| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||
| 7 CFR 4290, Rural Business Investment Program (RBIP) | 0570-0051 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| March 23, 2011 | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | |||||||||||||
| REPORTS | RESPONDENT COST | |||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | ANNUAL | COST | |||||||
| SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | COST PER | PER YEAR | |||||
| REGS | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | HOUR | (Col. I x J) | |||||||
| RESPONDENT | ||||||||||||||
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| APPLICATION | ||||||||||||||
| RBIC Application MAQ, part I | SBA 2241 | 1 | 0.00 | 0.00 | 8.00 | 0.00 | $75.00 | $0.00 | ||||||
| (plus additional one time fee of $5,000) | ||||||||||||||
| RBIC Application, part II | SBA 2242 | 1 | 0.00 | 0.00 | 8.00 | 0.00 | $75.00 | $0.00 | ||||||
| Interview Questions | SBA 2243* | 0 | 1.00 | 0.00 | 1.50 | 0.00 | $75.00 | $0.00 | ||||||
| (plus $1,500 x 3 prins x 10 applications) | 0 | |||||||||||||
| PRE FINAL APPROVAL | ||||||||||||||
| Bank Identification Report | SBA 34* | 0 | 1.00 | 0.00 | 0.33 | 0.00 | $25.00 | $0.00 | ||||||
| Compensation Agreement | SBA 159* | 0 | 1.00 | 0.00 | 0.08 | 0.00 | $75.00 | $0.00 | ||||||
| Disclosure of Third Party Debt | SBA 2244* | 0 | 1.00 | 0.00 | 0.10 | 0.00 | $25.00 | $0.00 | ||||||
| Request for Approval of Management Service Fees | SBA 2245 | 1 | 0.00 | 0.00 | 4.00 | 0.00 | $75.00 | $0.00 | ||||||
| SUBTOTAL = Total Annual Burden for Application (one year) NOTE: Forms marked with an * are not completed by the participating RBIC. | 0.00 | 0.00 | 0.00 | $0.00 | $0.00 | |||||||||
| TOTAL FOR THIS DOCKET | 125.00 | 112.00 | 0.00 | $0.00 | $6,737.50 | |||||||||
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" = OMB 831, 13c | 125.00 | 112.00 | ||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||
| 7 CFR 4290, Rural Business Investment Program (RBIP) | 0570-0051 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| March 23, 2011 | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | |||||||||||||
| REPORTS | RESPONDENT COST | |||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | ANNUAL | COST | |||||||
| SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | COST PER | PER YEAR | |||||
| REGS. | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | HOUR | (Col. I x J) | |||||||
| RESPONDENT | ||||||||||||||
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| RBIC FUNDING & REPORTING | ||||||||||||||
| Annual Financial Report (submitted 4th quarter) | SBA 468 | 1 | 1.00 | 1.00 | 17.00 | 17.00 | $75.00 | $1,275.00 | ||||||
| Annual Financial Report - Short Form (submitted first 3 quarters) | SBA 468 | 1 | 3.00 | 3.00 | 11.25 | 33.75 | $75.00 | $2,531.25 | ||||||
| Schedule 9/10/11 | SBA 468 | 1 | 4.00 | 4.00 | 4.75 | 19.00 | $75.00 | $1,425.00 | ||||||
| Portfolio Financing Report | SBA 1031 | 1 | 45.00 | 45.00 | 0.20 | 9.00 | $25.00 | $225.00 | ||||||
| Size Status Declaration | SBA 480 | 1 | 45.00 | 45.00 | 0.17 | 7.65 | $25.00 | $191.25 | ||||||
| Amendment to RBIC Application | SBA 2246 | 1 | 9.00 | 9.00 | 1.00 | 9.00 | $25.00 | $225.00 | ||||||
| Instruction for RBIC Draw Application | SBA 2247 | 1 | 12.00 | 12.00 | 0.75 | 9.00 | $75.00 | $675.00 | ||||||
| SUBTOTAL | 119.00 | 104.40 | 0 | $6,547.50 | ||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||
| 7 CFR 4290, Rural Business Investment Program (RBIP) | 0570-0051 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| March 23, 2011 | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | |||||||||||||
| REPORTS | RESPONDENT COST | |||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | ANNUAL | COST | |||||||
| SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | COST PER | PER YEAR | |||||
| REGS. | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | HOUR | (Col. I x J) | |||||||
| RESPONDENT | ||||||||||||||
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| OA GRANT FUNDING & REPORTING | ||||||||||||||
| Detailed Expenditures | No Form Number | 1 | 4.00 | 4.00 | 0.90 | 3.60 | $25.00 | $90.00 | ||||||
| OA Grant Performance Report | SBA 2248 | 1 | 2.00 | 2.00 | 2.00 | 4.00 | $25.00 | $100.00 | ||||||
| SUBTOTAL | 6.00 | 7.60 | 0 | $190.00 | ||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||
| 7 CFR 4290, Rural Business Investment Program (RBIP) | 0570-0051 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| March 23, 2011 | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | |||||||||||||
| REPORTS | RESPONDENT COST | |||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | ANNUAL | COST | |||||||
| SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | COST PER | PER YEAR | |||||
| REGS. | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | HOUR | (Col. I x J) | |||||||
| RESPONDENT | ||||||||||||||
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| Forms Approved Under Other OMB Numbers | ||||||||||||||
| Approved (0348-0039) | Financial Status Report | SF 269 | 1 | 4.00 | 4.00 | 0.50 | 2.00 | $25.00 | $50.00 | |||||
| Approved (0348-0004) | Request for Advance or Reimbursement | SF 270 | 1 | 4.00 | 4.00 | 1.00 | 4.00 | $25.00 | $100.00 | |||||
| Approved (0348-0003) | Federal Cash Transaction Report | SF 272 | 1 | 4.00 | 4.00 | 2.00 | 8.00 | $25.00 | $200.00 | |||||
| Approved (4040-0004) | Application for Federal Assistance | SF 424 | 0 | 1.00 | 0.00 | 0.75 | 0.00 | $75.00 | $0.00 | |||||
| Approved (4040-0006) | Budget Information | SF 424A | 0 | 1.00 | 0.00 | 3.00 | 0.00 | $75.00 | $0.00 | |||||
| Approved (4040-0007) | Assurances | SF 424B | 0 | 1.00 | 0.00 | 0.25 | 0.00 | $75.00 | $0.00 | |||||
| SUBTOTAL | 12.00 | 14.00 | 0 | $350.00 | ||||||||||
| File Type | application/CDFV2-corrupt |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |