| ROLLUP OF BURDEN FOR DET GRANT PROGRAMS |
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| Section of Regulations |
Title |
Form No. (if any) |
Estimated No. of Respondents |
Reports Filed Annually |
Total Annual Responses (D) X (E) |
Estimated Number of Man Hours per Response |
Estimated Total Man Hours (F) X (G) |
Wage Class $/hr |
Total Cost to the Public (H)x( (I) |
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cheryl.thompson:
add e
Applicant requirements |
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| 5002.32(b) |
Other forms and instructions |
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Community Facilities |
|
846 |
|
1,751 |
|
4,527 |
|
197,779 |
|
Distance Learning and Telemedicine |
|
180 |
|
2,880 |
|
8,165 |
|
325,204 |
|
Rural Cooperative Development |
|
60 |
|
60 |
|
6,000 |
|
210,000 |
|
Rural Energy for America Program |
|
295 |
|
5,498 |
|
23,498 |
|
1,451,023 |
|
Value Added Producer |
|
535 |
|
535 |
|
37,450 |
|
2,120,419 |
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Water and Waste Disposal |
|
129 |
|
2,162 |
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4,158 |
|
119,539 |
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Subtotal Applicant Requirements |
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2,045 |
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12,886 |
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83,798 |
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4,423,963 |
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| Grantee requirements |
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| 5002.61(a) |
Letter of Conditions |
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Community Facilities |
|
672 |
|
672 |
|
672 |
|
$16,800 |
|
Distance Learning and Telemedicine |
|
70 |
|
70 |
|
70 |
|
$2,626 |
|
Rural Cooperative Development |
|
25 |
|
25 |
|
25 |
|
$875 |
|
Rural Energy for America Program |
|
330 |
|
660 |
|
413 |
|
$20,625 |
|
Value Added Producer |
|
cheryl.thompson:
change to 157
157 |
|
157 |
|
157 |
|
$8,889 |
|
Water and Waste Disposal |
|
54 |
|
444 |
|
738 |
|
$21,218 |
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| 5002.61(b) |
Grant Agreement |
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Community Facilities |
|
672 |
|
3,044 |
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3,152 |
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$103,988 |
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Distance Learning and Telemedicine |
|
70 |
|
140 |
|
315 |
|
$11,816 |
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Rural Cooperative Development |
|
25 |
|
25 |
|
25 |
|
$875 |
|
Rural Energy for America Program |
|
330 |
|
330 |
|
165 |
|
$8,250 |
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Value Added Producer |
|
157 |
|
157 |
|
157 |
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$8,889 |
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Water and Waste Disposal |
|
54 |
|
173 |
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1,057 |
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$30,388 |
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| 5002.70(a) |
Monitoring and reporting performance |
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Water and Waste Disposal |
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54 |
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1,080 |
|
864 |
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$24,840 |
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| 5002.70(b)(1) |
Performance Reports and Final Reports |
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Distance Learning and Telemedicine |
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70 |
|
70 |
|
280 |
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$10,503 |
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Rural Cooperative Development |
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25 |
|
75 |
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1,275 |
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$44,625 |
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Rural Energy for America Program |
|
330 |
|
1,650 |
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1,848 |
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$92,400 |
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Value Added Producer |
|
157 |
|
471 |
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16,171 |
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$1,334,108 |
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| 5002.70(b)(2) |
cheryl.thompson:
added
Additional Reports |
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Rural Energy for America Program |
|
198 |
|
660 |
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1,188 |
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$59,400 |
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Water and Waste Disposal |
|
54 |
|
54 |
|
432 |
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$12,420 |
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| 5002.80 |
Grant Close Out and Related Activities |
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Distance Learning and Telemedicine |
|
70 |
|
70 |
|
420 |
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$15,754 |
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Water and Waste Disposal |
|
54 |
|
54 |
|
432 |
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$12,420 |
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| General Provisions |
Recordkeeping |
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Community Facilities |
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672 |
|
672 |
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2,016 |
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$50,400 |
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Distance Learning and Telemedicine |
|
350 |
|
420 |
|
560 |
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$17,520 |
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Rural Cooperative Development |
|
25 |
|
50 |
|
950 |
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$33,250 |
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Rural Energy for America Program |
|
330 |
|
330 |
|
990 |
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$49,500 |
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Value Added Producer |
|
157 |
|
157 |
|
471 |
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$13,942 |
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Water and Waste Disposal |
|
54 |
|
54 |
|
162 |
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$4,658 |
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Subtotal Grantee Requirements |
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11,764 |
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cheryl.thompson:
changed 4 to 5
35,005 |
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$2,010,977 |
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GRAND TOTAL |
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2,045 |
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24,650 |
4.8 |
118,803 |
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$6,434,941 |
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| NOTE: Community Facilities includes EII and Tribal College Grants. |
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| Burden Estimate for Community Facilities Grant Program (including EII and Tribal College Grants) - 0575-0173 |
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cheryl.thompson:
Rural Housing Service
USDA Rural Housing Service |
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| Section of Regulations |
Title |
Form No. (if any) |
Estimated No. of Respondents |
Reports Filed Annually |
Total Annual Responses (D) X (E) |
Estimated Number of Man Hours per Response |
Estimated Total Man Hours (F) X (G) |
Wage Class $/hr |
Total Cost to the Public (H)x( (I) |
cheryl.thompson:
These last 2 columns will be removed when uploaded in ROCIS; hard copy will be maintained n file.
Previous Values for No of Respondents |
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| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
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Reporting - No Forms |
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Project Proposal - Applicants |
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| 5002.32(b) |
Lease/Management Agreement |
Written |
59 |
1 |
59 |
5 |
297 |
$25 |
$7,429 |
75 |
3570.61(e) |
| 5002.32(b) |
Statement of Inability to Obtain Credit Elsewhere |
Written |
846 |
1 |
846 |
1 |
846 |
$25 |
$21,150 |
895 |
3570.61(c) |
| 5002.32(b) |
Financial Feasibility Report |
Written |
846 |
1 |
846 |
4 |
3,384 |
$50 |
$169,200 |
895 |
3570.65(b)(2) |
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Subtotal |
|
846 |
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1,751 |
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4,527 |
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$197,779 |
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Grantee Requirements |
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| 5002.61(b) |
Liens on real property |
Written |
20 |
1 |
20 |
1 |
20 |
$25 |
$500 |
13 |
3570.80 (c) |
| 5002.61(b) |
Audits/financial statements |
Written |
336 |
1 |
336 |
7 |
2,352 |
$25 |
$58,800 |
837 |
3570.83(b) |
| Dept Regulations |
Recordkeeping |
|
672 |
1 |
672 |
3 |
2,016 |
$25 |
$50,400 |
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Subtotal |
|
672 |
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1,028 |
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4,388 |
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$109,700 |
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Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable) |
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| 5002.61(a) |
Letter of Intent |
RD 1942-46 |
672 |
1 |
672 |
1 |
672 |
$25 |
$16,800 |
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| 5002.61(b) |
Community Facilities Grant Agreement |
RD 5002-1 |
672 |
1 |
672 |
0.5 |
336 |
$100 |
$33,600 |
848 |
3570.80(a) |
| 5002.61(b) |
Equal Opportunity Agreement |
RD 400-1 (0575-0018) |
672 |
1 |
672 |
0.16 |
108 |
$25 |
$2,688 |
895 |
3570.92 |
| 5002.61(b) |
Assurance Agreement |
RD 400-4 (0575-0018) |
672 |
2 |
1344 |
0.25 |
336 |
$25 |
$8,400 |
480 |
3570.92 |
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Subtotal |
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3,360 |
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1,452 |
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$61,488 |
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GRAND TOTAL |
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846 |
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6,139 |
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10,367 |
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$368,967 |
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Forms Approved Under Other OMB Numbers |
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Application for Federal Assistance |
SF 424 (4040-0004) |
846 |
1 |
846 |
0.75 |
635 |
$25 |
$15,863 |
875 |
3570.65(a) |
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Financial Status Report |
SF-269 (0348-0039) |
672 |
1 |
672 |
0.5 |
336 |
$25 |
$8,400 |
837 |
3570.80(a) |
| Burden Estimate for Distance Learning and Telemedicine Grant Program - 0572-0096 |
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| USDA Rural Utilities Service |
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| Section of Regulations |
Title |
Form No. (if any) |
Estimated No. of Respondents |
Reports Filed Annually |
Total Annual Responses (D) X (E) |
Estimated Number of Man Hours per Response |
Estimated Total Man Hours (F) X (G) |
Wage Class $/hr |
Total Cost to the Public (H)x( (I) |
| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
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Reporting - No Forms |
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Project Proposal - Applicants |
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| 5002.32(b) |
Executive Summary |
cheryl.thompson:
replaced none with written
Written |
180 |
1 |
180 |
2.00 |
360 |
$39.83 |
$14,339 |
| 5002.32(b) |
Scoring Criteria Documentation |
Written |
180 |
1 |
180 |
6.00 |
1,080 |
$39.83 |
$43,016 |
| 5002.32(b) |
Scope of Work |
Written |
180 |
1 |
180 |
1.00 |
180 |
$39.83 |
$7,169 |
| 5002.32(b) |
Financial Information |
Written |
180 |
1 |
180 |
2.00 |
360 |
$39.83 |
$14,339 |
| 5002.32(b) |
Statement of Experience |
Written |
180 |
1 |
180 |
0.50 |
90 |
$39.83 |
$3,585 |
| 5002.32(b) |
Funding Commitment from Other Sources |
Written |
180 |
1 |
180 |
0.50 |
90 |
$39.83 |
$3,585 |
| 5002.32(b) |
Telecommunications System Plan |
Written |
180 |
1 |
180 |
30.00 |
5,400 |
$39.83 |
$215,082 |
| 5002.32(b) |
Certification Regarding Architectural Barriers |
Written |
180 |
1 |
180 |
0.10 |
18 |
$39.83 |
$717 |
| 5002.32(b) |
Other Funding Sources |
Written |
180 |
1 |
180 |
1.50 |
270 |
$39.83 |
$10,754 |
| 5002.32(b) |
State Strategic Plan |
Written |
180 |
1 |
180 |
0.50 |
90 |
$39.83 |
$3,585 |
| 5002.32(b) |
Non-Duplication of Service Certificate |
Written |
180 |
1 |
180 |
0.10 |
18 |
$39.83 |
$717 |
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SUBTOTAL |
|
180 |
|
1,980 |
|
7,956 |
|
$316,887 |
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Grantee Requirements |
|
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| 5002.61(b) |
Grant Agreement |
Written |
70 |
1 |
70 |
4.00 |
280 |
$37.51 |
$10,503 |
| 5002.61(b) |
Evidence of Fidelity Bond Coverage |
Written |
70 |
1 |
70 |
0.50 |
35 |
$37.51 |
$1,313 |
| 5002.70(b)(1) |
Performance Report |
Written |
70 |
1 |
70 |
4.00 |
280 |
$37.51 |
$10,503 |
| 5002.80 |
Audit Report |
Written |
70 |
1 |
70 |
6.00 |
420 |
$37.51 |
$15,754 |
| Dept Regulations |
Recordkeeping |
|
70 |
1 |
70 |
3.00 |
210 |
$37.51 |
$7,877 |
| Dept Regulations |
Recordkeeping |
|
350 |
1 |
350 |
1.00 |
350 |
$27.55 |
$9,643 |
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SUBTOTAL |
|
|
70 |
700 |
|
1,575 |
|
$55,592 |
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Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable) |
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| 5002.32(b) |
Certification Regarding Drug-Free Workplace |
AD-1049 |
180 |
1 |
180 |
0.25 |
45 |
$39.83 |
$1,792 |
| 5002.32(b) |
Certification Regarding Debarment and Suspension |
AD-1048 |
180 |
1 |
180 |
0.25 |
45 |
$39.83 |
$1,792 |
| 5002.32(b) |
Certification Regarding Debarment and Suspension |
AD-1047 |
180 |
1 |
180 |
0.25 |
45 |
$39.83 |
$1,792 |
| 5002.32(b) |
Equal Opportunity Agreement |
RD 400-1 |
180 |
1 |
180 |
0.16 |
29 |
$39.83 |
$1,147 |
| 5002.32(b) |
Assurance Agreement |
RD 400-4 |
180 |
1 |
180 |
0.25 |
45 |
$39.83 |
$1,792 |
| 5002.61(a) |
Letter of Intent |
RD 1942-46 |
70 |
1 |
70 |
1.00 |
70 |
$37.51 |
$2,626 |
|
Subtotal |
|
|
|
970 |
|
279 |
|
$10,942 |
|
|
|
|
|
|
|
|
|
|
|
GRAND TOTAL |
|
180 |
|
3,650 |
|
9,810 |
|
$383,422 |
|
|
|
|
|
|
|
|
|
|
|
Forms Approved Under Other OMB Numbers |
|
|
|
|
|
|
|
|
|
Application for Federal Assistance |
SF-424 (4040-0004) |
180 |
1 |
180 |
0.75 |
135 |
|
|
|
Financial Status Report |
SF-269 |
70 |
1 |
70 |
0.50 |
35 |
|
|
|
Request for Advance or Reimbursement |
SF-270 (0348-0004) |
70 |
3 |
210 |
1.00 |
210 |
|
|
|
Evidence of Legal Existence |
SF-424B/Application |
180 |
1 |
180 |
0.25 |
45 |
|
|
|
Certification Regarding Lobbying |
SF-LLL |
180 |
1 |
180 |
0.13 |
23 |
|
|
|
Equal Opportunity and Nondiscrimination Requirements |
SF-424B |
180 |
1 |
180 |
0.10 |
18 |
|
|
|
Certification Regarding Flood Hazard Areas |
SF-424B |
180 |
1 |
180 |
0.10 |
18 |
|
|
|
Certification Regarding Unfiorm Relocation Assistance, etc. |
SF-424B |
180 |
1 |
180 |
0.10 |
18 |
|
|
|
Environmental Information |
SF-424B |
180 |
1 |
180 |
1.50 |
270 |
|
|
|
Federal Debt Certification |
SF-424 |
180 |
1 |
180 |
0.50 |
90 |
|
|
|
|
|
|
|
1,720 |
|
862 |
|
|
|
|
|
|
|
|
|
|
|
|
| NOTES |
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| 1: |
The grant agreement item corresponds to "Updated Information for Preparing Legal Documents and Execution of Legal Documents." It combines individual estimates of 3 hours and 1 hour. |
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| 2: |
Recordkeeping identifies four items in previously approved burden: updated information for preparing legal documents, execution of legal documents, evidence of fidelity bond coverage, and audit report. |
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| Burden Estimate for Rural Cooperative Development Grant Program - 0570-0006 |
|
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| USDA Rural Business-Cooperative Service |
|
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|
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| Section of Notice |
Title |
Form No. (if any) |
No. of Respondents |
Reports Filed Annually |
Total Annual Responses (C) x (D) |
Estimated No. of Manhours per response |
Estimated Total Manhours (E) x (F) |
Wage** Class |
Total Cost (G) x (H) |
| (A) |
|
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
| APPLICANT BURDEN |
|
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|
|
Reporting - No Forms |
|
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|
|
|
|
|
|
|
Project Proposal - Applicants |
|
|
|
|
|
|
|
|
| 5002.32(b) |
Proposal |
|
60 |
1 |
60 |
100 |
6,000 |
$35.00 |
$210,000 |
|
Subtotal |
|
60 |
|
60 |
|
6,000 |
|
$210,000 |
|
|
|
|
|
|
|
|
|
|
|
Grantee Requirements |
|
|
|
|
|
|
|
|
| 5002.61(b) |
Grant Agreement |
|
25 |
1 |
25 |
1 |
25 |
$35.00 |
$875 |
| 5002.70(b)(1) |
Performance Reports |
|
25 |
2 |
50 |
17 |
850 |
$35.00 |
$29,750 |
| 5002.70(b)(1) |
Final Report |
|
25 |
1 |
25 |
17 |
425 |
$35.00 |
$14,875 |
| Dept Regulations |
krmeardon:
This is a recordkeeping requirement for RCDG.
Beneficiary Data |
|
25 |
1 |
25 |
35 |
875 |
$35.00 |
$30,625 |
| Dept Regulations |
Recordkeeping |
|
25 |
1 |
25 |
3 |
75 |
$35.00 |
$2,625 |
|
Subtotal |
|
25 |
|
150 |
|
2,250 |
|
$78,750 |
|
|
|
|
|
|
|
|
|
|
|
Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable) |
|
|
|
|
|
|
|
|
| 5002.61(a) |
Letter of Intent |
RD 1942-46 |
25 |
1 |
25 |
1 |
25 |
$35.00 |
$875 |
|
Subtotal |
|
25 |
|
25 |
|
25 |
|
$875 |
|
|
|
|
|
|
|
|
|
|
|
GRAND TOTAL |
|
60 |
|
235 |
|
8,275 |
|
$289,625 |
|
|
|
|
|
|
|
|
|
|
| RECORDKEEPING REQUIREMENTS |
|
|
Records Retention |
on occasion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Forms Approved Under Other OMB Numbers |
|
|
|
|
|
|
|
|
|
Application for the Rural Cooperative Development Grant |
|
|
|
|
|
|
|
|
|
|
SF-424 (4040-0004) |
60 |
1 |
60 |
0.75 |
45 |
|
|
|
|
SF-424A (4040-0006) |
60 |
1 |
60 |
3 |
180 |
|
|
|
|
SF-424B (4040-0007) |
60 |
1 |
60 |
0.25 |
15 |
|
|
|
Post Grant Award |
|
|
|
|
|
|
|
|
|
|
SF-269 (0348-0039) |
25 |
4 |
100 |
0.5 |
50 |
|
|
|
|
SF-270 (0348-0004) |
25 |
12 |
300 |
1 |
300 |
|
|
| Burden Estimate for Rural Energy for America Program Grants - 0570-0050 |
|
|
|
|
|
|
|
|
|
|
|
| USDA Rural Business-Cooperative Service |
|
|
|
|
|
|
|
|
|
|
|
| Section of Notice |
Title |
Form No. (if any) |
No. of Respondents |
Reports Filed Annually |
Total Annual Responses (D) x (E) |
Estimated No. of Manhours per response |
Estimated Total Manhours (F) x (G) |
Wage** Class |
Total Cost (H) x (I) |
cheryl.thompson:
Will remove both columns when uploaded into ROCIS; but will maintain hard copy for files
|
|
| (A) |
|
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
|
|
|
Reporting - No Forms |
|
|
|
|
|
|
|
|
|
|
|
Project Proposal - Applicants |
|
|
|
|
|
|
|
|
|
|
|
Simplified Application |
|
|
|
|
|
|
|
|
|
|
| 5002.102(c)(2)(ii) |
Application Narrative - Renewables |
Written |
177 |
1 |
177 |
22 |
3,894 |
$50.00 |
$194,700 |
|
0.2998046875 |
| 5002.102(c)(2)(ii) |
Application Narrative - EEI |
written |
118 |
1 |
118 |
9 |
1,062 |
$50.00 |
$53,100 |
|
0.2001953125 |
| 5002.102(c)(2)(ii) |
Cerification for contracts, grants, and loans" 7 CFR 3018.110, grant exceeds $100,000 |
RD 1940-Q, Exhibit A-1 |
295 |
1 |
295 |
0.08 |
24 |
$50.00 |
$1,180 |
|
|
| 5002.102(c)(2)(ii) |
Association or Relationship with Rural Development Employees |
written |
6 |
1 |
6 |
0.25 |
2 |
$50.00 |
$75 |
10 |
0.01953125 |
| 5002.102(c)(2)(ii) |
Technical Requirements - Renewables |
written |
177 |
1 |
177 |
12 |
2,124 |
$80.00 |
$169,920 |
|
|
| 5002.102(c)(2)(ii) |
Technical Requirements - EEI |
written |
118 |
1 |
118 |
8 |
944 |
$80.00 |
$75,520 |
|
|
| 5002.102(c)(2)(ii) |
Energy Audit - EEI (>$50,000) |
written |
17 |
1 |
17 |
16 |
272 |
$50.00 |
$13,600 |
30 |
0.05859375 |
| 5002.102(c)(2)(ii) |
Feasibility Studies - Renewables (>$200,000) |
written |
17 |
1 |
17 |
24 |
408 |
$50.00 |
$20,400 |
30 |
0.05859375 |
| 5002.102(c)(2)(ii) |
Insurance (flood, business interruption) |
assignment |
49 |
1 |
49 |
0.5 |
25 |
$50.00 |
$1,225 |
85 |
0.166015625 |
|
Subtotal |
|
295 |
|
974 |
|
8,754 |
|
$529,720 |
512 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Full Application |
|
|
|
|
|
|
|
|
|
|
| 5002.32(b) |
Application Narrative - Renewables |
Written |
177 |
1 |
177 |
22 |
3,894 |
$50.00 |
$194,700 |
307 |
0.599609375 |
| 5002.32(b) |
Application Narrative - EEI |
written |
118 |
1 |
118 |
9 |
1,062 |
$50.00 |
$53,100 |
205 |
0.400390625 |
| 5002.32(b) |
Cerification for contracts, grants, and loans" 7 CFR 3018.110, grant exceeds $100,000 |
RD 1940-Q, Exhibit A-1 |
12 |
1 |
12 |
0.08 |
1 |
$50.00 |
$48 |
20 |
0.0390625 |
| 5002.32(b) |
Association or Relationship with Rural Development Employees |
written |
9 |
1 |
9 |
0.25 |
2 |
$50.00 |
$113 |
15 |
0.029296875 |
| 5002.32(b) |
Application Financial Statements |
written |
295 |
1 |
295 |
7 |
2,065 |
$50.00 |
$103,250 |
512 |
1 |
| 5002.32(b) |
Technical Requirements - Renewables |
written |
177 |
1 |
177 |
24 |
4,248 |
$80.00 |
$339,840 |
307 |
0.599609375 |
| 5002.32(b) |
Technical Requirements - EEI |
written |
118 |
1 |
118 |
16 |
1,888 |
$80.00 |
$151,040 |
205 |
0.400390625 |
| 5002.32(b) |
Energy Audit - EEI (>$50,000) |
written |
17 |
1 |
17 |
16 |
272 |
$50.00 |
$13,600 |
30 |
0.05859375 |
| 5002.32(b) |
Feasibility Studies - Renewables (>$200,000) |
written |
17 |
1 |
17 |
24 |
408 |
$50.00 |
$20,400 |
30 |
0.05859375 |
| 5002.32(b) |
Insurance (flood, business interruption) |
assignment |
49 |
1 |
49 |
1.5 |
74 |
$50.00 |
$3,675 |
85 |
0.166015625 |
|
Subtotal |
|
295 |
|
989 |
|
13,914 |
|
$879,766 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SUBTOTAL - PROJECT PROPOSAL |
|
|
|
1,963 |
|
22,667 |
|
$1,409,486 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Grantees |
|
|
|
|
|
|
|
|
|
|
| 5002.70(b)(1) |
Performance Report |
written |
330 |
4 |
1320 |
1 |
1,320 |
$50.00 |
$66,000 |
|
|
| 5002.70(b)(1) |
Final Project Performance Report - Renewables |
written |
198 |
1 |
198 |
2 |
396 |
$50.00 |
$19,800 |
|
0.599303135888502 |
| 5002.70(b)(1) |
Final Project Performance Report - EEI |
written |
132 |
1 |
132 |
1 |
132 |
$50.00 |
$6,600 |
|
|
| 5002.70(b)(2) |
Financial Audit Report |
written |
330 |
1 |
330 |
2 |
660 |
$50.00 |
$33,000 |
|
|
| 5002.70(b)(2) |
Periodic Servicing Reports - Renewables |
written |
198 |
1 |
198 |
2 |
396 |
$50.00 |
$19,800 |
|
|
| 5002.70(b)(2) |
Periodic Servicing Reports - EEI |
written |
132 |
1 |
132 |
1 |
132 |
$50.00 |
$6,600 |
|
|
| Dept Regulations |
Recordkeeping |
|
330 |
1 |
330 |
3 |
990 |
$50.00 |
$49,500 |
|
|
|
Subtotal - Grantees |
|
330 |
|
2,640 |
|
4,026 |
|
$201,300 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable) |
|
|
|
|
|
|
|
|
|
|
| 5002.32(b) |
Cert. Regarding Drug-Free Workplace Req. (Grants) Alt. I - For Grantees Other Than Individuals |
AD -1049 (9000-0101) |
589 |
1 |
589 |
0.25 |
147 |
$50.00 |
$7,363 |
|
|
| 5002.32(b) |
Certification Regarding Debarment, Suspension & Other Resp. Matters-Primary Covered Trans. |
AD-1047 or in writing |
589 |
1 |
589 |
0.25 |
147 |
$50.00 |
$7,363 |
|
|
| 5002.32(b) |
Equal Opportunity Agreement |
RD 400-1 |
589 |
1 |
589 |
0.16 |
94 |
$50.00 |
$4,712 |
|
|
| 5002.32(b) |
Assurance Agreement |
RD 400-4 |
HP Authorized Customer:
Is this an applicant or grantee requirement? CF shows it as a grantee requirement, but RES/EEI has it as an applicant requirement.
589 |
1 |
589 |
0.25 |
147 |
$50.00 |
$7,363 |
|
|
| 5002.102(c)(2)(ii); 5002.32(b) |
Environmental Analysis |
RD 1940-20 |
589 |
1 |
589 |
0.25 |
147 |
$50.00 |
$7,363 |
|
|
| 5002.102(c)(2)(ii); 5002.32(b) |
Construction Planning and Performing Development - Renewable Energy Systems |
RD 1924-6 |
354 |
1 |
354 |
0.25 |
89 |
$50.00 |
$4,425 |
|
|
| 5002.102(c)(2)(ii); 5002.32(b) |
Construction Planning and Performing Development - EEI Projects |
RD 1924-6 |
236 |
1 |
236 |
0.25 |
59 |
$50.00 |
$2,950 |
|
|
| 5002.61(a) |
Letter of Intent |
RD 1942-46 |
330 |
1 |
330 |
1 |
330 |
$50.00 |
$16,500 |
|
0.560546875 |
| 5002.61(a) |
Request for Obligation of Funds |
RD 1940-1 |
330 |
1 |
330 |
0.25 |
83 |
$50.00 |
$4,125 |
0.560546875 |
|
| 5002.61(b) |
Renewable Energy/Energy Efficiency Grant Agreement |
RD 5002-2a |
330 |
1 |
330 |
0.5 |
165 |
$50.00 |
$8,250 |
|
|
|
Subtotal |
|
|
|
4,525 |
|
1,408 |
|
$70,412 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Grand Total |
|
|
|
9,128 |
|
28,102 |
|
$1,681,198 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Forms Approved Under Other OMB Numbers |
|
|
|
|
|
|
|
|
|
|
|
Application for Federal Assistance |
SF 424 (4040-0004) |
589 |
1 |
589 |
1 |
589 |
0 |
0 |
1024 |
|
|
Budget Information - Construction Programs |
SF 424C (4040-0003) |
589 |
1 |
589 |
3 |
1,767 |
0 |
0 |
|
|
|
Assurances - Construction Programs |
SF 424D (4040-0009) |
589 |
1 |
589 |
0.25 |
147 |
0 |
0 |
|
|
|
Disclosure of Lobbying Activities |
SF LLL (0348-0046) |
589 |
1 |
589 |
0.16 |
94 |
0 |
0 |
|
|
|
Financial Status Report |
SF-269 (0348-0039) |
330 |
1 |
330 |
0.50 |
165 |
60 |
$9,900 |
|
|
|
Outlay and Request for Reimbursement for Construction Programs |
SF 271 (0348-0002) |
330 |
5 |
1650 |
1 |
1,650 |
0 |
0 |
|
|
|
Totals |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Footnotes: |
|
|
|
|
|
|
|
|
|
|
|
| Burden Estimate for Value Added Producer Grant Program - 0570-0039 |
|
|
|
|
|
|
|
|
|
| USDA Rural Business-Cooperative Service |
|
|
|
|
|
|
|
|
|
| Section of Regulations |
Title |
Form No. (if any) |
Estimated No. of Respondents |
Reports Filed Annually |
Total Annual Responses (D) X (E) |
Estimated Number of Man Hours per Response |
Estimated Total Man Hours (F) X (G) |
Wage Class $/hr |
Total Cost to the Public (H)x( (I) |
| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
| APPLICANT Burden |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| PAPERWORK REQUIREMENTS – NO FORMS |
|
|
Reporting - No Forms |
|
|
|
|
|
|
|
|
|
Project Proposal - Applicants |
|
|
|
|
|
|
|
|
| 5002.32(b) |
Proposal |
|
321 |
1 |
321 |
76 |
24,396 |
$56.62 |
$1,381,302 |
| 5002.105(f)(3) |
Simplified Applications |
|
214 |
1 |
214 |
61 |
13,054 |
$56.62 |
$739,117 |
|
Subtotal |
|
535 |
|
535 |
|
37,450 |
|
$2,120,419 |
|
|
|
|
|
|
|
|
|
|
|
Grantee Requirements |
|
|
|
|
|
|
|
|
| 5002.61(b) |
Grant Agreement |
|
157 |
1 |
157 |
1 |
157 |
$56.62 |
$8,889 |
| 5002.70(b)(1) |
Performance Reports |
|
157 |
2 |
314 |
9 |
2,826 |
$82.50 |
$233,145 |
| 5002.70(b)(1) |
Final Report |
|
157 |
1 |
157 |
85 |
13,345 |
$82.50 |
$1,100,963 |
| Dept Regulations |
Recordkeeping |
|
157 |
1 |
157 |
3 |
471 |
$29.60 |
$13,942 |
|
Subtotal |
|
|
|
785 |
|
16,799 |
|
$1,356,938 |
|
|
|
|
|
|
|
|
|
|
|
Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable) |
|
|
|
|
|
|
|
|
| 5002.61(a) |
Letter of Intent |
RD 1942-46 |
157 |
1 |
157 |
1 |
157 |
$56.62 |
$8,889 |
|
Subtotal |
|
157 |
|
157 |
|
157 |
|
$8,889 |
|
|
|
|
|
|
|
|
|
|
|
GRAND TOTAL |
|
|
|
1,477 |
|
54,406 |
|
$3,486,247 |
|
|
|
|
|
|
|
|
|
|
| NOTES |
|
|
|
|
|
|
|
|
|
|
The estimate of hours per response for simplified applications is a best guess as this is a new feature to VAPG. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Forms Approved Under Other OMB Numbers |
|
|
|
|
|
|
|
|
|
Application for Federal Assistance |
SF-424 (4040-0004) |
535 |
1 |
535 |
1 |
535 |
|
|
|
Budget Information – Non-Construction |
SF-424A (4040-0006) |
535 |
1 |
535 |
3 |
1605 |
|
|
|
Assurances – Non-Construction |
SF-424B (4040-0007) |
535 |
1 |
535 |
0.25 |
134 |
|
|
|
|
SF-269 (0348-0039) |
157 |
2 |
314 |
0.5 |
157 |
|
|
|
Request for Advance or Reimbursement |
SF-270 90348-0004) |
157 |
12 |
1884 |
1 |
1884 |
|
|
| Burden Estimate for Water and Waste Disposal Facilities Grant Program - 0572-0121 |
|
|
|
|
|
|
|
|
|
| USDA Rural Utilities Service |
|
|
|
|
|
|
|
|
|
| Section of Regulations |
Title |
Form No. (if any) |
Estimated No. of Respondents |
Reports Filed Annually |
Total Annual Responses (D) X (E) |
Estimated Number of Man Hours per Response |
Estimated Total Man Hours (F) X (G) |
Wage Class $/hr |
Total Cost to the Public (H)x( (I) |
| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
|
Reporting - No Forms |
|
|
|
|
|
|
|
|
|
Project Proposal - Applicants |
|
|
|
|
|
|
|
|
| 5002.32(b) |
Relationship or association with RUS employees |
Written |
107 |
1 |
107 |
0.25 |
27 |
$28.75 |
$769 |
| 5002.32(b) |
Statement on availability to obtain credit elsewhere |
Written |
107 |
1 |
107 |
1.00 |
107 |
$28.75 |
$3,076 |
| 5002.32(b) |
Notification of service statement |
Written |
32 |
1 |
32 |
2.00 |
64 |
$28.75 |
$1,840 |
| 5002.32(b) |
Evidence of public notice |
Written |
107 |
1 |
107 |
2.00 |
214 |
$28.75 |
$6,153 |
| 5002.32(b) |
Intergovernmental comments |
Written |
129 |
1 |
129 |
1.00 |
129 |
$28.75 |
$3,709 |
| 5002.32(b) |
Preliminary engineering report |
Written |
129 |
1 |
129 |
4.00 |
516 |
$28.75 |
$14,835 |
| 5002.32(b) |
Supporting documentation |
Written |
129 |
1 |
129 |
6.00 |
774 |
$28.75 |
$22,253 |
| 5002.32(b) |
Agreements for professional services |
Written |
107 |
1 |
107 |
4.00 |
428 |
$28.75 |
$12,305 |
| 5002.32(b) |
Contracts for other services |
Written |
64 |
1 |
64 |
2.00 |
128 |
$28.75 |
$3,680 |
| 5002.32(b) |
Positive programs to encourage connections |
Written |
21 |
1 |
21 |
3.00 |
63 |
$28.75 |
$1,811 |
| 5002.32(b) |
User agreement |
Written |
11 |
1 |
11 |
4.00 |
44 |
$28.75 |
$1,265 |
|
Subtotal |
|
129 |
|
943 |
|
2,494 |
|
$71,695 |
|
|
|
|
|
|
|
|
|
|
|
Grantee Requirements |
|
|
|
|
|
|
|
|
| 5002.61(a) |
Fidelity or employee dishonesty Bond |
Written |
54 |
1 |
54 |
4.00 |
216 |
$28.75 |
$6,210 |
| 5002.61(a) |
Property insurance |
Written |
54 |
1 |
54 |
1.00 |
54 |
$28.75 |
$1,553 |
| 5002.61(a) |
General Liability Insurance |
Written |
54 |
1 |
54 |
1.00 |
54 |
$28.75 |
$1,553 |
| 5002.61(a) |
Flood Insurance |
Written |
11 |
1 |
11 |
1.00 |
11 |
$28.75 |
$316 |
| 5002.61(a) |
Workman's compensation insurance |
Written |
54 |
1 |
54 |
0.50 |
27 |
$28.75 |
$776 |
| 5002.61(a) |
Evidence of other funds |
Written |
32 |
1 |
32 |
1.00 |
32 |
$28.75 |
$920 |
| 5002.61(a) |
Water rights |
Written |
13 |
1 |
13 |
3.00 |
39 |
$28.75 |
$1,121 |
| 5002.61(a) |
Appraisal Report |
Written |
5 |
1 |
5 |
2.00 |
10 |
$28.75 |
$288 |
| 5002.61(a) |
User Connections |
Written |
54 |
1 |
54 |
3.00 |
162 |
$28.75 |
$4,658 |
| 5002.61(a) |
Lease agreements |
Written |
5 |
1 |
5 |
5.00 |
25 |
$28.75 |
$719 |
| 5002.61(b) |
Construction contract forms |
Written |
54 |
1 |
54 |
3.00 |
162 |
$28.75 |
$4,658 |
| 5002.61(b) |
Attorney's certification of construction contract |
Written |
54 |
1 |
54 |
15.00 |
810 |
$28.75 |
$23,288 |
| 5002.61(b) |
Sewage treatment and bulk water sales contracts |
Written |
9 |
1 |
9 |
3.00 |
27 |
$28.75 |
$775 |
| 5002.61(b) |
Contracts awarded prior to application |
Written |
2 |
1 |
2 |
2.00 |
4 |
$28.75 |
$116 |
| 5002.70(a) |
Monitoring reports |
Written |
54 |
1 |
54 |
5.00 |
270 |
$28.75 |
$7,763 |
| 5002.70(a) |
Resident Inspector resume |
Written |
54 |
1 |
54 |
2.00 |
108 |
$28.75 |
$3,105 |
| 5002.70(a) |
Daily inspection report |
Written |
54 |
18 |
972 |
0.50 |
486 |
$28.75 |
$13,973 |
| 5002.70(b)(2) |
Management report |
Written |
54 |
1 |
54 |
8.00 |
432 |
$28.75 |
$12,420 |
| 5002.80 |
Audits |
Written |
54 |
1 |
54 |
8.00 |
432 |
$28.75 |
$12,420 |
| Dept Regulations |
Recordkeeping |
Written |
54 |
1 |
54 |
3.00 |
162 |
$28.75 |
$4,658 |
|
Subtotal |
|
54 |
|
1,697 |
|
3,523 |
|
101,286 |
|
|
|
|
|
|
|
|
|
|
|
Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable) |
|
|
|
|
|
|
|
|
| 5002.32(b) |
Certification Regarding Debarment |
AD-1047 |
107 |
1 |
107 |
0.25 |
27 |
$28.75 |
$769 |
| 5002.32(b) |
Certification Regarding Drug-Free Workplace |
AD-1049 |
107 |
1 |
107 |
0.25 |
27 |
$28.75 |
$769 |
| 5002.32(b) |
Partial Payment Estimate |
RD 1924-18 |
107 |
1 |
107 |
0.50 |
54 |
$28.75 |
$1,538 |
| 5002.32(b) |
Contract Change Order |
RD 1924-7 |
107 |
1 |
107 |
0.25 |
27 |
$28.75 |
$769 |
| 5002.32(b) |
Equal Opportunity Agreement |
RD 400-1 |
107 |
1 |
107 |
0.16 |
17 |
$28.75 |
$492 |
| 5002.32(b) |
Assurance Agreement |
RD 400-4 |
107 |
1 |
107 |
0.25 |
27 |
$28.75 |
$769 |
| 5002.32(b) |
Operating Budget |
RD 442-7 |
107 |
1 |
107 |
5.00 |
535 |
$28.75 |
$15,381 |
| 5002.32(b) |
Balance Sheet or Financial Statement |
RD 442-3 |
107 |
1 |
107 |
1.00 |
107 |
$28.75 |
$3,076 |
| 5002.32(b) |
Agreement for Engineering Services |
RD 1942-19 |
107 |
1 |
107 |
4.00 |
428 |
$28.75 |
$12,305 |
| 5002.32(b) |
Resolution of Members or Stockholders |
RD 1942-8 |
21 |
1 |
21 |
1.00 |
21 |
$28.75 |
$604 |
| 5002.32(b) |
Opinion of Counsel Relative to Right-of-Way and Easements |
RD 442-22 |
107 |
1 |
107 |
1.00 |
107 |
$28.75 |
$3,076 |
| 5002.32(b) |
Statement of Budget, Income, and Equity |
RD 442-2 |
107 |
1 |
107 |
2.50 |
268 |
$28.75 |
$7,691 |
| 5002.32(b) |
Water Purchase Contract |
RD 442-30 |
21 |
1 |
21 |
1.00 |
21 |
$28.75 |
$604 |
| 5002.61(a) |
Letter of Intent |
RD 1942-46 |
54 |
1 |
54 |
1.00 |
54 |
$28.75 |
$1,553 |
| 5002.61(a) |
Estimate of Funds Needed for 30-Day Period Commencing ____" |
RD 440-11 |
54 |
1 |
54 |
1.00 |
54 |
$28.75 |
$1,553 |
| 5002.61(b) |
Grant Agreement |
1780-12 |
54 |
1 |
54 |
1.00 |
54 |
$28.75 |
$1,553 |
|
Subtotal |
|
|
|
1,381 |
|
1,826 |
|
$52,501 |
|
|
|
|
|
|
|
|
|
|
|
GRAND TOTAL |
|
|
|
4,021 |
|
7,843 |
|
$225,482 |
|
|
|
|
|
|
|
|
|
|
|
Forms Approved Under Other OMB Numbers |
|
|
|
|
|
|
|
|
|
Application for Federal Assistance |
SF 424 (4040-0004) |
107 |
1 |
107 |
1.00 |
107 |
|
|
|
Financial Status Report |
SF-269 (0348-0039) |
54 |
1 |
54 |
0.50 |
27 |
|
|