OMB control number

The Rural Alaska Village Grant (RAVG) Program

OMB 0572-0150 · USDA/RUS.

OMB 0572-0150

The RAVG regulations are at 7 CFR Part 1784. Under the RAVG program, the Secretary may make grants to the State of Alaska for the benefit of rural or Native Villages in Alaska to provide for the development and construction of water and wastewater systems to improve the health and sanitation conditions in those villages. This collection involves the information collected from applicants, grantees, and consultants to the program.

The latest form for The Rural Alaska Village Grant (RAVG) Program expires 2026-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
RAVG ANTHC Grant Agreement Form
RAVG SOA Grant Agreement Form
Form RUS Bulletin 1780- RUS Bulletin 1780-12 Form and Instruction
Form SF 424 Application for Federal Assistance Form and Instruction
Form RD 1942-46 Letter of Intent to Meet Conditions Form
Form RD 442-22 Opinion of COunsel relative to RIght-of-Way & Easments Form
Form RD 400-4 Assurance Agreement Form
Form RD 400-1 Equal Opportunity Agreement Form
Form RD Instruction 194 Certification for Contracts, Grants and Loans REgarding Lobbying Form and Instruction
Form AD - 1049 Certification Regarding Drug-Free Workplace Form
Form AD- 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction Form
Form AD -1047 Certification Regarding Debarment Form
0572-0150 (RAVG) Spreadsheet-11-18-2021.xls Supplementary Document
0572-0150 (RAVG) Spreadsheet-11-18-2021.xls Supplementary Document
OMB-83-I -RUS 0572-0150 RAVG Program 11-18-2021.pdf Supplementary Document
OMB-83-I -RUS 0572-0150 RAVG Program 11-18-2021.pdf Supplementary Document
0572-0150 (RAVG) SuptStmt 12-15-2021.docx Supporting Statement A
0572-0150 (RAVG) SuptStmt 12-15-2021.docx Supporting Statement A
Published 60-day Notice.pdf Supplementary Document
Published 60-day Notice.pdf Supplementary Document
non-profit / private sector Form
non-profit / private sector Form
non-profit / private sector Form and Instruction
non-profit / private sector Form and Instruction
non-profit / private sector Form
non-profit / private sector Form
non-profit / private sector Form
non-profit / private sector Form
non-profit / private sector Form and Instruction
non-profit / private sector Form
non-profit / private sector Form
non-profit / private sector Form
non-profit / private sector Form
State and Local Governments Other-Reporting Requirements-Non Form

All Historical Document Collections

202101-0572-002 Approved without change	Revision of a currently approved collection	2022-02-22
201809-0572-001 Approved with change	Extension without change of a currently approved collection	2018-11-26
201507-0572-001 Approved without change	New collection (Request for a new OMB Control Number)	2015-09-01
201312-0572-001 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2013-12-20

OMB Details

State and Local Governments

Federal Enterprise Architecture: Community and Social Services - Community and Regional Development