| USDA - RUS | 
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 | Broadband Investment Program | 
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 | 0572-0142 | 
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		| SUMMARY  OF  INFORMATION  COLLECTION | 
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 | Date  Prepared | 
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 |  | Jan-10 | 
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		| INSTRUCTIONS: |  | 
 | > | (f)  TOTAL | 
 | (h)  TOTAL | 
 | (k)  TOTAL | 
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		| Use this form when a single information collection document involves multiple reporting and | 
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 | > | - | = (e)  Average | - | = (g)  Average | - | = (j) Average |  | 
	
		| recordkeeping requirements. | 
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 | > | (d)  TOTAL | 
 | (f)  TOTAL | 
 | (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 | 
 | (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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 | Loan Application Submission through Broadband Portal | n/a | 1,800 | 1 | 1,800 | 335.00 | 603,000 |  |  |  | 
	
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 | Preparation of Loan/Grant Documents | n/a | 360 | 1 | 360 | 24.00 | 8,640 | 
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 | Recipient Reporting in Accordance with Transparancy Act | n/a | 360 | 1 | 360 | 1.0 | 360 |  |  | 
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 | Selection of CPA | n/a | 360 | 1 | 360 | 0.25 | 90 | 
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 | Submission of Auditor's Report | n/a | 360 | 1 | 360 | 11.0 | 3,960 | 
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 | Plan of Corrective Action | n/a | 8 | 1 | 8 | 0.25 | 2 | 
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 | Submission of Peer Review Reports | n/a | 360 | 1 | 360 | 0.25 | 90 |  |  | 
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 | Scope Limitation | n/a | 1 | 1 | 1 | 0.25 | 0 | 
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 | Irregularities | n/a | 5 | 1 | 5 | 2.00 | 10 | 
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 | Submission of Financial Information through BCAS | n/a | 360 | 4 | 1,440 | 4.00 | 5,760 | 
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 | Index of Records and Recordkeeping | n/a | 360 | 1 | 360 | 2.00 | 720 | 
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		|  | GAAP System of Accounts | n/a | 
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 | 360 | 24 | 8,640 | 
	
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 | TOTALS | 
 | 1,800 | 3.0 | 5,414 | 115.0 | 622,632 | 360 | 
 | 8,640 | 
	
		| RUS  Form  36   (07-91) | 
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