Spreadsheet

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Overview

Public Burden - Summary
Staff Burden
Est. Appl & Grantees

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Sheet 1: Public Burden - Summary

				OMB No. 0575-NEW
			American Rescue Plan Act (ARPA) Emergency Rural Health Care (ERHC) Grant Program
IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS						ANNUAL BURDEN							https://www.bls.gov/oes/current/oes_stru.htm#13-0000
		FORM			REPORTS									hourly wage	w/ benefits
		NO(s)	NO. OF	NO. OF	TOTAL	HOURS	TOTAL	Wages	Cost to	Wage	Cost to		11-3031 Financial Manager	72.84	Plan, direct, or coordinate accounting, investing, banking, insurance, securities, and other financial activities of a branch, office, or department of an establishment. Excludes "Financial Risk Specialists" (13-2054).
SECTION OF		(If "none"	RESPON-	RESPONSES	ANNUAL	PER	HOURS	Class	the public	incl benefits	the public		11-1021 General and Operations Mgrs	60.45	Plan, direct, or coordinate the operations of public or private sector organizations, overseeing multiple departments or locations. Duties and responsibilities include formulating policies, managing daily operations, and planning the use of materials and human resources, but are too diverse and general in nature to be classified in any one functional area of management or administration, such as personnel, purchasing, or administrative services. Usually manage through subordinate supervisors. Excludes First-Line Supervisors.
REGULATIONS	DESCRIPTION	so state)	DENTS	PER	RESPONSES	RESPONSE	(Col. f & g)			31%	incl benefits		13-2098 Financial specialists	46.46
				RESPON-	(Col. d & e)			$ / hr	(h) x (i)	(i) x 1.31	(h) x (k)
				DENT
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)	(j)	(k)	(l)
	APPLICATION SUBMISSIONS - NON FORMS
	Summary Page & Table of Contents	written	3,392	1	3,392	0.167	566	46.46	26,316	60.86	34,474
	Evidence of Legal Existence and Authority	written	3,392	1	3,392	0.25	848	46.46	39,395	60.86	51,608
	Narrative - Project Proposal, Track I	written	3,352	1	3,352	20	67,035	60.45	4,052,284	79.19	5,308,491
	Narrative - Project Proposal, Track II	written	40	1	40	120	4,800	60.45	290,160	79.19	380,110
	Environmental Information in response to 7 CFR 1970	written	3,392	1	3,392	5	16,959	46.46	787,907	60.86	1,032,158
	Preliminary Architectural Feasibility Report or Engineering Documentation	written	279	1	279	10	2,786	60.45	168,438	79.19	220,653
	Matching Funds Certification & Documentation	written	3,392	1	3,392	1	3,392	46.46	157,581	60.86	206,432
	Audits/Financial Statements	written	3,392	1	3,392	7	23,742	46.46	1,103,070	60.86	1,445,021
	CPA Certifications Regarding Funds Requested	written	1,676	1	1,676	4	6,704	72.84	488,285	95.42	639,653
	Intergovernmental Review Comments	written	3,392	1	3,392	0.25	848	46.46	39,395	60.86	51,608
	Documentation of Assistance Provided to Rural Development Employees	written	3,392	1	3,392	0.25	848	46.46	39,395	60.86	51,608
	Indirect Cost Rate Agreement	written	2,544	1	2,544	1	2,544	46.46	118,186	60.86	154,824
	Subtotal:				31,635		131,072		7,244,701		9,576,640
	APPLICATION SUBMISSIONS - FORMS
	AD Form 1047 – “Certification Regarding Debarment, Suspension, and Other Responsibility Matters”	AD-1047	3,062	1	3,062	0.25	765	46.46	35,561	60.86	46,585
	Subtotal		3,062	1	3,062	0.25	765	46.46	35,561	60.86	46,585
	REPORTING REQs - NON FORMS
	Lease/Management Agreement	written	253	1	253	5	1,267	46.46	58,844	60.86	77,085
	Liens on real property	written	279	1	279	1	279	46.46	12,946	60.86	16,959
	Interim Financing	written	279	1	279	4	1,115	46.46	51,782	60.86	67,835
	Audits/Financial Statements	written	3,062	3	9,185	7	64,294	46.46	2,987,122	60.86	3,913,130
	Subtotal:				9,996		66,955		3,110,694		4,075,009
	Estimated total for this collection		3,392		44,693		198,792		10,390,956		13,698,234
	REPORTING REQUIREMENTS – FORMS APPROVED UNDER OTHER OMB DOCKET NUMBERS
	Form SF 425 - “Federal Financial Report” (OMB No. 4040-0014)	SF-425	3,062	12	36,740	1	36,740	46.46	1,706,927	60.86	2,236,074
	Form RD 3570-3 , “Community Facilities Grant Agreement.”	RD-3570	3,062	1	3,062	0.25	765	60.45	46,269	79.19	60,612
	Form RD 400-1, “Equal Opportunity Agreement”	RD 400-1	3,062	1	3,062	0.167	511	60.45	30,908	79.19	40,489
	Form RD 400-4, “Assurance Agreement”	RD 400-4	3,062	1	3,062	0.25	765	60.45	46,269	79.19	60,612
	Form RD 442-7, "Operating Budget"	RD 442-7	140	1	140	1	140	46.46	6,504	60.86	8,520
	Form RD 442-2, "Statement of Budget, Income and Equity"	RD 442-2	140	1	140	1	140	46.46	6,504	60.86	8,520
	Form RD 442-3, "Balance Sheet"	RD 442-3	140	1	140	1	140	46.46	6,504	60.86	8,520
	Form SF 424 - “Application for Federal Assistance” (OMB No. 4040-0004)	SF-424	3,062	1	3,062	1	3,062	46.46	142,244	60.86	186,340
	Total				49,408		42,263		1,992,129		2,609,687
			3,062
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Sheet 2: Staff Burden

	Avg Grade Level	# Staff	Annual Salary	% of Time	Cost to Administer	Note
National Office	14/5	1	138,866	75	111,093
	13/5	5	117,516	75	470,064
State Office (rest of US)	13/5	47	104,429	75	3,926,530
	11/5	47	73,271	75	2,754,990	Revised 5/10/21 to GS 11/5
					7,262,677

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Sheet 3: Est. Appl & Grantees

Estimated Awardees
	Available Funding	Avg Grant Size - Low	Avg Grant Size - Hi	Est. # Low	Est. # High	Est. # Total Awards	Explanation
Track I	350,000,000	50,000	850,000	2800	247	3047	Estimating that approx 40% of the Track I funding will go to smaller projects requesting equipment, etc.; Estimating approx 60% of funding goes to projects involving construction.
Track II	125,000,000	7,500,000	10,000,000	8.33333333333333	6	15
	475,000,000					3062
Estimated Applicants
Track I	3,352	Estimating slightly higher # of applicants than awardees, assuming we will run out of available funding and stop accepting applications
Track II	40
	3,392
Estimated Time for RD Employees
		#	% of Time
National Office Employees
State Office Specialists