Spreadsheet

INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.								TITLE OF INFORMATION COLLECTION DOCUMENT					OMB NO.
								7 CFR 4290, Rural Business Investment Program (RBIP)					0570-0051
													DATE PREPARED
													December 14, 2007
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT							ANNUAL BURDEN
							REPORTS					RESPONDENT COST
														TOTAL
						FORMS NO (S)	NO. OF	NO OF	TOTAL ANNUAL	HOURS	TOTAL		ANNUAL	COST
SECTION OF	DESCRIPTION					(If "none"	RESPONDENTS	RESPONSES	RESPONSES	PER	HOURS		COST PER	PER YEAR
REGS						so state)		PER	(Col. D x E)	RESPONSE	(Col. F x G)		HOUR	(Col. I x J)
								RESPONDENT
(A)	(B)					(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
	APPLICATION								0.00		0.00		$0.00	$0.00
	RBIC Application MAQ, part I					SBA 2241	25	1.00	25.00	120.00	3,000.00		$75.00	$225,000.00
	(plus additional one time fee of $5,000)						25							$125,000.00
	RBIC Application, part II					SBA 2242	25	1.00	25.00	120.00	3,000.00		$75.00	$225,000.00
	Interview Questions					SBA 2243	10	1.00	10.00	1.50	15.00		$75.00	$1,125.00
	(plus $1,500 x 3 prins x 10 applications)						10							$45,000.00
	PRE FINAL APPROVAL								0.00		0.00		$0.00	$0.00
	Bank Identification Report					SBA 34	3	1.00	3.00	0.33	0.99		$25.00	$24.75
	Compensation Agreement					SBA 159	3	1.00	3.00	0.08	0.25		$75.00	$18.68
	Disclosure of Third Party Debt					SBA 2244	3	1.00	3.00	0.10	0.30		$25.00	$7.50
	Request for Approval of Management Service Fees					SBA 2245	3	1.00	3.00	4.00	12.00		$75.00	$900.00
	SUBTOTAL = Total Annual Burden for Application (one year)								72.00		6,028.54	0.00	$0.00	$622,075.93
	TOTAL FOR THIS DOCKET								501.00		6,446.14	0.00	$0.00	$644,328.43
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" = OMB 831, 13c									501.00		6,446.14
INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.								TITLE OF INFORMATION COLLECTION DOCUMENT					OMB NO.
								7 CFR 4290, Rural Business Investment Program (RBIP)					0570-0051
													DATE PREPARED
													December 14, 2007
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT							ANNUAL BURDEN
							REPORTS					RESPONDENT COST
														TOTAL
						FORMS NO (S)	NO. OF	NO OF	TOTAL ANNUAL	HOURS	TOTAL		ANNUAL	COST
SECTION OF	DESCRIPTION					(If "none"	RESPONDENTS	RESPONSES	RESPONSES	PER	HOURS		COST PER	PER YEAR
REGS.						so state)		PER	(Col. D x E)	RESPONSE	(Col. F x G)		HOUR	(Col. I x J)
								RESPONDENT
(A)	(B)					(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
	RBIS FUNDING & REPORTING								0.00		0.00		$0.00	$0.00
	Annual Financial Report (submitted 4th quarter)					SBA 468	3	1.00	3.00	17.00	51.00		$75.00	$3,825.00
	Annual Financial Report - Short Form (submitted first 3 quarters)					SBA 468	3	3.00	9.00	11.25	101.25		$75.00	$7,593.75
	Schedule 9/10/11					SBA 468	3	4.00	12.00	4.75	57.00		$75.00	$4,275.00
	Portfolio Financing Report					SBA 1031	3	45.00	135.00	0.20	27.00		$25.00	$675.00
	Size Status Declaration					SBA 480	3	45.00	135.00	0.17	22.95		$25.00	$573.75
	Amendment to RBIC Application					SBA 2246	3	9.00	27.00	1.00	27.00		$25.00	$675.00
	Instruction for RBIC Draw Application					SBA 2247	3	12.00	36.00	0.75	27.00		$75.00	$2,025.00
	SUBTOTAL								357.00		313.20	0		$19,642.50
INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.								TITLE OF INFORMATION COLLECTION DOCUMENT					OMB NO.
								7 CFR 4290, Rural Business Investment Program (RBIP)					0570-0051
													DATE PREPARED
													December 14, 2007
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT							ANNUAL BURDEN
							REPORTS					RESPONDENT COST
														TOTAL
						FORMS NO (S)	NO. OF	NO OF	TOTAL ANNUAL	HOURS	TOTAL		ANNUAL	COST
SECTION OF	DESCRIPTION					(If "none"	RESPONDENTS	RESPONSES	RESPONSES	PER	HOURS		COST PER	PER YEAR
REGS.						so state)		PER	(Col. D x E)	RESPONSE	(Col. F x G)		HOUR	(Col. I x J)
								RESPONDENT
(A)	(B)					(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
	OA GRANT FUNDING & REPORTING								0.00		0.00		$0.00	$0.00
	Detailed Expenditures					No Form Number	3	12.00	36.00	0.90	32.40		$25.00	$810.00
	OA Grant Performance Report					SBA 2248	3	12.00	36.00	2.00	72.00		$25.00	$1,800.00
	SUBTOTAL								72.00		104.40	0		$2,610.00
INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.								TITLE OF INFORMATION COLLECTION DOCUMENT					OMB NO.
								7 CFR 4290, Rural Business Investment Program (RBIP)					0570-0051
													DATE PREPARED
													December 14, 2007
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT							ANNUAL BURDEN
							REPORTS					RESPONDENT COST
														TOTAL
						FORMS NO (S)	NO. OF	NO OF	TOTAL ANNUAL	HOURS	TOTAL		ANNUAL	COST
SECTION OF	DESCRIPTION					(If "none"	RESPONDENTS	RESPONSES	RESPONSES	PER	HOURS		COST PER	PER YEAR
REGS.						so state)		PER	(Col. D x E)	RESPONSE	(Col. F x G)		HOUR	(Col. I x J)
								RESPONDENT
(A)	(B)					(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
	Forms Approved Under Other OMB Numbers								0.00		0.00		$0.00	$0.00
Approved (0348-0039)	Financial Status Report					SF 269	3	12.00	36.00	0.50	18.00		$25.00	$450.00
Approved (0348-0004)	Request for Advance or Reimbursement					SF 270	3	12.00	36.00	1.00	36.00		$25.00	$900.00
Approved (0348-0003)	Federal Cash Transaction Report					SF 272	3	12.00	36.00	2.00	72.00		$25.00	$1,800.00
Approved (4040-0004)	Application for Federal Assistance					SF 424	25	1.00	25.00	0.75	18.75		$75.00	$1,406.25
Approved (4040-0006)	Budget Information					SF 424A	25	1.00	25.00	3.00	75.00		$75.00	$5,625.00
Approved (4040-0007)	Assurances					SF 424B	25	1.00	25.00	0.25	6.25		$75.00	$468.75
	SUBTOTAL								183.00		226.00	0		$10,650.00