Summary Burden Spread Sheet - Form 36

USDA - RUS		Title of Information Document						OMB No.
		Special Evaluation Assistance for Rural Communities and Households Program (SEARCH)						0572-New
SUMMARY OF INFORMATION COLLECTION								Date Prepared
								2010
INSTRUCTIONS:				>	(f) TOTAL		(h) TOTAL		(k) 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-
NOFA	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)
	Burden associated with this package
	NON-FORM BURDEN
	Project Narrative	Written	50	1	50	2.00	100
	Supporting documentation	Written	50	1	50	6.00	300
	Certification Regarding Debarment	AD-1047	40	1	40	0.25	10
	Certification Regarding Drug-Free Workplace	AD-1049	40	1	40	0.25	10
	Certification for Contracts, Grants and Loans Regarding Lobbying	Written	40	1	40	0.25	10
	Certification Regarding Prohibited Tying Arrangements	Written	40	1	40	0.25	10
	Agreements for professional services	Written	40	1	40	4.00	160
	Relationship or Assocation with RUS Employees	Written	40	1	40	0.25	10
	Contracts for other services	Written	40	1	40	2.00	80
	Grant Agreement	Written	40	1	40	1.00	40
	Audits	Written	10	1	10	8.00	80
	Management report	Written	30	1	30	8.00	240
	Financial Status Report.	SF 269a	40	1	40	1.50	60
		Short Form
		0348-0038
	Request for Advance or Reimbursement  0348-0004)	SF 270
		0348-0004	40	1	40	1.00	40
	Burden hours associated with this package		50		540		1,150			Page 1
	FORMS APPROVED UNDER OTHER OMB NUMBERS
	Equal Opportunity Agreement	RD 400-1	40	1	40	0.17	7
		(0575-0018)
	Assurance Agreement	RD 400-4	40	1	40	0.25	10
		(0575-0018)
	Application for Federal Assistance	SF 424	50	1	50	1.00	50
		(4040-0004)
	Budget Information - Non-Construction Programs	SF 424A	50	1	50	1.00	50
		(4040-0006)
	Assurances - Non-Construction Programs	SF 424B	50	1	50	1.00	50
		(4040-0007)
	Operating Budget	RD 442-7	50	1	50	5.00	250
		(0575-0015)
	Agreement for Engineering Services	1942-19	40	1	40	4.00	160
		(0575-0015)
	Resolution of Members or Stockholders	RD 1942-8	40	1	40	1.00	40
		(0575-0015)
	Total burden associated with other packages				360		617			Page 2