Summary Burden Spreadsheet - Form 36

USDA - RUS		Title of Information Document						OMB No.	0572-0144
SUMMARY OF INFORMATION COLLECTION		7 CFR 1775 Technical Assistance Programs						Date Prepared
		ARRA Funding - 2009							Apr-10
INSTRUCTIONS:				>	(f) TOTAL		(h) TOTAL
Use this form when a single information collection document involves multiple reporting and				>	-	= (e) Average	-	= (g) Average	-	= (j) Average
recordkeeping requirements.				>	(d) TOTAL		(f) TOTAL		(i) TOTAL
IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS						ANNUAL BURDEN
		FORM			REPORTS				RECORDS
		NO(s)	NO. OF	NO. OF	TOTAL	HOURS	TOTAL	NO. OF	ANNUAL	TOTAL
SECTION OF		(If "none"	RESPON-	RESPONSES	ANNUAL	PER	HOURS	RECORD-	HOURS PER	RECORD-
REGULATIONS	DESCRIPTION	so state)	DENTS	PER	RESPONSES	RESPONSE	(Col. f & g)	KEEPERS	RECORD-	KEEPING
				RESPON-	(Col. d & e)				KEEPER	HOURS
				DENT						(Col. i & j)
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)	(j)	(k)
	Items Cleared With This Package
1775.10(d)(3)	Narrative	Written	15	1	15	2.00	30	1	1	1
1775.10(d)(6)	Budget justification	Written	15	1	15	10.00	150
1775.10(d)(1)	Legal Authority and Responsibility	Written	15	1	15	0.25	4
1775.10(d)(2)	Evidence of Tax Exempt Status	Written	15	1	15	0.25	4
1775.10(d)(8)	Scope of Work	Written	15	1	15	12.00	180
1775.13	Grant Agreement	RUS Bulletin 1775-1	1	1	1	2.00	2
1775.2	Project Performance Report	Written	1	4	4	12.00	48
1775.21	Audit	Written	1	1	1	3.00	3
	Financial Statements	Written	1	1	1	1.00	1
1775.10	Statement concerning assistance under the National Forest Service-Dependent Rural Communities Economic Diversification Act	Written	1	1	1	1.00	1
1775.10(c)(3)	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	AD-1047	1	1	1	0.25	0
1775.10(c)(5)	Certification Regarding Debarment	AD-1048	1	1	1	0.25	0
1775.10(c)(6)	Documentation of assistance provided to Rural Development employees	Written	1	1	1	0.25	0
1775.10(c)(9)	Indirect Cost Agreement	Written	15	1	15	1.00	15
								Page __1__ of __2__
1775.10(c)(10)	Statement of Compliance , Title VI of Civil Rights Act of 1964	Written	1	1	1	0.50	1
1775.10(d)(4)	Latest Financial Information	Written	15	1	15	1.00	15
1775.10(d)(7)	Evidence of Financial Management System	Written	15	1	15	0.25	4
1775.10(c)(4)	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - for Grantees Other Than Individuals	AD-1049	1	1	1	0.25	0
	Request for Advance or Reimbursement	SF 270	1	12	12	1.00	12
		(0348-0004)
	SubTotal Burden Hours		15		145		471	1	1	1
	TOTAL BURDEN HOURS UNDER THIS COLLECTION PACKAGE				145		472			1
	Items Cleared Under Other Packages
1775.10(c)(1)	Application for Federal Assistance (Non-construction Programs)	SF-424	15	1	15	0.75	11
		4040-0004
1775.10(c)(2)	Budget Information--Non-Construction Programs	SF-424A	15	1	15	3.00	45
		4040-0006
1775.10(c)(2)	Assurances--Non-construction Programs	SF-424B	15	1	15	0.25	4
		4040-0007
1775.10(c)(8)	Equal Opportunity Agreement	RD 400-1	1	1	1	0.17	0
		(0575-0018)
1775.10(c)(7)	Assurance Agreement	RD 400-4	1	1	1	0.25	0
		(0575-0018)
	Federal Financial Report	SF 425	1	4	4	1.50	6
		(0348-0061)
1775.10(c)(11)	Disclosure of Lobbying Activities	SF LLL	1	1	1	0.25	0
		(0348-0046)
	Burden Hours collected under other packages - - - ----SUBTOTAL		15		52		67
RUS Form 36 (07-91)									Page __2__ of __2__