RUS Form 36

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Overview

Burden Hours
Respondents Cost
RUS Cost

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Sheet 1: Burden Hours

USDA - RUS		Title of Information Document						OMB No.
									0572-0023
SUMMARY OF INFORMATION COLLECTION		7 CFR 1744-C, Advance and						Date Prepared
		Disbursement of Funds - Telecommunications							Jan-12
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 RECORDKEEPING 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)
1744.64	Budget Adjustment Telecom.	None	30	1.0	30.00	1.00	30.00
	Broadband		25	3.0	75.00	1.00	75.00
1744.66	Description of Advances Desired Telecom.	None	152	2.3	349.60	0.25	87.00
	Broadband		25	3.8	95.00	0.25	24.00
1744.66	Other Information Required Telecom.	None	100	0.7	70.00	1.00	70.00
	Broadband		25	1.9	47.50	1.00	48.00
1744.66	Financial Requirement Statement Telecom.	RUS 481	152	2.3	349.60	2.00	699.00
	Broadband		25	3.8	95.00	2.00	190.00
			177	6.3	1,112	1.10	1,223.00
RUS Form 36 (07-91)									Page __1__ of __1__

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Sheet 2: Respondents Cost

Item	Hours Per Response	X	Number of Responses	X	Labor Cost Per Hour	=	Line Item Total Cost
Budget Adjustment Request:
Collecting Data -	0.30	X	105	X	$30.94	=	$974.61
Preparation -	0.40	X	105	X	$30.94	=	$1,299.48
Typing -	0.20	X	105	X	$20.44	=	$429.24
Review -	0.10	X	105	X	$54.83	=	$575.72
Form 481:
Collecting Data -	0.50	X	445	X	$30.94	=	$6,884.15
Preparation -	0.75	X	445	X	$30.94	=	$10,326.23
Typing -	0.50	X	445	X	$20.44	=	$4,547.90
Review -	0.25	X	445	X	$54.83	=	$6,099.84
Description of Advances:
Preparation -	0.10	X	445	X	$30.94	=	$1,376.83
Typing -	0.15	X	445	X	$20.44	=	$1,364.37
Other information as requested:
Collecting Data -	0.50	X	118	X	$30.94	=	$1,825.46
Preparation -	0.25	X	118	X	$30.94	=	$912.73
Typing -	0.15	X	118	X	$20.44	=	$361.79
Review -	0.10	X	118	X	$54.83	=	$646.99
Mailing							$1,300.00
Total Estimated Costs to the Respondents							$38,925.33
			Financial Specialists, All Other (13-2099)	=	$30.94
			Office and Administrative Support Workers, All Other (43-9799)	=	$20.44
			Managers, All Other (11-9199)	=	$54.83

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Sheet 3: RUS Cost

Item	Hours Per Response	X	Number of Responses	X	Labor Cost Per Hour	=	Line Item Total Cost
Budget Adjustment Request:
Review	0.30	X	105	X	$48.35	=	$1,523.03
Clerical	0.10	X	105	X	$20.63	=	$216.62
Form 481 and Description of Advances:
Review	0.90	X	445	X	$48.35	=	$19,364.18
Clerical	0.10	X	445	X	$20.63	=	$918.04
Other information as requested:
Review	0.75	X	118	X	$48.35	=	$4,278.98
Clerical	0.10	X	118	X	$20.63	=	$243.43
Printing							$750.00
Mailing							$400.00
Total Estimated Costs to the Respondents							$27,694.26
			Senior Office Engineer (GS 13, step 5)	=	48.35
			Clerk (GS 6, step 5)	=	20.63