0572-0139 Burden Worksheet

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Overview

12 Burden Hours Collection
12 Not Inc in Burden Hours
12 Est Prof Wage Rate
14 Annual Cost to Fed Gov Est

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Sheet 1: 12 Burden Hours Collection

USDA
RURAL UTILITIES SERVICE
RURAL DECENTRALIZED WATER SYSTEMS
INFORMATION COLLECTION BURDEN HOURS
0572 - 0139
May 2024
Estimated No. of Total Respondents (Applicants)		7							Estimated No. of Total Awards (Awardees)	6
Average hours per response		4.464							Number of responses per respondent	20.86
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	146		652		$34,963
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
	APPLICATION
	SAM Registration	SAM.gov	100%	7	1	7	2.00	14	$53.64	$751
1776.2 and RD Inst. 1900-D	Identify Employee Relationship	Written	100%	7	1	7	0.25	2	$53.64	$94
1776.5	Organizational Documents-Evidence of Legal Existence and Authority	Written	100%	7	1	7	0.25	2	$53.64	$94
1776.5	List of Directors and Officers	Written	100%	7	1	7	0.25	2	$53.64	$94
1776.5	Evidence of Tax Exempt Status	Written	100%	7	1	7	0.25	2	$53.64	$94
1776.7 (b)	Work Plan (Project Proposal, Work Plan, and Budget Justification)	Written	100%	7	1	7	60.00	420	$53.64	$22,529
1776.7(c)	Statement of Experience	Written	100%	7	1	7	4.00	28	$53.64	$1,502
1776.9 (d) (1)	Pro-forma Balance Sheet	Written	100%	7	1	7	4.00	28	$53.64	$1,502
1776.7 (d) (2)	Prior year Audit / Financial Statement	Written	100%	7	1	7	0.25	2	$53.64	$94
1776.7 (d) (3)	Pro-forma Income Statement and Cash Flow	Written	100%	7	1	7	4.00	28	$53.64	$1,502
				0		0		0	$53.64	$0
				0		0		0	$53.64	$0
	AWARD CLOSING, SERVICING, AND REPORTING
	SAM Maintenance	SAM.gov	100%	6	1	6	1.00	6	$53.64	$322
	Request for Obligation of Funds	1940-1	100%	6	1	6	0.25	2	$53.64	$80
1776.2, 3019.26 and 3052	Annual Audit / Financial Statement	Written	100%	6	1	6	0.25	2	$53.64	$80
1776.2 and 3019.51	Project Performance Report	Written
	Initial		100%	6	4	24	2.00	48	$53.64	$2,575
	Extension		100%	6	4	24	2.00	48	$53.64	$2,575
1776.2 and 3019.25	Request written approval of workplan changes	Written	67%	4	1	4	2.00	8	$53.64	$431
1776.1	Grant Agreement	Written	100%	6	1	6	2.00	12	$53.64	$644
				0		0		0	$53.64	$0
				0		0		0	$53.64	$0
				0		0		0	$53.64	$0
				0		0		0	$53.64	$0

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Sheet 2: 12 Not Inc in Burden Hours

USDA
RURAL UTILITIES SERVICE
RURAL DECENTRALIZED WATER SYSTEMS
INFORMATION COLLECTION BURDEN HOURS
0572 - 0139
May 2024
Estimated No. of Total Respondents (Applicants)		7							Estimated No. of Total Awards (Awardees)	6
Average hours per response		0.764							Number of responses per respondent	9.71
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	68		52		$2,785
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION
1776.2	Equal Opportunity Agreement (Cleared under 0575-0201)	RD 400-1	100%	7	1	7	0.167	1	$53.64	$63
1776.2	Assurance Agreement (Cleared under 0575-0201)	RD 400-4	100%	7	1	7	0.25	2	$53.64	$94
1776.2 and 3018.11	Disclosure of Lobbying Activities-(Cleared under 4040-0013)	SF-LLL	100%	6	1	6	0.167	1	$53.64	$54
1776.2 and 3019.22	Request for Advance or Reimbursement - (Cleared under 4040-0012)	SF 270
	Initial		100%	6	4	24	1.00	24	$53.64	$1,287
	Extension		100%	6	4	24	1.00	24	$53.64	$1,287
1776.7 (a)(1)	Application for Federal Assistance (Cleared under 4040-0004)	SF-424
	Initial		100%	6	1	6	1.00	6	$53.64	$322
	Revised		0%	0	1	0	1.00	0	$53.64	$0
1776.9(a)(2)	Budget Information - (Cleared under 4040-0006)	SF-424A
	Initial		100%	6	1	6	3.00	18	$53.64	$966
	Revised		0%	0	1	0	3.00	0	$53.64	$0
1776.2 and 3019.52	Federal Financial Report - (Cleared under 4040-0014)	SF-425
	Initial		100%	6	4	24	1.50	36	$53.64	$1,931
	Extension		100%	6	4	24	1.50	36	$53.64	$1,931

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Sheet 3: 12 Est Prof Wage Rate

USDA
RURAL UTILITIES SERVICE
RURAL DECENTRALIZED WATER SYSTEMS
INFORMATION COLLECTION BURDEN HOURS
0572 - 0139
May 2024
Instructions:
1. Use the U.S. Bureau of Labor Statistics Occupational Emplyment and Wage Statistics Link below to complete Columns A, B, C for the table below.
a. Click the link:	[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: How to navigate to obtain Prof. Wage Rate: 1) Click the website 2) Under the latest Month Year choose Occupation Profiles 3) Select 11-0000 Management Occupations 4) Select 11-1021 General Operations Managers 5) Use the Mean Hourly Wage https://www.bls.gov/oes/tables.htm
b. Under the latest Month Year (May 2022) click Occupation Profiles
c. Use the Occupational Titles to choose which professions (A) need to be added to the table below. You can more than one occupation or just one.
d. The code in front of each Occupational Title is the Occupation Code that goes in (B) for the table below.
e. When you click on each Occupational Titles, choose the Mean Hourly Wage to input in (C) for the table below.
2. Use the U.S. Bureau of Labor Economic News Release, Employer Costs for Employee Compension to complete Column D for the table below.
a. Click the link:	[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: How to obtain the Benefits %: 1) Click the website 2) Choose "The PDF version of the news release" 3) The current release is dated March 2023 and the reported % is in the 3rd paragraph on page 1 and it is 29.5% https://www.bls.gov/news.release/ecec.toc.htm
b. Choose "The PDF verison of the news release" link
c. The latest (September 12, 2023) News Release for Employer Costs for Employee Compensation - Juner 2023 opens in separate tab.
d. On first page, second paragraph use the benefit costs % of:			29.60%
3. For each profession fill in the % for (F). The total for the column should be 100%.
a. Note that if there is only one profession then (F) would be 100%.
Gray Columns have automatic formulas. DO NOT input numbers in these columns.
(A)	(B)	(C)	(D)	(E)	(F)	(G)
Profession	Bureau of Labor Occupation Code 1.d	Mean Wage 1.e	Benefits 2 (C) * (2.d)	Total Hourly Wage (C ) + (D)	% Time Spent on Burden	Weighted Hourly Salary (E) * (F)
Business and Financial Operations Occupations	13-0000	$41.39	$12.25	$53.64	100%	$53.64
TOTAL					100%	$53.64

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Sheet 4: 14 Annual Cost to Fed Gov Est

USDA
RURAL UTILITIES SERVICE
RURAL DECENTRALIZED WATER SYSTEMS
INFORMATION COLLECTION BURDEN HOURS
0572 - 0139
May 2024
OPM GS Pay Tables - Table 2023 DCB		https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/2024/general-schedule
OPM SES Schedules - Table 2023-ES		Executive Senior Level (opm.gov)
Benefit % (OMB Memo M-08 13)	https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/memoranda/2008/m08-13.pdf									36.25%
Gray & Blue Columns have automatic formulas. DO NOT input numbers in these columns.						Total	24.00	$2,101.79		$27,323.30
Staff Position	GS Grade	GS Step	GS Salary	Hourly Rate Calc	Benefits Calc	Total Salary Rate Calc	Hours Required	Cost Subtotals	# of Responses	Total Costs
Application							12.00	$1,051	7	$7,356.27
Community Program Specialist	13	5	$133,692	$64.28	$23.30	$87.57	12.00	$1,050.90
				$0.00	$0.00	$0.00		$0.00
First Administrative Phase							6.00	$525	7	$3,678.14
Community Program Specialist	13	5	$133,692	$64.28	$23.30	$87.57	6.00	$525.45
				$0.00	$0.00	$0.00		$0.00
Second Administrative Phase							3.00	$263	6	$1,576.34
Community Program Specialist	13	5	$133,692	$64.28	$23.30	$87.57	3.00	$262.72
				$0.00	$0.00	$0.00		$0.00
Servicing per Quarter (initial)							3.00	$263	24	$6,305.38
Community Program Specialist	13	5	$133,692	$64.28	$23.30	$87.57	3.00	$262.72
Servicing per Quarter (Extended)							3.00	$263	16	$4,203.59		4 qrts x 4 borrowers
Community Program Specialist	13	5	$133,692	$64.28	$23.30	$87.57	3.00	$262.72
End of Grant period							6.00	$525	6	$3,152.69
Community Program Specialist	13	5	$133,692	$64.28	$23.30	$87.57	6.00	$525.45
Closeout							2.00	$175	6	$1,050.90
Community Program Specialist	13	5	$133,692	$64.28	$23.30	$87.57	2.00	$175.15