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| 2016 OMB No. 0570-0035 7 CFR 4280-A, Rural Economic Development Loan and Grant Program |
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Estimated |
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Estimated |
Reports |
Total |
Number of |
Estimated |
Wage |
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| Section of |
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Form |
Number of |
Filed |
Annual |
Hours Per |
Total |
Class |
Cost to |
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| Regulation |
Title |
Number |
Respondents |
Annually |
Responses |
Response |
Hours |
(per hour) |
the Public |
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| (a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
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| REPORTING REQUIREMENTS - NO FORMS |
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| 4280.16(b)(1) & (2) |
Requesting a deferment period on loan |
written/call |
20 |
1 |
20 |
0.25 |
5.00 |
$35 |
$175 |
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| 4280.16(d) |
Irrevocable letter of credit |
written |
10 |
1 |
10 |
0.5 |
5.00 |
$35 |
$175 |
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| 4280.25 |
Revolving loan fund plan |
written |
30 |
1 |
30 |
16 |
480.00 |
$35 |
$12,000 |
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| 4280.26 |
Operate and administer a revolving loan fund |
written |
30 |
1 |
30 |
12 |
360.00 |
$35 |
$9,000 |
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| 4280.36 |
Compliance reports |
written |
80 |
1 |
80 |
0.25 |
20.00 |
$35 |
$700 |
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Certification Regarding the Uniform Relocation |
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| 4280.36(e) |
Assistance and Real Property Acquisition |
written |
120 |
1 |
120 |
0.25 |
30.00 |
$35 |
$1,050 |
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| 4280.39(a)(2) |
Board Resolution |
written |
120 |
1 |
120 |
0.25 |
30.00 |
$35 |
$900 |
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| 4280.39(a)(4) |
Assurances Required by 49 CFR sect. 24.4(a) |
written |
120 |
1 |
120 |
0.25 |
30.00 |
$35 |
$1,050 |
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| 4280.39(a)(5) |
Certification for Lobbying |
written |
120 |
1 |
120 |
0.25 |
30.00 |
$35 |
$1,050 |
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| 4280.39(a)(8) |
Seismic certification |
written |
120 |
1 |
120 |
0.25 |
30.00 |
$35 |
$1,050 |
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| 4280.39(b)(1) & (2) |
Application narrative |
written |
120 |
1 |
120 |
16 |
1,920.00 |
$35 |
$67,200 |
|
| 4280.48(a)&(b) |
Legal opinion of counsel |
written |
120 |
1 |
120 |
3 |
360.00 |
$120 |
$41,400 |
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| 4280.48 |
Approval of third-party documents & revisions |
written |
120 |
1 |
120 |
4 |
480.00 |
$35 |
$16,800 |
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| 4280.50(b) |
Interest earned |
written |
5 |
1 |
5 |
3 |
15.00 |
$35 |
$450 |
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| 4280.56(b) & (c) |
Intermediary and ultimate recipient audits |
written |
90 |
1 |
90 |
0.25 |
23.00 |
$35 |
$805 |
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| 4280.62 |
Appeals |
written |
10 |
1 |
10 |
1 |
10.00 |
$35 |
$350 |
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| FORMS APPROVED UNDER THIS DOCKET |
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Rural Economic Development Loan |
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| 4280.48(a)(1) |
Letter of Conditions |
RD 4280-6 |
120 |
1 |
120 |
1 |
120.00 |
$120 |
$13,800 |
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| 4280.48(a)(2) |
Rural Economic Development Loan Agreement |
RD 4280-5 |
120 |
1 |
120 |
1 |
120.00 |
$120 |
$13,800 |
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| 4280.48(a)(3) |
Promissory Note |
RD 4280-7 |
120 |
1 |
120 |
1 |
120.00 |
$120 |
$13,800 |
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Rural Economic Development Grant |
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| 4280.48(b)(1) |
Letter of Conditions |
RD 4280-4 |
120 |
1 |
120 |
1 |
120.00 |
$120 |
$13,800 |
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Rural Business-Cooperative Service Financial |
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| 4280.48(b)(2) |
Assistance Agreement |
RD 4280-2 |
120 |
1 |
120 |
1 |
120.00 |
$120 |
$13,800 |
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Survey of Recipients of Rural Economic |
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| 4280.56(a)(1)(2) |
Development Loan and Grant Program |
RD 4280-1 |
120 |
1 |
120 |
1 |
120.00 |
$35 |
$3,600 |
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57 |
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| 4280.39(a)(9) |
Request for Environmental Information |
RD 1940-20 |
57 |
1 |
0.25 |
14.00 |
$120 |
$910 |
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Customer Initiated Payments (CIP) Enrollment |
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78 |
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| 4250.53 |
Form |
RD 1951-65 |
78 |
1 |
0.5 |
39.00 |
$35 |
$1,170 |
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| TOTAL |
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2090 |
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4,601.00 |
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$228,835 |
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| FORM BURDEN APPROVED UNDER OTHER OMB NUMBERS |
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SF 424 |
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| 4280.39(a)(1) |
Application for Federal Assistance - Discrentionary - Common Form |
(4040-0004) |
120 |
1 |
120 |
0.75 |
90.00 |
$120 |
$5,850 |
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SF LLL |
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57 |
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| 4280.39(a)(6) |
Disclosure of Lobbying Activities |
(4040-0013) |
57 |
1 |
0.16 |
9.00 |
$120 |
$585 |
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SF-270 |
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| 4250.50 |
Request for Advance of Reimbursement |
(4040-0012) |
120 |
1 |
120 |
2 |
240.00 |
$35 |
$7,200 |
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| RECORDKEEPING REQUIREMENTS |
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Expenditures of funds supporting documentation |
written |
90 |
1 |
90 |
2 |
180.00 |
$35.00 |
$6,300.00 |
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| RECORDKEEPING TOTAL |
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90 |
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180.00 |
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$5,400 |
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| DOCKET TOTAL |
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2,180 |
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4,781.00 |
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$234,235 |
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