Spreadsheet for Water Servicing ICP

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Title of Information Document

USDA - RUS

SUMMARY OF INFORMATION COLLECTION

>
>
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INSTRUCTIONS:
Use this form when a single information collection document involves multiple reporting and
recordkeeping requirements.

(f) TOTAL
(d) TOTAL

FORM

REGULATIONS

DESCRIPTION

0572-NEW
Date Prepared

(h) TOTAL

Jul-07

(k) TOTAL

--------------------- = (e) Average --------------------- = (g) Average --------------------- = (j) Average

IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS

SECTION OF

OMB No.

7 CFR 1782
Servicing of Water and Waste Programs

(f) TOTAL

(i) TOTAL

ANNUAL BURDEN

REPORTS

RECORDS

NO(s)

NO. OF

NO. OF

TOTAL

HOURS

TOTAL

NO. OF

ANNUAL

TOTAL

(If "none"

RESPON-

RESPONSES

ANNUAL

PER

HOURS

RECORD-

HOURS PER

RECORD-

so state)

DENTS

PER

RESPONSES

RESPONSE

(Col. f & g)

KEEPERS

RECORD-

KEEPING

RESPON-

(Col. d & e)

KEEPER

DENT

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

(i)

(j)

Reporting requirements – No Forms
Approved
1782.17
1782.9
1782.13(d)(1)
1782.13(a)(7)
1782.13(a)(9)
1782.13(b)(1)
1782.19
1782.11(a)(8)
1782.11(a)(11)(i)
1782.20(l)(4)(i)(D)
1782.20(l)(5)(ii)(E)

Parity
Environmental Requirements
Assumption of terms of grant agreement
Consent of Lienholders
Insurance
New debt Instruments
Management Agreements
Surveying Lenders
Written Evidence (Exhibit C)
Repayment Agreement
Rescheduling Agreement (Exhibit E)

HOURS
(Col. i & j)

10
10
10
10
10
10
100
250
100
3
10

1
1
1
1
1
1
1
1
1
1
1

10
10
10
10
10
10
100
250
100
3
10

1.00
12.00
0.25
1.00
2.00
2.00
1.00
1.00
1.00
1.00
0.50

10
120
3
10
20
20
100
250
100
3
5

888

0.59

523

1.22

641

Page __1__ of __2__

(k)

ANNUAL BURDEN

IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS

FORM
SECTION OF
REGULATIONS

DESCRIPTION

REPORTS

RECORDS

NO(s)

NO. OF

NO. OF

TOTAL

HOURS

TOTAL

NO. OF

ANNUAL

TOTAL

(If "none"

RESPON-

RESPONSES

ANNUAL

PER

HOURS

RECORD-

HOURS PER

RECORD-

so state)

DENTS

PER

RESPONSES

RESPONSE

(Col. f & g)

KEEPERS

RECORD-

KEEPING

RESPON-

(Col. d & e)

KEEPER

DENT

(a)

1782.12(a)(4)(i)

1782.11(a)(10)(i)

1782.11(a)(10)(i)

1782.17(e)(3)

1782.17(e)(1)

1782.13(a) (8)

1782.13(a)(10)

1782.20(l)(2)

1782.20(l)(5)(ii)(D)

1782.20(a) (4)

1782.20(p)(2)(i)(A)

RUS Form 36 (07-91)

(b)

Reporting Requirements Forms Approved
Under other OMB Numbers
Assurance Agreement

Statement of Budget, Income, and Equity

Balance Sheet

Operating Budget

Application for Partial Release, Subordination,
or Consent
Letter of Conditions

Assumption Agreement

Workout Agreement

Reamortization Request

Application for Settlement of Indebtedness

Offer to Convey Security

(c)

400-4
(05750018)
442-2
(05750015)
442-3
(05750015)
442-7
(05750015)
465-1
(05600158)
1942-46
(05750015)
1951-15
(05750066)
1951-10
(05750066)
1951-33
(05750066)
1956-1
(05750118)
1955-1
(05750172)

(d)

HOURS
(Col. i & j)

(e)

(f)

(g)

(h)

(i)

125

1

125

0.25

31

500

1

500

2.50

1,250

500

1

500

1.00

500

10

1

10

5.00

50

100

1

100

1.00

100

25

1

25

1.00

25

11

1

11

0.50

6

20

1

20

3.00

60

20

1

20

1.00

20

10

1

10

0.50

5

10

1

10

0.25

3

(j)

(k)

Page __2__ of __2__