Spreadsheet Summary - Form 36

USDA - RUS		Title of Information Document						OMB No.
		Special Evaluation Assistance for Rural Communities and Households Program (SEARCH)						0572-0146
SUMMARY OF INFORMATION COLLECTION								Date Prepared
								2013
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	16	1	16	2.00	32
	Supporting documentation	Written	16	1	16	6.00	96
	Certification Regarding Debarment	AD-1047	16	1	16	0.25	4
	Certification Regarding Drug-Free Workplace	AD-1049	16	1	16	0.25	4
	Certification for Contracts, Grants and Loans Regarding Lobbying	Written	16	1	16	0.25	4
	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction.”	AD-1048	16	1	16	0.25	4
	Certification Regarding Prohibited Tying Arrangements	Written	16	1	16	0.25	4
	Agreements for professional services	Written	16	1	16	4.00	64
	Relationship or Assocation with RUS Employees	Written	16	1	16	0.25	4
	Grant Agreement	RUS Bulletin 1780-12	16	1	16	1.00	16
	Audits	Written	16	1	16	8.00	128
	Management report	Written	16	1	16	8.00	128
	Burden hours associated with THIS package		16		192		488			Page 1
	FORMS APPROVED UNDER OTHER OMB NUMBERS
	Equal Opportunity Agreement	RD 400-1	16	1	16	0.17	3
		(0575-0018)
	Assurance Agreement	RD 400-4	16	1	16	0.25	4
		(0575-0018)
	Application for Federal Assistance	SF 424	16	1	16	1.00	16
		(4040-0004)
	Budget Information - Non-Construction Programs	SF 424A	16	1	16	1.00	16
		(4040-0006)
	Assurances - Non-Construction Programs	SF 424B	16	1	16	1.00	16
		(4040-0007)
	Operating Budget	RD 442-7	16	1	16	5.00	80
		(0575-0015)
	Resolution of Members or Stockholders	RD 1942-8	16	1	16	1.00	16
		(0575-0015)
	Total burden associated with OTHER packages		16		112		151			Page 2
	Total COMBINED burden associated with this package		16		304		639