Form 36

Form 36-11-24-10.xls

High Energy Costs Grants Rural Communities

Form 36

OMB: 0572-0136

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USDA - RUS
Title of Information Document




OMB No.



Assistance to High Energy Cost Rural Communities





0572-0136
SUMMARY OF INFORMATION COLLECTION






Date Prepared










Jun-10
INSTRUCTIONS:

> (f) TOTAL
(h) TOTAL
(k) TOTAL
Use this form when a single information collection document involves multiple reporting and


> - = (e) Average - = (g) Average - = (j) Average
recordkeeping requirements.


> (d) TOTAL
(f) TOTAL
(i) TOTAL
IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS




ANNUAL BURDEN





FORM

REPORTS


RECORDS


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




RESPON- (Col. d & e)


KEEPER HOURS




DENT




(Col. i & j)
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k)

ITEMS APPROVED UNDER THIS COLLECTION









Application Package









Narrative Grant Proposal Non-Form 60 1 60 15.00 900.00



RUS Environmental Profile Non-Form 60 1 60 1.00 60.00














Grant Award and Post Award








Letter of Intent RD 1942-46 12 1 12 1 12.00



Grant Agreement Non-Form 12 1 12 1 12.00



Performance Reports Non-Form 40 4 160 2 320.00



Final Performance Report Non-Form 12 1 12 5 60.00














Recordkeeping Requirements Non-Form 40



40 3 120
Total this Collection
112 2.82 316 4.32 1,364














FORMS APPROVED UNDER OTHER COLLECTIONS









Application for Federal Assistance SF-424 60 1 60 0.75 45.00

Budget Information Non-Construction Programs SF-424A 60 1 60 3.00 180.00


or






Budget Information Construction Programs SF-424C






Assurances – Non-Construction Programs SF-424B 60 1 60 0.25 15.00



or




Assurances – Construction Programs SF-424D






Disclosure of Lobbying Activities SF-LLL 60 1 60 0.17 10.00














Post Award








Federal Financial Report SF425 40 4 160 1.50 240.00



Request for Reimbursement or Advance of Funds or SF-270 40 4 160 1 160.00



Outlay Report and Request for Reimbursement (Construction) SF-271


1




Federal Cash Transactions Report (as applicable) SF-272 0 0 0 2 0.00













RUS Form 36 (07-91)







Page __1__ of __1__
File Typeapplication/vnd.ms-excel
AuthorDawn Wolfgang
Last Modified Bythomas.dickson
File Modified2010-11-24
File Created1999-05-21

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