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Spreadsheet
ICR 201206-0570-002 · OMB 0570-0051 · Object 32863401.
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Document Metadata
| File Type | application/encrypted |
|---|---|
| File Title | Spreadsheet |
| Author | user |
| Last Modified By | Calc |
| File Created | 2026-10-22 |
| Conversion State | complete |
Extracted Text
REPRODUCE LOCALLY. Include form number and date on all reproductions. SUMMARY OF INFORMATION COLLECTION 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. Page 1 of 3 TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. 7 CFR 4290, Rural Business Investment Program (RBIP) 0570-0051 (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. DATE PREPARED March 23, 2011 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RESPONDENT COST TOTAL SECTION OF REGS DESCRIPTION FORMS NO (S) (If "none" so state) NO. OF RESPONDENTS NO OF RESPONSES PER TOTAL ANNUAL RESPONSES (Col. D x E) HOURS PER RESPONSE TOTAL HOURS (Col. F x G) (F) (G) (H) ANNUAL COST PER HOUR (Col. I x J) (J) (K) COST PER YEAR RESPONDENT (A) (B) (C) (D) (E) (I) APPLICATION RBIC Application MAQ, part I SBA 2241 1 0.00 0.00 8.00 0.00 $75.00 $0.00 SBA 2242 SBA 2243* 1 0 0 0.00 1.00 0.00 0.00 8.00 1.50 0.00 0.00 $75.00 $75.00 $0.00 $0.00 SBA 34* SBA 159* SBA 2244* SBA 2245 0 0 0 1 1.00 1.00 1.00 0.00 0.00 0.00 0.00 0.00 0.33 0.08 0.10 4.00 0.00 0.00 0.00 0.00 $25.00 $75.00 $25.00 $75.00 $0.00 $0.00 $0.00 $0.00 (plus additional one time fee of $5,000) RBIC Application, part II Interview Questions (plus $1,500 x 3 prins x 10 applications) PRE FINAL APPROVAL Bank Identification Report Compensation Agreement Disclosure of Third Party Debt Request for Approval of Management Service Fees SUBTOTAL = Total Annual Burden for Application (one year) NOTE: Forms marked with an * are not completed by the participating RBIC. 0.00 0.00 0.00 $0.00 $0.00 TOTAL FOR THIS DOCKET 125.00 112.00 0.00 $0.00 $6,737.50 TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" = OMB 831, 13c 125.00 112.00 SUMMARY OF INFORMATION COLLECTION RBS (04-00) Electronic versions designed using Word Perfect; InForms; Microsoft Excel by USDA-RBS. USDA-RBS REPRODUCE LOCALLY. Include form number and date on all reproductions. SUMMARY OF INFORMATION COLLECTION 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. Page 2 of 3 TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. 7 CFR 4290, Rural Business Investment Program (RBIP) 0570-0051 (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. DATE PREPARED March 23, 2011 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RESPONDENT COST TOTAL SECTION OF DESCRIPTION REGS. FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL ANNUAL COST (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS COST PER PER YEAR PER (Col. D x E) RESPONSE (Col. F x G) HOUR (Col. I x J) (F) (G) (H) (J) (K) so state) RESPONDENT (A) (B) (C) (D) (E) (I) RBIC FUNDING & REPORTING Annual Financial Report (submitted 4th quarter) SBA 468 1 1.00 1.00 17.00 17.00 $75.00 $1,275.00 Annual Financial Report - Short Form (submitted first 3 quarters) SBA 468 1 3.00 3.00 11.25 33.75 $75.00 $2,531.25 Schedule 9/10/11 Portfolio Financing Report Size Status Declaration Amendment to RBIC Application Instruction for RBIC Draw Application SBA 468 SBA 1031 SBA 480 SBA 2246 SBA 2247 1 1 1 1 1 4.00 45.00 45.00 9.00 12.00 4.00 45.00 45.00 9.00 12.00 4.75 0.20 0.17 1.00 0.75 19.00 9.00 7.65 9.00 9.00 $75.00 $25.00 $25.00 $25.00 $75.00 $1,425.00 $225.00 $191.25 $225.00 $675.00 SUBTOTAL 119.00 SUMMARY OF INFORMATION COLLECTION RBS (04-00) Electronic versions designed using Word Perfect; InForms; Microsoft Excel by USDA-RBS. 104.40 0 $6,547.50 USDA-RBS REPRODUCE LOCALLY. Include form number and date on all reproductions. SUMMARY OF INFORMATION COLLECTION 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. Page 3 of 3 TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. 7 CFR 4290, Rural Business Investment Program (RBIP) 0570-0051 (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. DATE PREPARED March 23, 2011 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RESPONDENT COST TOTAL SECTION OF DESCRIPTION REGS. FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL ANNUAL COST (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS COST PER PER YEAR PER (Col. D x E) RESPONSE (Col. F x G) HOUR (Col. I x J) (F) (G) (H) (J) (K) so state) RESPONDENT (A) (B) (C) (D) (E) (I) OA GRANT FUNDING & REPORTING Detailed Expenditures No Form Number 1 4.00 4.00 0.90 3.60 $25.00 $90.00 OA Grant Performance Report SBA 2248 1 2.00 2.00 2.00 4.00 $25.00 $100.00 SUBTOTAL 6.00 SUMMARY OF INFORMATION COLLECTION RBS (04-00) Electronic versions designed using Word Perfect; InForms; Microsoft Excel by USDA-RBS. 7.60 0 $190.00 USDA-RBS