USDA - RUS |
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Title of Information Document |
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OMB No. |
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Water and Waste Loan and Grant Program |
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0572-0121 |
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SUMMARY OF INFORMATION COLLECTION |
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7 CFR 1780 |
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Date Prepared |
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Oct-08 |
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INSTRUCTIONS: |
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> |
(f) TOTAL |
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(h) TOTAL |
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(k) TOTAL |
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Use this form when a single information collection document involves multiple reporting and |
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> |
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= (e) Average |
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= (g) Average |
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= (j) Average |
recordkeeping requirements. |
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> |
(d) TOTAL |
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(f) TOTAL |
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(i) TOTAL |
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IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS |
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ANNUAL BURDEN |
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FORM |
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REPORTS |
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RECORDS |
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NO(s) |
NO. OF |
NO. OF |
TOTAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
TOTAL |
SECTION OF |
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(If "none" |
RESPON- |
RESPONSES |
ANNUAL |
PER |
HOURS |
RECORD- |
HOURS PER |
RECORD- |
REGULATIONS |
DESCRIPTION |
so state) |
DENTS |
PER |
RESPONSES |
RESPONSE |
(Col. f & g) |
KEEPERS |
RECORD- |
KEEPING |
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RESPON- |
(Col. d & e) |
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KEEPER |
HOURS |
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DENT |
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(Col. i & j) |
(a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
(k) |
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NON-FORM BURDEN |
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1780.1(f) |
Relationship or association with RUS employees |
Written |
835 |
1 |
835 |
0.25 |
209 |
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7 CFR 1777-Colonias (0572-0109) |
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65 |
1 |
65 |
0.25 |
16 |
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7 CFR 1778-ECWAG (0572-0110) |
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100 |
1 |
100 |
0.25 |
25 |
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1780.7(d) |
Statement on availability to obtain credit elsewhere |
Written |
835 |
1 |
835 |
1.00 |
835 |
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7 CFR 1777-Colonias |
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65 |
1 |
65 |
1.00 |
65 |
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7 CFR 1778-ECWAG |
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100 |
1 |
100 |
1.00 |
100 |
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1780.11(a)(2) |
Notification of service statement |
Written |
250 |
1 |
250 |
2.00 |
500 |
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7 CFR 1777-Colonias |
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20 |
1 |
20 |
2.00 |
40 |
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7 CFR 1778-ECWAG |
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30 |
1 |
30 |
2.00 |
60 |
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1780.14(a)(3) & (b)(2) |
Liens on real and chattel property |
Written |
167 |
1 |
167 |
1.00 |
167 |
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7 CFR 1777-Colonias |
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13 |
1 |
13 |
1.00 |
13 |
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7 CFR 1778-ECWAG |
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20 |
1 |
20 |
1.00 |
20 |
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1780.14(b)(2) |
Financing Statement |
Written |
250 |
1 |
250 |
1.00 |
250 |
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7 CFR 1777-Colonias |
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20 |
1 |
20 |
1.00 |
20 |
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7 CFR 1778-ECWAG |
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30 |
1 |
30 |
1.00 |
30 |
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1780.19 |
Public Information |
Written |
835 |
1 |
835 |
2.00 |
1,670 |
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7 CFR 1777-Colonias |
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65 |
1 |
65 |
2.00 |
130 |
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7 CFR 1778-ECWAG |
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100 |
1 |
100 |
2.00 |
200 |
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SUBTOTAL |
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3,800 |
1.14 |
4,350 |
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TOTAL HOURS THIS COLLECTION |
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49,933 |
2.66 |
132,749 |
7,000 |
0.08 |
560 |
1780.33(b) |
Intergovernmental comments |
Written |
1,010 |
1 |
1,010 |
1.00 |
1,010 |
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7 CFR 1777-Colonias |
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75 |
1 |
75 |
1.00 |
75 |
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7 CFR 1778-ECWAG |
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115 |
1 |
115 |
1.00 |
115 |
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1780.33(c) |
Preliminary engineering report |
Written |
1,010 |
1 |
1,010 |
4.00 |
4,040 |
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7 CFR 1777-Colonias |
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75 |
1 |
75 |
4.00 |
300 |
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7 CFR 1778-ECWAG |
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115 |
1 |
115 |
4.00 |
460 |
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1780.33(e) |
Supporting documentation |
Written |
1,010 |
1 |
1,010 |
6.00 |
6,060 |
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7 CFR 1777-Colonias |
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75 |
1 |
75 |
6.00 |
450 |
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7 CFR 1778-ECWAG |
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115 |
1 |
115 |
6.00 |
690 |
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1780.33(h)(5) |
Certification Regarding Debarment |
AD-1047 |
835 |
1 |
835 |
0.25 |
209 |
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7 CFR 1777-Colonias |
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65 |
1 |
65 |
0.25 |
16 |
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7 CFR 1778-ECWAG |
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100 |
1 |
100 |
0.25 |
25 |
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1780.33(h)(6) |
Certification Regarding Drug-Free Workplace |
AD-1049 |
835 |
1 |
835 |
0.25 |
209 |
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7 CFR 1777-Colonias |
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65 |
1 |
65 |
0.25 |
16 |
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7 CFR 1778-ECWAG |
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100 |
1 |
100 |
0.25 |
25 |
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1780.39(b)(1) and (2) |
Agreements for professional services |
Written |
835 |
1 |
835 |
4.00 |
3,340 |
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7 CFR 1777-Colonias |
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65 |
1 |
65 |
4.00 |
260 |
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7 CFR 1778-ECWAG |
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100 |
1 |
100 |
4.00 |
400 |
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1780.39(b)(4) |
Contracts for other services |
Written |
501 |
1 |
501 |
2.00 |
1,002 |
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7 CFR 1777-Colonias |
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39 |
1 |
39 |
2.00 |
78 |
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7 CFR 1778-ECWAG |
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60 |
1 |
60 |
2.00 |
120 |
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SUBTOTAL |
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7,200 |
2.63 |
18,900 |
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1780.39(c)(5)(i) |
Positive programs to encourage connections |
Written |
167 |
1 |
167 |
3.00 |
501 |
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7 CFR 1777-Colonias |
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13 |
1 |
13 |
3.00 |
39 |
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7 CFR 1778-ECWAG |
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20 |
1 |
20 |
3.00 |
60 |
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1780.39(c)(3) |
User agreement |
Written |
89 |
1 |
89 |
4.00 |
356 |
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7 CFR 1777-Colonias |
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7 |
1 |
7 |
4.00 |
28 |
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7 CFR 1778-ECWAG |
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4 |
1 |
4 |
4.00 |
16 |
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1780.39(d) |
Interim financing |
Written |
900 |
1 |
900 |
4.00 |
3,600 |
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7 CFR 1777-Colonias |
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0 |
1 |
0 |
4.00 |
0 |
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7 CFR 1778-ECWAG |
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0 |
1 |
0 |
4.00 |
0 |
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1780.39(g)(3) |
Fidelity or employee dishonesty Bond |
Written |
751 |
1 |
751 |
4.00 |
3,004 |
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7 CFR 1777-Colonias |
|
59 |
1 |
59 |
4.00 |
236 |
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7 CFR 1778-ECWAG |
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90 |
1 |
90 |
4.00 |
360 |
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1780.39(g)(4) |
Property insurance |
Written |
751 |
1 |
751 |
1.00 |
751 |
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7 CFR 1777-Colonias |
|
59 |
1 |
59 |
1.00 |
59 |
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7 CFR 1778-ECWAG |
|
90 |
1 |
90 |
1.00 |
90 |
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1780.39(g)(5) |
General Liability Insurance |
Written |
751 |
1 |
751 |
1.00 |
751 |
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7 CFR 1777-Colonias |
|
59 |
1 |
59 |
1.00 |
59 |
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7 CFR 1778-ECWAG |
|
90 |
1 |
90 |
1.00 |
90 |
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1780.39(g)(6) |
Flood Insurance |
Written |
89 |
1 |
89 |
1.00 |
89 |
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7 CFR 1777-Colonias |
|
7 |
1 |
7 |
1.00 |
7 |
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7 CFR 1778-ECWAG |
|
4 |
1 |
4 |
1.00 |
4 |
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SUBTOTAL |
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4,000 |
2.53 |
10,100 |
|
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1780.39(g)7) |
Workman's compensation insurance |
Written |
751 |
1 |
751 |
0.50 |
376 |
|
|
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|
7 CFR 1777-Colonias |
|
59 |
1 |
59 |
0.50 |
30 |
|
|
|
|
7 CFR 1778-ECWAG |
|
90 |
1 |
90 |
0.50 |
45 |
|
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1780.44(f) |
Evidence of other funds |
Written |
250 |
1 |
250 |
1.00 |
250 |
|
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7 CFR 1777-Colonias |
|
20 |
1 |
20 |
1.00 |
20 |
|
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7 CFR 1778-ECWAG |
|
30 |
1 |
30 |
1.00 |
30 |
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1780.44(g)(3) |
Water rights |
Written |
100 |
1 |
100 |
3.00 |
300 |
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7 CFR 1777-Colonias |
|
7 |
1 |
7 |
3.00 |
21 |
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7 CFR 1778-ECWAG |
|
4 |
1 |
4 |
3.00 |
12 |
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1780.44(g) |
Appraisal Report |
Written |
42 |
1 |
42 |
2.00 |
84 |
|
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7 CFR 1777-Colonias |
|
3 |
1 |
3 |
1.00 |
3 |
|
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7 CFR 1778-ECWAG |
|
5 |
1 |
5 |
1.00 |
5 |
|
|
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1780.44(g)(1)(ii) |
User Connections |
Written |
25 |
1 |
25 |
3.00 |
75 |
|
|
|
|
7 CFR 1777-Colonias |
|
2 |
1 |
2 |
1.00 |
2 |
|
|
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7 CFR 1778-ECWAG |
|
3 |
1 |
3 |
1.00 |
3 |
|
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|
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|
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1780.44(g)(4) |
Lease agreement |
Written |
42 |
1 |
42 |
5.00 |
210 |
|
|
|
|
7 CFR 1777-Colonias |
|
3 |
1 |
3 |
5.00 |
15 |
|
|
|
|
7 CFR 1778-ECWAG |
|
5 |
1 |
5 |
5.00 |
25 |
|
|
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1780.45(a) |
Notes, bonds, warrants or other contractural obligations |
Written |
835 |
1 |
835 |
5.00 |
4,175 |
|
|
|
|
7 CFR 1777-Colonias |
|
0 |
1 |
0 |
5.00 |
0 |
|
|
|
|
7 CFR 1778-ECWAG |
|
0 |
1 |
0 |
5.00 |
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SUBTOTAL |
|
|
|
2,276 |
2.50 |
5,680 |
|
|
|
1780.45(a)(2) |
Loan Resolution (Public Bodies) |
RUS Bulletin 1780-27 |
668 |
1 |
668 |
1.00 |
668 |
|
|
|
|
7 CFR 1777-Colonias |
|
0 |
1 |
0 |
1.00 |
0 |
|
|
|
|
7 CFR 1778-ECWAG |
|
0 |
1 |
0 |
1.00 |
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.45(a)(2) |
Loan Resolution, Security Agreement |
RUS Bulletin 1780-28 |
167 |
1 |
167 |
1.00 |
167 |
|
|
|
|
7 CFR 1777-Colonias |
|
0 |
1 |
0 |
1.00 |
0 |
|
|
|
|
7 CFR 1778-ECWAG |
|
0 |
1 |
0 |
1.00 |
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.45(c) |
Grant Agreement |
RUS Bulletin 1780-12 |
535 |
1 |
535 |
1.00 |
535 |
|
|
|
|
7 CFR 1777-Colonias |
|
65 |
1 |
65 |
1.00 |
65 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
1.00 |
100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.47(d) |
Audits |
Written |
5,835 |
1 |
5,835 |
8.00 |
46,680 |
|
|
|
|
7 CFR 1777-Colonias |
|
65 |
1 |
65 |
8.00 |
520 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
8.00 |
800 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.47(f) |
Management report |
Written |
835 |
1 |
835 |
8.00 |
6,680 |
|
|
|
|
7 CFR 1777-Colonias |
|
65 |
1 |
65 |
8.00 |
520 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
8.00 |
800 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.61 |
Construction contract forms |
Written |
835 |
1 |
835 |
3.00 |
2,505 |
|
|
|
|
7 CFR 1777-Colonias |
|
65 |
1 |
65 |
3.00 |
195 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
3.00 |
300 |
|
|
|
|
SUBTOTAL |
|
|
|
9,535 |
6.35 |
60,535 |
|
|
|
1780.61(b) |
Borrower attorney's certification of construction contract |
Written |
835 |
1 |
835 |
15.00 |
12,525 |
|
|
|
|
7 CFR 1777-Colonias |
|
65 |
1 |
65 |
15.00 |
975 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
15.00 |
1,500 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.63 |
Sewage treatment and bulk water sales contracts |
Written |
89 |
1 |
89 |
3.00 |
267 |
|
|
|
|
7 CFR 1777-Colonias |
|
7 |
1 |
7 |
3.00 |
21 |
|
|
|
|
7 CFR 1778-ECWAG |
|
4 |
1 |
4 |
3.00 |
12 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.74 |
Contracts awarded prior to application |
Written |
20 |
1 |
20 |
2.00 |
40 |
|
|
|
|
7 CFR 1777-Colonias |
|
1 |
1 |
1 |
2.00 |
2 |
|
|
|
|
7 CFR 1778-ECWAG |
|
1 |
1 |
1 |
2.00 |
2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.76(b) |
Monitoring construction |
Written |
835 |
1 |
835 |
5.00 |
4,175 |
|
|
|
|
7 CFR 1777-Colonias |
|
65 |
1 |
65 |
5.00 |
325 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
5.00 |
500 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.76(c) |
Resident Inspector resume |
Written |
835 |
1 |
835 |
2.00 |
1,670 |
|
|
|
|
7 CFR 1777-Colonias |
|
65 |
1 |
65 |
2.00 |
130 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
2.00 |
200 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.76(d) |
Daily inspection report |
Written |
835 |
18 |
15,030 |
0.50 |
7,515 |
|
|
|
|
7 CFR 1777-Colonias |
|
65 |
18 |
1,170 |
0.50 |
585 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
18 |
1,800 |
0.50 |
900 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.37(b) |
Borrower shall maintain accounting records for 3 years |
|
|
|
|
|
|
7,000 |
0.08 |
560 |
|
|
|
|
|
|
|
|
|
|
|
|
SUBTOTAL |
|
|
|
21,122 |
1.48 |
31,344 |
|
|
|
|
FORMS APPROVED UNDER OTHER OMB NUMBERS |
|
|
|
|
|
|
|
|
|
1780.44(g)(2) |
Preliminary Title Opinion |
RD 1927-9 |
835 |
1 |
835 |
1.50 |
1,253 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0147) |
65 |
1 |
65 |
1.50 |
98 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
1.50 |
150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.44(g)(2) |
Final Title Opinion |
RD 1927-10 |
835 |
1 |
835 |
0.34 |
284 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0147) |
65 |
1 |
65 |
0.34 |
22 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
0.34 |
34 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SUBTOTAL |
|
|
|
2,000 |
0.92 |
1,840 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
FORMS AND BURDEN APPROVED UNDER OTHER OMB NUMBERS |
|
|
|
|
|
|
|
|
|
1780.76(e) |
Partial Payment Estimate |
RD 1924-18 |
835 |
1 |
835 |
0.50 |
418 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0042) |
65 |
1 |
65 |
0.50 |
33 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
0.50 |
50 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.76(h)(2) |
Contract Change Order |
RD 1924-7 |
835 |
1 |
835 |
0.25 |
209 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0042) |
65 |
1 |
65 |
0.25 |
16 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
0.25 |
25 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.33(h)(3) |
Equal Opportunity Agreement |
RD 400-1 |
835 |
1 |
835 |
0.08 |
67 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0018) |
65 |
1 |
65 |
0.08 |
5 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
0.08 |
8 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.33(h)(4) |
Assurance Agreement |
RD 400-4 |
835 |
1 |
835 |
0.08 |
67 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0018) |
65 |
1 |
65 |
0.08 |
5 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
0.08 |
8 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.33(a) |
Application for Federal Assistance |
SF 424 |
1,010 |
1 |
1,010 |
1.00 |
1,010 |
|
|
|
|
7 CFR 1777-Colonias |
(4040-0004) |
75 |
1 |
75 |
1.00 |
75 |
|
|
|
|
7 CFR 1778-ECWAG |
|
115 |
1 |
115 |
1.00 |
115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.33(h)(1) |
Operating Budget |
RD 442-7 |
835 |
1 |
835 |
5.00 |
4,175 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0015) |
65 |
1 |
65 |
5.00 |
325 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
5.00 |
500 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.41(a)(3) |
Balance Sheet or Financial Statement |
RD 442-3 |
835 |
1 |
835 |
1.00 |
835 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0015) |
65 |
1 |
65 |
1.00 |
65 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
1.00 |
100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.29(b)(1) |
Agreement for Engineering Services |
1942-19 |
835 |
1 |
835 |
4.00 |
3,340 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0015) |
65 |
1 |
65 |
4.00 |
260 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
4.00 |
400 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.39(f) |
Resolution of Members or Stockholders |
RD 1942-8 |
167 |
1 |
167 |
1.00 |
167 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0015) |
13 |
1 |
13 |
1.00 |
13 |
|
|
|
|
7 CFR 1778-ECWAG |
|
20 |
1 |
20 |
1.00 |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.41(a)(6) |
Letter of Intent to Meet Conditions |
RD 1942-46 |
835 |
1 |
835 |
1.00 |
835 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0015) |
65 |
1 |
65 |
1.00 |
65 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
1.00 |
100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.44(g)(1)(i) |
Opinion of Counsel Relative to Right-of-Way and Easements |
RD 442-22 |
835 |
1 |
835 |
1.00 |
835 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0015) |
65 |
1 |
65 |
1.00 |
65 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
1.00 |
100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.45(b)(1)(ii) |
Estimate of Funds Needed for 30-Day Period Commencing ____" |
RD 440-11 |
751 |
1 |
751 |
1.00 |
751 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0015) |
59 |
1 |
59 |
1.00 |
59 |
|
|
|
|
7 CFR 1778-ECWAG |
|
90 |
1 |
90 |
1.00 |
90 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.37(f) |
Statement of Budget, Income, and Equity |
RD 442-2 |
835 |
1 |
835 |
2.50 |
2,088 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0015) |
65 |
1 |
65 |
2.50 |
163 |
|
|
|
|
7 CFR 1778-ECWAG |
|
100 |
1 |
100 |
2.50 |
250 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1780.62 |
Water Purchase Contract |
RD 442-30 |
167 |
1 |
167 |
1.00 |
167 |
|
|
|
|
7 CFR 1777-Colonias |
(0575-0015) |
13 |
1 |
13 |
1.00 |
13 |
|
|
|
|
7 CFR 1778-ECWAG |
|
20 |
1 |
20 |
1.00 |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
RUS Form 36 (07-91) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|