| Section of Regulation | Title | Form Number | Estimated Number of Respondents | Reports Filed Annually | Total Annual Responses | Estimated Number of Hours Per Response | Estimated Total Hours | Wage Class (per hour) | Cost to the Public |
| PAPERWORK REQUIREMENTS - FORMS | |||||||||
| 4284.638(b) | Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions | Form AD-1047 |
41 | 1 | 41 | 0.25 | 10.25 | $50 | $512.50 |
| 4284.638(b) | Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Lower-Tier Covered Transactions | Form AD-1048 |
41 | 1 | 41 | 0.25 | 10.25 | $50 | $512.50 |
| 4284.638(b) | Certification Regarding Drug-Free Workplace Requirements (Grants) | Form AD-1049 |
41 | 1 | 41 | 0.25 | 10.25 | $50 | $512.50 |
| 4284.638(d)(1) | Assurance Agreement | RD 400-4 (0575-0018) | 41 | 1 | 41 | 0.5 | 20.5 | $50 | $1,025.00 |
| 4284.638(d)(3) | Request for Obligation of Funds | RD 1940-1 (0575-0062) | 41 | 1 | 41 | 0.5 | 20.5 | $50 | $1,025.00 |
| 4284.638(c) | Letter of Intent to Meet Conditions | RD 1942-46 (0570-0062) | 41 | 1 | 41 | 1 | 41 | $50 | $2,050.00 |
| NOFA | RBS Grant Agreement | RD 4280-2 (0570-0067) | 41 | 1 | 41 | 1 | 41 | $50 | $2,050.00 |
| PAPERWORK REQUIREMENTS - NO FORMS | |||||||||
| 4284.638(a)(2)(i) | Organizational Documents | Written | 267 | 1 | 267 | 1 | 267.00 | $50 | $13,350 |
| 4284.638(a)(2)(ii) | Scope of Work | Written | 267 | 1 | 267 | 30 | 8,010.00 | $50 | $400,500 |
| 4284.638(a)(2)(iii) | Narrative | Written | 267 | 1 | 267 | 14 | 3,738.00 | $50 | $186,900 |
| 4284.638(a)(2)(iv) | Financial Statements and Audit | Written | 267 | 1 | 267 | 0.5 | 133.50 | $50 | $6,675 |
| 4284.638(a)(2)(v) | Evaluation Method | Written | 267 | 1 | 267 | 8 | 2,136.00 | $50 | $106,800 |
| 4284.638(a)(2)(vi) | Intergov. Review Comments | Written | 267 | 1 | 267 | 2 | 534.00 | $50 | $26,700 |
| 4284.656(a) | Performance Report | Written | 41 | 4 | 164 | 8 | 1,312.00 | $50 | $65,600 |
| 4284.656(a) | Final Report | Written | 41 | 1 | 41 | 11 | 451.00 | $50 | $22,550 |
| 4284.656(b) | Project Evaluation | Written | 41 | 1 | 41 | 30 | 1,230.00 | $50 | $61,500 |
| DOCKET TOTAL | 267 | 2135 | 17,965.25 | $898,263 | |||||
| FORM BURDEN APPROVED UNDER OTHER NUMBERS | |||||||||
| 4284.638(a)(1) | Application for Federal Assistance (For Nonconstruction) Burden Accounted for under RCF | SF-424 - CF (4040-0004) | 267 | 1 | 267 | 1 | 267 | ||
| 4284.638(d) | Disclosure of Lobbying Activities | SF-LLL (4040-0013) | 41 | 1 | 41 | 0.5 | 20.5 | ||
| 4284.656(a) | Federal Financial Report | SF-425 (4040-0014) | 41 | 4 | 164 | 0.5 | 82 | ||
| 4284.648 | Request for Advance or Reimbursement | SF-270 (4040-0012) | 41 | 12 | 492 | 1 | 492 | ||
| 4284.630(b) | Request for Environmental Information | RD 1940-20 (0575-0094) | 41 | 1 | 41 | 0.5 | 20.5 | ||
| Section of Regulation | Title | Form Number | Estimated Number of Respondents | Reports Filed Annually | Total Annual Responses | Estimated Number of Hours Per Response | Estimated Total Hours | Wage Class (per hour) | Cost to the Public |
| Process Applications | N/A | 267 | 1 | 267 | 3.0 | 801 | $37.37 | $29,933.37 | |
| Data Entry | N/A | 267 | 1 | 267 | 1.0 | 267 | $21.07 | $5,625.69 | |
| Prepare Award Documents | N/A | 41 | 1 | 41 | 1.0 | 41 | $37.37 | $1,532.17 | |
| Monitor Awards | N/A | 41 | 1 | 41 | 80.0 | 3,280 | $37.37 | $122,573.60 | |
| National Office Oversight | N/A | 1,040 | $48.35 | $50,284.00 | |||||
| TOTAL | 5,429 | $209,948.83 | |||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |