| Burden Estimate for Applicants for Socially Disadvantaged Groups Grant Program 2016 |
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| USDA Rural Business-Cooperative Service |
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| Section of Regulation |
Title |
Form Number |
Estimated Number of Respondents |
Reports Filed Annually |
Total Annual Responses |
Estimated Number of Hours Per Response |
Estimated Total Hours |
Wage Class (per hour) |
Cost to the Public |
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| REPORTING REQUIREMENTS - NO FORMS |
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| Section D (2)(g) |
Executive Summary |
Written |
60 |
1 |
60 |
0.5 |
30 |
$39 |
$1,170 |
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| Section D (2)(g) |
Budget/Work Plan |
Written |
60 |
1 |
60 |
2 |
120 |
$39 |
$4,680 |
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| Section D (2) (h) |
Eligibility Discussion |
Written |
60 |
1 |
60 |
1 |
60 |
$39 |
$2,340 |
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| Section D (2) (i) |
Scoring Criterion |
Written |
60 |
1 |
60 |
4 |
240 |
$39 |
$9,360 |
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| Section D (2)(j) |
Performance Measures |
Written |
60 |
1 |
60 |
1 |
60 |
$39 |
$2,340 |
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| Section D (5) |
Intergov. Review Comments |
Written |
60 |
1 |
60 |
1 |
60 |
$39 |
$2,340 |
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| Section F(3) |
Project Performance Report |
Written |
20 |
2 |
40 |
2 |
80 |
$39 |
$3,120 |
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| Section F (2) |
Grant Agreement |
Written |
20 |
1 |
20 |
1 |
20 |
$39 |
$780 |
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SUB TOTAL |
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420 |
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670 |
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$26,130 |
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| FORMS APPROVED UNDER THIS DOCKET |
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| Section F(2) |
Letter of Intent to Meet Conditions |
Form RD 1942-46 |
20 |
1 |
20 |
1 |
20 |
$39 |
$780 |
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| Section F(2) |
Assurance Agreement |
Form RD 400-4 |
20 |
1 |
20 |
0.25 |
5 |
$39 |
$195 |
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SUB TOTAL |
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40 |
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25 |
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$975 |
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| REPORTING REQUIREMENTS APPROVED UNDER OTHER OMB NUMBERS |
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| Section F(2) |
Application for Federal Assistance (For Nonconstruction) |
Form SF-424 4040-0004 |
20 |
1 |
20 |
1 |
20 |
$39 |
$780 |
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| Section F(2) |
Budget Information-Non-Construction Programs |
Form SF-424A 4040-0006 |
20 |
1 |
20 |
1 |
20 |
$39 |
$780 |
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| Section F(3) |
Financial Report -Semi-Annual |
Form SF-425 4040-0014 |
20 |
3 |
60 |
1 |
60 |
$39 |
$2,340 |
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| Section F(2) |
Assurances--Non-Construction Programs |
Form SF-424B 4040-0007 |
20 |
1 |
20 |
0.5 |
10 |
$39 |
$390 |
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| Section F(2) |
Request for Advance or Reimbursement |
Form SF-270 4040-0012 |
20 |
8 |
160 |
1 |
160 |
$39 |
$6,240 |
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SUB TOTAL |
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TOTAL ALL APPLICANT COSTS |
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marjorie.galanos:
This # is used to reply to the "2 page NOTICE" of "estimated # of responses per respondent on page 2. PER: MLG 8/27/12.
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460 |
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695 |
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$27,105.00 |
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