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2019 Burden Estimate for the Agriculture Innovation Center Demonstration Program
USDA Rural Business-Cooperative Service

Section of Regulations

Title

Form No. (if any)

Estimated
No. of
Respondents

(A)

(B)

(C)

(D)

Reports
Filed
Annually

Total
Annual
Reponses
(D) X (E)

(E)

(F)

Estimated
No. of
Man Hours
per
Reponse
(G)

Estimated
Total Man
Hours
(F) X (G)

Wage Class*
$/hr

Total Cost
to the
Public
(H) X (I)

(H)

(I)

(J)

APPLICANT/RECIPIENT Burden
PAPERWORK REQUIREMENTS - FORMS
4284.16(c)(3)
4284.16(c)(3)
4284.16(c)(3)

Certification Regarding Debarment, Suspension, and Other Responsibility Matters
- Primary Covered Transactions
Certification Regarding Debarment, Suspension, and Other Responsibility Matters
- Lower-Tier Covered Transactions
Certification Regarding Drug-Free Workplace Requirements (Grants)

Annual Appropriation Law Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate
Applicants
Annual Appropriation Law Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants
4284.16(b)

Assurance Agreement

4284.1014(b)

Letter of Intent to Meet Conditions

4284.11(a)
428.1014(c)
4284.8

Financial Assistance Agreement
Request for Obligation of Funds
Subtotal

AD -1047
(0505-0027)
AD-1048
(0505-0027)
AD-1049
(0505-0027)
AD-3030
(0505-0025)
AD-3031
(0505-0025)
RD 400-4
(0575-0018)
RD 1942-46
(0570-0062)
RD 4280-2
(0570-0067)
RD-1940-1
(0575-0062)

3

1

3

0.25

0.75 $

57.88 $

43.41

3

1

3

0.25

0.75 $

57.88 $

43.41

3

1

3

0.25

0.75 $

57.88 $

43.41

25

1

25

0.25

6.25 $

57.88 $

361.75

3

1

3

0.25

0.75 $

57.88 $

43.41

3

1

3

0.25

0.75 $

57.88 $

43.41

3

1

3

1.00

3.00 $

57.88 $

173.64

3

1

3

1.00

3.00 $

57.88 $

173.64

3

1

3

0.25

0.75 $

57.88 $

43.41

$

969.49

57.88 $
57.88 $
57.88 $
57.88 $
57.88 $
$

57,880.00
173.64
1,389.12
520.92
43.41
60,007.09

$

60,976.58

49

16.75

PAPERWORK REQUIREMENTS - NO FORMS
4284.1010(c)
4284.12(b)
4284.12(c)
4284.16(c)(4)

Proposal
Categorical Exclusion w/ Environmental Report
Performance Reports - Semi-Annual
Peformance Report - Final
Certification Regarding Lobbying
Subtotal

narrative
narrative
narrative
narrative
narrative

25
3
3
3
3

1
1
2
1
1

GRAND TOTAL

25
3
6
3
3
40

40.00
1.00
4.00
3.00
0.25

89

1000.00 $
3.00 $
24.00 $
9.00 $
0.75 $
1036.75
1053.50

FORM BURDEN APPROVED UNDER OTHER OMB NUMBERS
4284.1010(b)(1)

Application for Federal Assistance

4284.1010(b)(2)

Budget Information - Non-Construction

4284.1010(b)(3)

Assurances - Non-Construction

SF-424
(4040-0004)
SF-424A
(4040-0006)
SF-424B
(4040-0007)

25

1

25

1.00

25.00

25

1

25

3.00

75.00

25

1

25

0.25

6.25

4284.12(a)

Federal Financial Report

4284.11(c)

Request for Advance or Reimbursement

4284.16(c)(4)

Disclosure of Lobbying Activities

SF-425
(4040-0014)
SF-270
(4040-0012)
SF-LLL
(4040-0013)

3

3

9

0.50

4.50

3

12

36

1.00

36.00

3

1

3

0.25

0.75

*The Wage Class is a mean average of three positions that are expected to contribute to the development of applications as well as filling out forms and reporting: Management Analyst $44.92; Postsecondary School Teacher (University Professor)
$39.85; Financial Analyst $47.80

2019 Burden Estimate for the Agriculture Innovation Center Demonstration Program
USDA Rural Business-Cooperative Service
Selection of Regulation

Description

Form No.
(if any)

No. of
Respondents

(A)

(B)

(C)

(D)

Annual Cost to the FEDERAL GOVERNMENT
4284.1010
4284.1010
4284.1011
4284.1012 - .1013
4284.1012
Federal Register Notice
4284.1014
Federal Register Notice
4284.4
4284.14
4284.9

Develop Notice (RFP)
Receive Applications
Determine Eligiblity
Evaluate Applications
Prepare Executive Summary
Announce Awards
Prepare Legal Documents
Notify Applicants
Participate in Appeal Hearing
Monitor Awards
Disburse Funds

N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A

1
25
25
25
1
3
3
25
1
3
3

TOTAL

** $47.38 (adj $77.82) is the hourly rate for a GS-13, step 5 in the rest-of-the-US; $30.54 (adj $50.16) is the hourly rate for a W
above include 36.25% for fringe benefits and 28% for overhead costs. Those rates are paranthetically noted as "adj" amounts

Reports
Filed
Annually
(E)

Total Annual
Responses
(D) X (E)
(F)

1
1
1
1
1
1
1
1
1
1
12

Estimated No.
of Manhours
per Response
(G)

1
25
25
25
1
3
3
25
1
3
36
148

100
0.50
2.00
3.00
8.00
0.50
2.00
1.00
20.00
30.00
0.50

Estimated Total
Manhours
(F) X (G)
(H)

100.00 $
12.50 $
50.00 $
75.00 $
8.00 $
1.50 $
6.00 $
25.00 $
20.00 $
90.00 $
18.00 $

Wage**
Class
(I)

86.49
86.49
86.49
77.82
86.49
86.49
86.49
86.49
86.49
86.49
50.16

406.00

4 (adj $50.16) is the hourly rate for a WDC-area GS-9, step 5; $52.66 (adj $86.49) is for a WDC-area GS-13, step 5. Wage rates
paranthetically noted as "adj" amounts in this note.

Total Cost
(H) X (I)
(J)

$
$
$
$
$
$
$
$
$
$
$

8,649.00
1,081.13
4,324.50
5,836.50
691.92
129.74
518.94
2,162.25
1,729.80
7,784.10
902.88

$

33,810.75

ea GS-13, step 5. Wage rates

The estimates provided on the previous spreadsheets utilized the following assumptions:
Total number of applications

25

Total number of recipients

3

SF-LLL responses

3

Developing the Notice (RFP) is based only on the time for RBS personnel to develop the document and assist with the clear
Announcing Awards includes the generation and correction of project information sheets and the press release.

previous spreadsheets utilized the following assumptions:
This number is based on the paperwork burden package from FY 2003,
which is the only year the program was run at full funding. Even if funding
levels are reduced, it is expected that at least this many organizations will
apply.
This number is based on the funding amount received in FY 2018 because
the funding amount is unknown for FY 2019.
This number is based on the expected number of awards over $100,000 and
the nature of the recipient organizations.

based only on the time for RBS personnel to develop the document and assist with the clearance process. It does not include the time
he generation and correction of project information sheets and the press release.

oes not include the time of the clearance agencies.