| USDA - RUS |
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Title of Information Document |
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OMB No. |
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0572-0134 |
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| SUMMARY OF INFORMATION COLLECTION |
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Public Television Station Digital Transition |
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Date Prepared |
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Grant Program |
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2017 |
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| INSTRUCTIONS: |
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> |
(f) TOTAL |
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(h) TOTAL |
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(k) TOTAL |
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| Use this form when a single information collection document involves multiple reporting and |
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> |
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= (e) Average |
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= (g) Average |
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= (j) Average |
| recordkeeping requirements. |
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(d) TOTAL |
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(f) TOTAL |
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(i) TOTAL |
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| IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS |
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ANNUAL BURDEN |
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FORM |
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REPORTS |
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RECORDS |
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NO(s) |
NO. OF |
NO. OF |
TOTAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
TOTAL |
| SECTION OF |
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(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 |
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RESPON- |
(Col. d & e) |
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KEEPER |
HOURS |
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DENT |
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(Col. i & j) |
| (a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
(k) |
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I hour placeholder for use of common forms |
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Items Cleared Under this Collection |
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Application Package * |
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1 |
1 |
1 |
23 |
23 |
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Grant Agreement * |
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1 |
1 |
1 |
3 |
3 |
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* NOTE: These two items were a part of package but not used due to the program is not funded. |
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Total Hours This Collection |
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1 |
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1 |
1.00 |
1.00 |
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Items Cleared Under Other OMB Approved Collections |
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FEDERAL FINANCIAL REPORT (approved under OMB 4040-0014) |
SF-425 |
15 |
1 |
15 |
1.00 |
15.00 |
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REQUEST FOR ADVANCE OR REIMBURSEMENT (approved under OMB 4040-0012) |
SF-270 |
15 |
2 |
30 |
1.00 |
30.00 |
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Total hours from other OMB approved collections |
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Err:522 |
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| RUS Form 36 (07-91) |
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Page __1__ of __1__ |
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