Summary of Burden - Spreadsheet

0572-0121 spreadsheet ROCIS.xlsm

7 CFR 1780, Water and Waste Loan and Grant Program

Summary of Burden - Spreadsheet

OMB: 0572-0121

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USDA - RUS
Title of Information Document




OMB No.




Water and Waste Loan and Grant Program





0572-0121

SUMMARY OF INFORMATION COLLECTION
7 CFR 1780




Date Prepared









2018

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-
REGULATIONS 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)













NON-FORM BURDEN-(Under this collection 0572-0121)










Application/Eligibility: (uses application data)









1780.1(d) Documentation of Income Survey Written 158 1 158 8.00 1,264




7 CFR 1777-Section 306C (0572-0109)
6 1 6 8.00 48




7 CFR 1778-ECWAG (0572-0110)
9 1 9 8.00 72















1780.1(f) Relationship or association with RUS employees Written 789 1 789 0.25 197

7 CFR 1777-Section 306C (0572-0109)
30 1 30 0.25 8




7 CFR 1778-ECWAG (0572-0110)
46 1 46 0.25 12












1780.7(d) & Statement on availability to obtain credit elsewhere Written 789 1 789 1.00 789
1780.33 (d) 7 CFR 1777-Section 306C
30 1 30 1.00 30




7 CFR 1778-ECWAG
46 1 46 1.00 46















1780.11(a)(2) Notification of service statement Written 158 1 158 1.00 158




7 CFR 1777-Colonias
6 1 6 1.00 6

7 CFR 1778-ECWAG
9 1 9 1.00 9















1780.14(a) Security- Public Bodies- General Obligation and Revenue Bonds Written 500 1 500 4.00 2,000




7 CFR 1777-Colonias
0 1 0 4.00 0




7 CFR 1778-ECWAG
0 1 0 4.00 0















1780.14(b) Security- Not-For-Profit- Liens on property and Financing Stmt. Written 66 1 66 4.00 264




7 CFR 1777-Colonias
0 1 0 4.00 0




7 CFR 1778-ECWAG
0 1 0 4.00 0















1780.19 Public Information Written 789 1 789 2.00 1,578




7 CFR 1777-Colonias
30 1 30 2.00 60




7 CFR 1778-ECWAG
46 1 46 2.00 92




SUBTOTAL


3,507
6,632 0.00 0.00

TOTAL OF ALL PAGES


46,109
155,219 14,000
1,120
TOTAL - Columns "F" and "I" = OMB 83I, 13 b; Columns "H" and "K" = OMB 83I, 13c


60,109
156,339



1780.33(b) Intergovernmental comments Written 158 1 158 1.00 158




7 CFR 1777-Colonias
6 1 6 1.00 6




7 CFR 1778-ECWAG
9 1 9 1.00 9















1780.33(c) Preliminary engineering report Written 789 1 789 40.00 31,560




7 CFR 1777-Colonias
30 1 30 40.00 1,200




7 CFR 1778-ECWAG
46 1 46 40.00 1,840















1780.33(e) Supporting documentation Written 789 1 789 4.00 3,156




7 CFR 1777-Colonias
30 1 30 4.00 120




7 CFR 1778-ECWAG
46 1 46 4.00 184















1780.33(f) Environmental Report Written 789 1 789 24.00 18,936




7 CFR 1777-Colonias
30 1 30 24.00 720




7 CFR 1778-ECWAG
46 1 46 24.00 1,104















1780.33(h)(5) Certification Regarding Debarment- Primary Covered Trans. AD-1047 789 1 789 0.25 197




7 CFR 1777-Colonias (0505-0027) 30 1 30 0.25 8




7 CFR 1778-ECWAG
46 1 46 0.25 12















1780.33(h)(5) Certification Regarding Debarment- Lower Tier Covered Trans. AD-1048 691 4 2,764 0.25 691




7 CFR 1777-Colonias (0505-0027) 28 4 112 0.25 28




7 CFR 1778-ECWAG
46 4 184 0.25 46















1780.33(h)(6) Certification Regarding Drug-Free Workplace AD-1049 500 1 500 0.25 125




7 CFR 1777-Colonias (0505-0027) 28 1 28 0.25 7




7 CFR 1778-ECWAG
46 1 46 0.25 12















1780.33(h)(7) Cert. for Contracts, Grants, and Loans (Regarding Lobbying) RD 1940-Q 789 1 789 0.25 197




7 CFR 1777-Colonias
30 1 30 0.25 8




7 CFR 1778-ECWAG
46 1 46 0.25 12















1780.33(h)(8) Certification on Tying Arrangements Written 789 1 789 0.25 197




7 CFR 1777-Colonias
30 1 30 0.25 8




7 CFR 1778-ECWAG
46 1 46 0.25 12




SUBTOTAL


8,997
60,550















1780.39(b)(1),(2) Agreements for professional services Written & 789 1 789 6.00 4,734



, and (3) 7 CFR 1777-Colonias RUS Bulletin 30 1 30 6.00 180




7 CFR 1778-ECWAG 1780-7 46 1 46 6.00 276















1780.39(b)(4) Contracts for other services Written 198 1 198 2.00 396




7 CFR 1777-Colonias
7 1 7 2.00 14




7 CFR 1778-ECWAG
12 1 12 2.00 24















1780.39(c)(3) User agreement Written & 158 1 158 4.00 632




7 CFR 1777-Colonias RUS Bulletin 6 1 6 4.00 24




7 CFR 1778-ECWAG 1780-9 9 1 9 4.00 36















1780.39(c)(5)(i) Positive programs to encourage connections Written 158 1 158 4.00 632




7 CFR 1777-Colonias
6 1 6 4.00 24




7 CFR 1778-ECWAG
9 1 9 4.00 36















1780.39(d) Interim financing Written 453 1 453 4.00 1,812




7 CFR 1777-Colonias
0 1 0 4.00 0




7 CFR 1778-ECWAG
0 1 0 4.00 0















1780.39(g)(3) Fidelity or employee dishonesty Bond Written 566 1 566 2.00 1,132




7 CFR 1777-Colonias
0 1 0 2.00 0




7 CFR 1778-ECWAG
0 1 0 2.00 0












1780.39(g)(4) Property insurance Written 789 1 789 1.00 789




7 CFR 1777-Colonias
30 1 30 1.00 30




7 CFR 1778-ECWAG
46 1 46 1.00 46















1780.39(g)(5) General Liability Insurance Written 789 1 789 1.00 789




7 CFR 1777-Colonias
30 1 30 1.00 30




7 CFR 1778-ECWAG
46 1 46 1.00 46




SUBTOTAL


4,177
11,682



1780.39(g)(6) Flood Insurance Written 158 1 158 1.00 158




7 CFR 1777-Colonias
6 1 6 1.00 6




7 CFR 1778-ECWAG
9 1 9 1.00 9















1780.39(g)7) Workman's compensation insurance Written 789 1 789 1.00 789




7 CFR 1777-Colonias
30 1 30 1.00 30




7 CFR 1778-ECWAG
46 1 46 1.00 46
















Approval/Actions Following Obligation: (uses obligation data)









1780.41(a)(5) Letter of Conditions Written 722 1 722 1.00 722




7 CFR 1777-Colonias
28 1 28 1.00 28




7 CFR 1778-ECWAG
46 1 46 1.00 46















1780.44(f) Evidence of other funds Written 144 1 144 1.00 144




7 CFR 1777-Colonias
6 1 6 1.00 6




7 CFR 1778-ECWAG
9 1 9 1.00 9















1780.44(g) Appraisal Report Written 85 1 85 2.00 170




7 CFR 1777-Colonias
0 1 0 2.00 0




7 CFR 1778-ECWAG
0 1 0 2.00 0















1780.44(g)(1)(ii) User Connections Written 72 1 72 4.00 288




7 CFR 1777-Colonias
3 1 3 4.00 12




7 CFR 1778-ECWAG
5 1 5 4.00 20















1780.44(g)(3) Water rights Written 72 1 72 4.00 288




7 CFR 1777-Colonias
3 1 3 4.00 12




7 CFR 1778-ECWAG
5 1 5 4.00 20















1780.44(g)(4) Lease agreement Written 72 1 72 4.00 288




7 CFR 1777-Colonias
3 1 3 4.00 12




7 CFR 1778-ECWAG
5 1 5 4.00 20
















SUBTOTAL


2,318
3,123



1780.45(a)(2) Loan Resolution (Public Bodies) RUS Bulletin 1780-27 500 1 500 1.00 500




7 CFR 1777-Colonias
0 1 0 1.00 0




7 CFR 1778-ECWAG
0 1 0 1.00 0















1780.45(a)(2) Loan Resolution, Security Agreement RUS Bulletin 1780-28 66 1 66 1.00 66




7 CFR 1777-Colonias
0 1 0 1.00 0




7 CFR 1778-ECWAG
0 1 0 1.00 0















1780.45(c) Grant Agreement RUS Bulletin 1780-12 500 1 500 1.00 500




7 CFR 1777-Colonias
28 1 28 1.00 28




7 CFR 1778-ECWAG
46 1 46 1.00 46















1780.47(d) & (e ) Audits and Year-End Financial Reports Written 722 3 2,166 8.00 17,328




7 CFR 1777-Colonias
28 3 84 8.00 672




7 CFR 1778-ECWAG
46 3 138 8.00 1,104















1780.47(f)(1) Management report- Quarterly Report Written 144 4 576 4.00 2,304




7 CFR 1777-Colonias
6 4 24 4.00 96




7 CFR 1778-ECWAG
9 4 36 4.00 144
















Actions during Construction: (uses construction data)









1780.61(a) Construction contract forms Written 691 1 691 8.00 5,528




7 CFR 1777-Colonias
28 1 28 8.00 224




7 CFR 1778-ECWAG
46 1 46 8.00 368















1780.61(b) Borrower attorney's certification of construction contract Written & 691 1 691 8.00 5,528




7 CFR 1777-Colonias Exhibit GC-H 28 1 28 8.00 224




7 CFR 1778-ECWAG
46 1 46 8.00 368















1780.70 Owner's Solicitation and Review of Offers Written 691 1 691 8.00 5,528




7 CFR 1777-Colonias
28 1 28 8.00 224




7 CFR 1778-ECWAG
46 1 46 8.00 368




SUBTOTAL


6,459
41,148















1780.74 Contracts awarded prior to application Written 35 1 35 2.00 70




7 CFR 1777-Colonias
1 1 1 2.00 2




7 CFR 1778-ECWAG
2 1 2 2.00 4















1780.76 (a) Pre-Construction Conference RD 1924-16 691 1 691 1.00 691




7 CFR 1777 - Colonias
28 1 28 1.00 28




7 CFR 1778 -ECWAG
46 1 46 1.00 46















1780.76(b) Monitoring construction- Owner's Report Written 691 12 8,292 2.00 16,584




7 CFR 1777-Colonias
28 12 336 2.00 672




7 CFR 1778-ECWAG
46 12 552 5.00 2,760















1780.76(c) Resident Inspector resume Written 691 1 691 2.00 1,382




7 CFR 1777-Colonias
28 1 28 2.00 56




7 CFR 1778-ECWAG
46 1 46 2.00 92















1780.76(d) Daily inspection report Written 691 12 8,292 0.50 4,146




7 CFR 1777-Colonias
28 12 336 0.50 168




7 CFR 1778-ECWAG
46 12 552 0.50 276















1780.83 Bond Transcript Documents Written 610 1 610 8.00 4,880




7 CFR 1777-Colonias
0 1 0 8.00 0




7 CFR 1778-ECWAG
0 1 0 8.00 0















1780.89 & .90 Multiple Advances of Agency Funds (Bond Anticipation Note) Written 113 1 113 2.00 226




7 CFR 1777-Colonias
0 1 0 2.00 0




7 CFR 1778-ECWAG
0 1 0 2.00 0















1780.37(b) Borrower shall maintain accounting records for 3 years




7,000 0.08 560

Contractor required records





7,000 0.08 560

SUBTOTAL


20,651
32,083 14,000
1,120

FORMS APPROVED UNDER OTHER OMB NUMBERS









1780.29(b)(1) Agreement for Engineering Services 1942-19 789 1 789 4.00 3,156




7 CFR 1777-Colonias (0575-0015) 30 1 30 4.00 120




7 CFR 1778-ECWAG
46 1 46 4.00 184















1780.33(a) Application for Federal Assistance- Initial Application SF 424 789 2 1,578 1.00 1,578




7 CFR 1777-Colonias (4040-0004) 30 2 60 1.00 60




7 CFR 1778-ECWAG
46 2 92 1.00 92















1780.33(a) Budget Information--Non-Construction Programs SF-424A 789 2 1,578 1.00 1,578




7 CFR 1777-Colonias (4040-0006) 30 2 60 1.00 60




7 CFR 1778-ECWAG
46 2 92 1.00 92















1780.33(a) Assurances--Non-construction Programs SF-424B 789 2 1,578 1.00 1,578



7 CFR 1777-Colonias (4040-0007) 30 2 60 1.00 60




7 CFR 1778-ECWAG
46 2 92 1.00 92















1780.33(e) Representations Regarding Felony Conviction and Tax AD-3030 789 1 789 0.25 197




Delinquent Status for Corporate Applicants (0505-0025)









7 CFR 1777-Colonias
30 1 30 0.25 8




7 CFR 1778-ECWAG
46 1 46 0.25 12















1780.33(e) Assurances Regarding Felony Conviction and Tax Deilnquent AD-3031 85 1 85 0.25 21




Status for Corporate Applicants (0505-0025)









7 CFR 1777-Colonias
6 1 6 0.25 2




7 CFR 1778-ECWAG
8 1 8 0.25 2















1780.33(h)(1) Operating Budget RD 442-7 789 1 789 5.00 3,945




7 CFR 1777-Colonias (0575-0015) 30 1 30 5.00 150




7 CFR 1778-ECWAG
46 1 46 5.00 230















1780.33(h)(3) Equal Opportunity Agreement RD 400-1 789 1 789 0.08 63




7 CFR 1777-Colonias (0575-0018) 30 1 30 0.08 2




7 CFR 1778-ECWAG
46 1 46 0.08 4



























1780.33(h)(4) Assurance Agreement RD 400-4 789 1 789 0.25 197




7 CFR 1777-Colonias (0575-0018) 30 1 30 0.25 8




7 CFR 1778-ECWAG
46 1 46 0.25 12















1780.39(f) Resolution of Members or Stockholders RD 1942-8 93 1 167 1.00 167




7 CFR 1777-Colonias (0575-0015) 6 1 13 1.00 13




7 CFR 1778-ECWAG
8 1 20 1.00 20















1780.41(a)(3) Balance Sheet or Financial Statement RD 442-3 722 1 722 1.00 722




7 CFR 1777-Colonias (0575-0015) 28 1 28 1.00 28




7 CFR 1778-ECWAG
46 1 46 1.00 46















1780.41(a)(6) Letter of Intent to Meet Conditions RD 1942-46 722 1 722 1.00 722




7 CFR 1777-Colonias (0575-0015) 28 1 28 1.00 28




7 CFR 1778-ECWAG
46 1 46 1.00 46















1780.44© Initial Compliance Review RD 400-8 722 1 722 8.00 5,776




7 CFR 1777-Colonias (0575-0018) 28 1 28 8.00 224




7 CFR 1778-ECWAG
46 1 46 8.00 368















1780.44(g)(1)(i) Opinion of Counsel Relative to Right-of-Way and Easements RD 442-22 691 1 691 1.00 691




7 CFR 1777-Colonias (0575-0015) 28 1 28 1.00 28




7 CFR 1778-ECWAG
46 1 46 1.00 46















1780.44(g)(2) Preliminary Title Opinion RD 1927-9 81 1 81 1.50 122




7 CFR 1777-Colonias (0575-0147) 0 1 0 1.50 0




7 CFR 1778-ECWAG
0 1 0 1.50 0















1780.44(g)(2) Final Title Opinion RD 1927-10 81 1 81 0.34 28




7 CFR 1777-Colonias (0575-0147) 0 1 0 0.34 0




7 CFR 1778-ECWAG
0 1 0 0.34 0















1780.45(a) Promissory Note RD 440-22 81 1 81 0.25 20




7 CFR 1777 - Colonias (0575-0015) 0 1 0 0.25 0




7 CFR 1778 -ECWAG
0 1 0 0.25 0















1780.45(b)(1)(ii) Estimate of Funds Needed for 30-Day Period Commencing _" RD 440-11 0 0 0 1.00 0




7 CFR 1777-Colonias (0575-0015) 0 0 0 1.00 0




7 CFR 1778-ECWAG
0 0 0 1.00 0















1780.47(f)(2) Statement of Budget, Income, and Equity RD 442-2 789 1 789 2.50 1,973




7 CFR 1777-Colonias (0575-0015) 30 1 30 2.50 75




7 CFR 1778-ECWAG
46 1 46 2.50 115















1780.62 Water Purchase Contract RD 442-30 173 1 173 1.00 173




7 CFR 1777-Colonias (0575-0015) 7 1 7 1.00 7




7 CFR 1778-ECWAG
13 1 13 1.00 13















1780.75 Certification of Contractor's Release RD 1924-9 691 1 691 0.25 173




7 CFR 1777 - Colonias (0575-0042) 28 1 28 0.25 7




7 CFR 1778 -ECWAG
46 1 46 0.25 12















1780.75 Release by Claimants RD 1924-10 691 1 691 0.50 346




7 CFR 1777 - Colonias (0575-0042) 28 1 28 0.50 14




7 CFR 1778 -ECWAG
46 1 46 0.50 23















1780.76(e) Partial Payment Estimate RD 1924-18 691 12 8,292 0.50 4,146




7 CFR 1777-Colonias (0575-0042) 28 12 336 0.50 168




7 CFR 1778-ECWAG
46 12 552 0.50 276















1780.76(f) Inspection Report RD 1924-12 691 12 8,292 0.25 2,073




7 CFR 1777 - Colonias (0575-0042) 28 12 336 0.25 84




7 CFR 1778 -ECWAG
46 12 552 0.25 138















1780.76(h)(2) Contract Change Order RD 1924-7 691 2 1,382 0.25 346




7 CFR 1777-Colonias (0575-0042) 28 2 56 0.25 14




7 CFR 1778-ECWAG
46 2 92 0.25 23
















Sub-total (Forms Approved Under Other OMB Numbers)
15,405
35,688
32,792



RUS Form 36 (07-91)
































































































































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