Summary Burden Spreadsheet -Form 36

USDA - RUS		Title of Information Document						OMB No.
		Special Evaluation Assistance for Rural Communities and Households Program (SEARCH)						0572-0146
SUMMARY OF INFORMATION COLLECTION								Date Prepared
								2016
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-
NOFA	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)
	Burden associated with this package
	NON-FORM BURDEN
	Project Narrative	Written	125	1	125	2.00	250
	Supporting documentation	Written	125	1	125	6.00	750
	Certification for Contracts, Grants and Loans Regarding Lobbying	RD 1940-Q	125	1	125	0.25	31
		Exhibit A-1
	Certification Regarding Prohibited Tying Arrangements	Written	125	1	125	0.25	31
	Agreements for professional services	Written	125	1	125	4.00	500
	Relationship or Assocation with RUS Employees	Written	125	1	125	0.25	31
	Audits	Written	125	1	125	8.00	1,000
	Management report	Written	125	1	125	8.00	1,000
	Certification Regarding Debarment	AD 1047	125	1	125	0.25	31
		(0505-0027)
	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction.”	AD 1048	125	1	125	0.25	31
		(0505-0027)
	Certification Regarding Drug-Free Workplace	AD 1049	125	1	125	0.25	31
		(0505-0027)
	Burden hours associated with THIS package		125		1,375		3,688			Page 1
	FORMS APPROVED UNDER OTHER OMB NUMBERS
	Rep. Regarding Felony Conviction and Tax Delinquent	AD 3030	25	1	25	0.25	6
	Status for Corporate Applicants	(0505-0025)
	Assurance Regarding Felong Conviction or Tax Delinquent	AD 3031	25	1	25	0.25	6
	Status for Corporate Applicants	(0505-0025)
	Equal Opportunity Agreement	RD 400-1	125	1	125	0.17	21
		(0575-0018)
	Assurance Agreement	RD 400-4	125	1	125	0.25	31
		(0575-0018)
	Operating Budget	RD 442-7	125	1	125	5.00	625
		(0575-0015)
	Balance Sheet or Financial Statement	RD 442-3	125	1	125	1.00	125
		(0575-0015)
	Resolution of Members or Stockholders	RD 1942-8	125	1	125	1.00	125
		(0575-0015)
	Partial Payment Estimate	RD 1924-18	125	1	125	0.50	63
		(0575-0042)
	Letter of Intent to Meet Conditions	RD 1942-46	125	1	125	1.00	125
		(0575-0015)								Page 2
	Grant Agreement	RUS Bulletin 1780-12	125	1	125	1.00	125
		(0572-0121)
	Application for Federal Assistance	SF 424	125	1	125	1.00	125
		(4040-0004)
	Budget Information - Non-Construction Programs	SF 424A	125	1	125	1.00	125
		(4040-0006)
	Assurances - Non-Construction Programs	SF 424B	125	1	125	1.00	125
		(4040-0007)
	Total burden associated with OTHER packages		125		1,425		1,628
	Total COMBINED burden associated with this package		125		2,800		5,315			Page 3