable
Form	AD 1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals	AD1049_Alt1_GranteesOtherThanIndividuals_v2_final.pdf	Yes	No	Fillable Printable
Form	Form RD 400-4	Assurance Agreement	400-4.pdf	Yes	No	Fillable Printable
Form	Form RD 1940-1	Request For Obligations of Funds	RD1940-0001_100600V05.pdf	Yes	No	Fillable Printable
Form	Form RD 4280-2	Rural Business-Cooperative Service Financial Assistance Agreement	Form RD 4280-2.pdf	Yes	No	Fillable Printable
Form	DD-214	Certificate of Release or Discharge from Active Duty	us-dod-form-dd214 (2).pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 470	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms, Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 10 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,648	440	3,208
Annual IC Time Burden (Hours)	81,862	34,326	47,536
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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