| Section 9004 - Average Year |
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Reports |
Total Annual |
Est. No. of |
Est. Total |
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Total |
| Section of |
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Form No. |
Est. No. of |
Filed |
Responses |
Man hours |
Man-hours |
Wage |
Cost |
| Notice |
Title |
(if Any) |
Respondents |
Annually |
(D) x (E) |
Per Response |
(F) x (G) |
Class |
(H) x (I) |
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REPORTING REQUIREMENTS - NO FORMS |
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| .20(c)(9) |
Feasibility Study |
Written |
3 |
1 |
3 |
107 |
321 |
65.65 |
$21,074 |
| .3 |
Appeals |
Written |
1 |
1 |
1 |
10 |
10 |
43.00 |
$430 |
| .24(b) |
Clarifying information |
Written |
2 |
1 |
2 |
2 |
4 |
43.00 |
$172 |
| 0.26 |
FY 17 and FY 2018 Application Requests |
Written |
6 |
1 |
6 |
3 |
18 |
43.00 |
$774 |
| .20(b)(5) |
Environmental Report |
Written |
3 |
1 |
3 |
6 |
18 |
43.00 |
$774 |
| .20(b)(2) |
Certification for Contracts, Grants and Loans |
RD 1940-Q, Exhibit A-1 |
3.00 |
1.00 |
3.00 |
1.00 |
3.00 |
43.00 |
$129 |
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Subtotal |
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18.00 |
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374.00 |
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$23,352.65 |
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FORMS APPROVED UNDER OTHER OMB NUMBERS |
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| .24(a)(1) |
Disclosure of Lobbying Activities |
SF LLL (4040-0013) |
3.00 |
1.00 |
3.00 |
1.00 |
3.00 |
43.00 |
$129 |
| .24(a)(1) |
Outlay Report and Request for Reimbursement for Construction Programs |
SF 271 (4040-0011) |
3.00 |
12.00 |
36.00 |
1.00 |
36.00 |
43.00 |
$1,548 |
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REPORTING REQUIREMENTS - FORMS |
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| .20(b)(1) |
Repowering Assistance Program Application |
RD 4288-4 (0570-0066) |
3.00 |
1.00 |
3.00 |
24.00 |
72.00 |
43.00 |
$3,096 |
| .23 |
Repowering Assistance Program Agreement |
RD 4288-5 (0570-0066) |
3.00 |
1.00 |
3.00 |
0.25 |
0.75 |
43.00 |
$32 |
| .23(a)(1) |
Repowering Assistance Program Payment - Reporting Form |
RD 4288-6 (0570-0066) |
3.00 |
1.00 |
3.00 |
1.50 |
4.50 |
43.00 |
$194 |
| .20(b)(3) |
Equal Opportunity Agreement |
RD 400-1 (0570-0018) |
3.00 |
1.00 |
3.00 |
0.17 |
0.50 |
43.00 |
$22 |
| .20(b)(4) |
Assurance Agreement |
RD 400-4 (0570-0018) |
3.00 |
1.00 |
3.00 |
0.25 |
0.75 |
43.00 |
$32 |
| .20(b)(6)(i) |
Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Trans. |
AD-1047 (0505-0027) |
3.00 |
1.00 |
3.00 |
0.25 |
0.75 |
43.00 |
$32 |
| .20(b)(6)(ii) |
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lowered Tier Covered Transactions |
AD- 1048 (0505-0027) |
3.00 |
1.00 |
3.00 |
0.25 |
0.75 |
43.00 |
$32 |
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Subtotal |
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21.00 |
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80.00 |
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$3,440 |
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RECORDKEEPING REQUIREMENTS |
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| .5(b)(2) |
General records (including payment eligibility records) |
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3.00 |
1.00 |
3.00 |
3.00 |
9.00 |
43.00 |
$387 |
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Subtotal |
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3.00 |
3.00 |
9.00 |
43.00 |
$387 |
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Totals |
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42.00 |
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462.00 |
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$27,180 |
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NOTE: Totals do not include burden associated with "Forms Approved Under Other OMB Numbers." |
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Costs were determined based on an interview of program applicants. An estimate of paid hours and value determined hours from costs and hours was used for feasibility studies and for filling out form. |
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| Burden Estimate for Section 9004 - Repowering Assistance Program |
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| Estimated Cost to Federal Government |
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| Activity |
Number of Items |
Hours per Item |
Rate* |
Cost |
3-Year Average |
| Acknowledge and review application |
9 |
2 |
$57.95 |
$1,043 |
$348 |
| Evaluate and score application |
9 |
5 |
$57.95 |
$2,608 |
$869 |
| Inform applicants of selection results |
9 |
2 |
$57.95 |
$1,043 |
$348 |
| Legal agreement preparation |
7 |
5 |
$57.95 |
$2,028 |
$676 |
| Review payment requests and issue payments |
18 |
4 |
$57.95 |
$4,172 |
$1,391 |
| Review of annual reports (4288-6) |
4 |
4 |
$57.95 |
$927 |
$309 |
| Monitoring & review of records |
15 |
3 |
$57.95 |
$2,608 |
$869 |
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| Total |
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$14,430 |
$4,810 |
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| *based on 2017 GS Grade 12, step 6 (DC location). |
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| plus 35% overhead and expenses |
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