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. 0575-0200
			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)
	NON FORM- COLLECTED AND ACCOUNTED FOR UNDER THIS COLLECTION
	Summary Page & Table of Contents	written	1,092	1	1,092	0.167	182	46.46	8,473	60.86	11,099
	Evidence of Legal Existence and Authority	written	1,092	1	1,092	0.25	273	46.46	12,684	60.86	16,615
	Narrative - Project Proposal, Track I	written	1,000	1	1,000	20	20,000	60.45	1,209,000	79.19	1,583,790
	Narrative - Project Proposal, Track II	written	92	1	92	120	11,040	60.45	667,368	79.19	874,252
	Environmental Information in response to 7 CFR 1970	written	1,092	1	1,092	5	5,460	46.46	253,672	60.86	332,310
	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	1,092	1	1,092	1	1,092	46.46	50,734	60.86	66,462
	Audits/Financial Statements	written	1,092	1	1,092	7	7,644	46.46	355,140	60.86	465,234
	CPA Certifications Regarding Funds Requested	written	500	1	500	4	2,000	72.84	145,680	95.42	190,841
	Intergovernmental Review Comments	written	1,092	1	1,092	0.25	273	46.46	12,684	60.86	16,615
	Documentation of Assistance Provided to Rural Development Employees	written	1,092	1	1,092	0.25	273	46.46	12,684	60.86	16,615
	Indirect Cost Rate Agreement	written	819		819	1	819	46.46	38,051	60.86	49,846
	Subtotal:				10,334		51,842		$2,934,608		$3,844,332
	APPLICATION SUBMISSIONS - FORM BURDEN ACCOUNTED FOR UNDER THIS COLLECTION
	AD Form 1047 – “Certification Regarding Debarment, Suspension, and Other Responsibility Matters”	AD-1047	765	1	765	0.25	191	46.46	8,881	60.86	11,634
	Form RD 3570-3 , “Community Facilities Grant Agreement.”	RD-3570	765	1	765	0.25	191	60.45	11,555	79.19	15,137
	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 RD 442-7, "Operating Budget"	RD 442-7	140	1	140	1	140	46.46	6,504	60.86	8,520
	Subtotal				1,950		802		$39,948		$52,331
	REPORTING REQs - NON FORMS -ACCOUNTED FOR UNDER THIS COLLECTION
	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	765	3	2,294	7	16,056	46.46	745,973	60.86	977,225
	Subtotal:				3,105		18,717		$869,545		$1,139,104
	ESTIMATED TOTAL FOR THIS COLLECTION		1,092		15,389		71,681		$3,844,101		$5,035,767
	REPORTING REQUIREMENTS – FORMS APPROVED UNDER OTHER OMB DOCKET NUMBERS
	Form RD 400-1, “Equal Opportunity Agreement”	RD 400-1	765	1	765	0.167	128	60.45	7,719	79.19	10,111
	Form RD 400-4, “Assurance Agreement”	RD 400-4	140	1	765	0.25	191	60.45	11,555	79.19	15,137
	Form SF 425 - “Federal Financial Report” (OMB No. 4040-0014)	SF-425	765	12	9,180	1	9,180	46.46	426,503	60.86	25,956,969
	Form SF 424 - “Application for Federal Assistance” (OMB No.4040-0004)	SF-424	765	1	765	1	765	46.46	35,542	60.86	46,560
	Total		2,435	15	11,475		10,264		481,319		26,028,777

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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	750	Updated to more closely align with actual applications received and anticipated funded. Average application amounts are larger than initial estimates.
Track II	125,000,000	7,500,000	10,000,000	8.33333	6	15	No change
	475,000,000					765
Estimated Applicants
Track I	1,000	Updated to more closely align with actual applications received and expected to receive until funding is no longer available.
Track II	92	Updated to more closely align with actual applications received by Track Two application deadline of October 12, 2021.
	1,092