Spreadsheet

Rurality Regulation form 36 - rev 5-21-13.xlsx

Rural Determination and Financing Percentage

Spreadsheet

OMB: 0572-0148

Document [xlsx]
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USDA - RUS
Title of Information Document




OMB No.









0572-NEW
SUMMARY OF INFORMATION COLLECTION
RUS Electric Loan Application and Related Reporting




Date Prepared



Burdens





May-13
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)
1710.116(f)(1) Determining Rural Percentage Based On Meter Location none 6 1 6 3.00 18.00













1710.116(f)(2) Determining Rural Percentage Based On Load Served By Meter none 6 1 6 2.00 12.00













1710.116(f)(3) Determining Rural Percentage Based On Population none 3 1 3 2.00 6.00













1710.116(f)(4) Determining Rural Percentage Based On Area Impacted none 15 1 15 2.00 30.00

























Items Cleared under 0572-0032



















1710.401(a) Borrower Checklist 726 10 1 10 0.50 5.00








1710.401(a)(1) Transmittal Letter
10 1 10 1.00 10.00









1710.401(a)(2) Board Resolution
10 1 10 0.50 5.00








1710.401(a)(3) Cost Estimates and Loan Budget for Electric Borrowers 740c 10 1 10 2.50 25.00










1710.401(a)(4) Application for Headquarters Facilities 740g 1 1 1 3.00 3.00























Financial and Operating Report







a. Distribution Borrowers






1710.401(a)(5) Loan Application
5 1 5 2.00 10.00


1718.104 Article V, Sec 5-19 Annual Submission - Electronic completion - Web
5 1 5 15.00 75.00














Financial and Operating Report








1710.401(a)(5) b. Power Supply Borrowers (G&T)







Loan Application
5 1 5 2.00 10.00


1718.104 Article V, Sec 5-19 Annual Submission - Electronic completion - Web
5 1 5 21.00 105.00














Statements from Counsel






1710.401(a)(6) Pending Litigation
10 1 10 1.00 10.00











1710.401(a)(7) Mortgage Information
10 1 10 1.00 10.00











1710.401(a)(15) State Regulatory Approvals
10 1 10 1.00 10.00













1710.401(a)(14) Articles of Incorporation and Bylaws
10 1 10 0.50 5.00













1710.401(a)(17) Rate Data
5 1 5 0.50 2.50













1710.401(b) Area Coverage and Line Extension Policies (Distribution Borrowers Only)
5 1 5 0.50 2.50













1710.401(c)(1) Long Range Financial Forecast and Board Resolution 325a-k 10 1 10 18.00 180.00













1710.401(c)(2)(I) and 1710, subpart E Load Forecast and Board Resolution
10 1 10 22.00 220.00













1710.401(c)(2)(ii) and 1710, subpart F Construction Workplan (CWP), Related Engineering Studies and Board Resolution
10 1 10 230.00 2300.00

























Alternative Sources of Power Statement
5 1 5 1.00 5.00














Equal Opportunity and Nondiscrimination



















1710.122 Compliance Assurance 266 10 1 10 0.50 5.00






1710.401(a)(9) Equal Employment Opportunity Employer Report SF-100 10 1 10 0.25 2.50


(3046-0007)



















Debarment and Suspension



















1710.401(a)(10) Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transactions AD-1047 10 1 10 0.50 5.00













1710.401(a)(11) Uniform Relocation Act
10 1 10 0.50 5.00














Lobbying



















1710.401(a)(12)(i) Certification Regarding Lobbying
10 1 10 0.50 5.00













1710.401(a)(12)(ii) Disclosure of Lobbying Activities SF-LLL 10 1 10 0.16 1.60




(0348-0046)


















1710.126 Federal Debt Delinquency Requirements
10 1 10 0.50 5.00


1710.401(a)(13)(ii)























10 21.60 216.00 14.297 3,088.10
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