|
|
|
|
|
|
|
|
|
|
|
2019 OMB NO. 0570-0070 - 7 CFR 4280-E RURAL BUSINESS DEVELOPMENT GRANT PROGRAM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Section of Regulation |
Title |
Form Number |
Estimated Number of Respondents |
Reports Filed Annually |
Total Annual Responses |
Estimated Number of Hours per Response |
Estimated Total Burden Hours |
Wage Class (per hour) |
Cost to the Public |
| (a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(I) |
(j) |
|
|
|
|
|
|
|
|
|
|
|
REPORTING REQUIREMENTS - NO FORMS |
|
|
|
|
|
|
|
|
| 4280.405 |
Request for Appeal |
letter |
130 |
1 |
130.00 |
0.5 |
65 |
$64 |
$4,160 |
| 4280.410(f) |
Intergovernmental Consultations |
written |
540 |
1 |
540.00 |
2 |
1,080 |
$64 |
$69,120 |
| 4280.427(b) |
Organizational Documents |
written |
920 |
1 |
920.00 |
1 |
920 |
$64 |
$58,880 |
| 4280.427(c) |
Scope of Work |
written |
920 |
1 |
920.00 |
40 |
36,800 |
$64 |
$2,355,200 |
| 4280.427(d)(4) |
Evidence of Commitment by Small Business |
written |
920 |
1 |
920.00 |
1 |
920 |
$64 |
$58,880 |
| 4280.427(d)(6) |
Evidence of Experience |
written |
920 |
1 |
920.00 |
1 |
920 |
$64 |
$58,880 |
| 4280.427(e) |
Financial Information |
written |
920 |
1 |
920.00 |
0.5 |
460 |
$64 |
29440 |
| 4280.427(g) |
Evidence of Commitment by Other Funding Sources |
written |
540 |
1 |
540.00 |
0.5 |
270 |
$64 |
$17,280 |
| 4280.427(h) |
Budget |
written |
450 |
1 |
450.00 |
2 |
900 |
$64 |
$57,600 |
| 4280.434 |
Brief Narrative on Selection Priorities |
written |
920 |
1 |
920.00 |
4 |
3,680 |
$64 |
$235,520 |
| 4280.435(h) |
Commitment by Business of Jobs Created/Supported |
written |
920 |
1 |
920.00 |
1 |
920 |
$64 |
$58,880 |
| 4280.435(k) |
Evidence Project is Covered by a Plan |
written |
920 |
1 |
920.00 |
1 |
920 |
$64 |
$58,880 |
| 4280.439(c) |
Appraisal Report |
written |
72 |
1 |
72.00 |
4 |
288 |
$64 |
$18,432 |
| 2 CFR 200 |
Project Performance Report |
written |
450 |
4 |
1800.00 |
2 |
3,600 |
$64 |
$230,400 |
| 2 CFR 200 |
Evidence of Fidelity Bond Insurance |
policy |
450 |
1 |
450.00 |
1 |
450 |
$64 |
$28,800 |
| 2 CFR 200 |
Audit Report |
written |
25 |
1 |
25.00 |
6 |
150 |
$64 |
$9,600 |
| 2 CFR 200 |
Plan to Provide Financial Assistance to Third Parties |
written |
130 |
1 |
130.00 |
16 |
2,080 |
$64 |
$133,120 |
|
Subtotals |
|
|
|
11,497 |
|
54,423 |
|
$3,483,072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
REPORTING REQUIREMENTS - FORMS |
|
|
|
|
|
|
|
|
| 4280.408(d) |
Request for Environmental Information |
RD 1970-A Exhibit C |
450 |
1 |
450 |
6 |
2,700 |
$64 |
$172,800 |
| 4280.410(d) |
Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - for Grantees other than individuals |
AD - 1049 |
450 |
1 |
450 |
0.25 |
113 |
$64 |
$7,200 |
| 4280.410(e) |
Certification Regarding Debarment Suspension & Other Resp. Matters Primary Covered Trans. |
AD - 1047 |
450 |
1 |
450 |
0.25 |
113 |
$64 |
$7,200 |
| 4280.410(e) |
Certification Regarding Debarment, Suspension, Ineligibility and & Vol. Excl. |
AD - 1048 |
450 |
1 |
450 |
0.25 |
113 |
$64 |
$7,200 |
|
Subtotals |
|
|
|
1,800 |
|
3,038 |
|
$194,400 |
|
|
|
|
|
|
|
|
|
|
|
RECORD KEEPING REQUIREMENTS |
|
|
|
|
|
|
|
|
|
Financial Records |
Records |
450 |
1 |
450 |
3 |
1,350 |
$64 |
$86,400 |
|
Property Records |
Records |
450 |
1 |
450 |
3 |
1,350 |
$64 |
$86,400 |
|
Totals |
|
|
|
900 |
|
2,700 |
|
$172,800 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
REPORTING REQUIREMENTS APPROVED UNDER OTHER OMB NUMBERS |
|
|
|
|
|
|
|
|
| 4280.408(b) |
Equal Opportunity Agreement |
RD 400-1 (0575-0018) |
450 |
1 |
450 |
0.25 |
113 |
$64 |
$7,200 |
| 4280.439(c) |
Letter of Intent to Meet Conditions |
RD 1942-46 (0575-0015) |
450 |
1 |
450 |
1 |
450 |
$64 |
$28,800 |
| 2 CFR 200 |
Federal Financial Report |
SF - 425 (4040-0014) |
450 |
4 |
1,644 |
1.5 |
2,466 |
$64 |
$157,824 |
| 2 CFR 200 |
Reporting of IRP/RDLF Lending Activity |
RD 1951-4 (0570-0015) |
75 |
4 |
300 |
1 |
300 |
$64 |
$19,200 |
| 2 CFR 200 |
Assurance Agreement |
RD 400-4 (0575-0018) |
450 |
1 |
450 |
0.25 |
113 |
$64 |
$7,200 |
|
Disclosure of Lobbying Activities |
SF-LLL (4040-0013) |
450 |
1 |
450 |
0.16 |
72 |
$64 |
$4,608 |
|
Application for Federal Assistance |
SF - 424 (4040-0004) |
920 |
1 |
920 |
2 |
1,840 |
$64 |
$117,760 |
|
Request for Advance or Reimbursement |
SF - 270 (4040-0012) |
450 |
12 |
5,400 |
1 |
5,400 |
$64 |
$345,600 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Written and Form requirements |
|
|
|
13,297 |
4.3 |
57461 |
|
$3,483,072.00 |
|
Record keeping requirements |
|
|
|
900 |
3 |
2700 |
|
$172,800.00 |
|
Grand Total |
|
920 |
|
14,197 |
7.3 |
60161 |
|
$3,655,872.00 |