OMB control number

7 CFR 1776, Rural Decentralized Water Systems

OMB 0572-0139 · USDA/RUS.

OMB 0572-0139

This collection consists of items required to apply for a Household Water Well System Grant and those items necessary for reporting purposes after grant award.

The latest form for 7 CFR 1776, Rural Decentralized Water Systems expires 2026-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
OMB 0572-0139 SS.docx Supporting Statement A
7 CFR 1776.pdf Supplementary Document
0572-0139 60-day notice.pdf Supplementary Document
0572-0139 BurdenWorksheet 6.25.2024.xlsm Supplementary Document
7 USC 1926.pdf Supplementary Document
7 CFR 1776, "Household Water Well System Grant Program" Other-Supporting

All Historical Document Collections

202502-0572-007	Revision of a currently approved collection	2025-02-19
202408-0572-001	Revision of a currently approved collection	2025-01-21
202006-0572-006	Revision of a currently approved collection	2020-12-16
201710-0572-001 Approved without change	Extension without change of a currently approved collection	2017-11-01
201403-0572-004 Approved without change	Extension without change of a currently approved collection	2014-05-15
201102-0572-002 Approved without change	Revision of a currently approved collection	2011-03-28
200712-0572-005 Approved without change	Revision of a currently approved collection	2008-02-11
200501-0572-002 Approved without change	Revision of a currently approved collection	2005-01-14
200408-0572-003 Approved without change	New collection (Request for a new OMB Control Number)	2004-08-27