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["                                                                    USDA - RHS",null,"Title  of  Information  Document",{"$nulls":5},"OMB  No."]
[null,null," ",{"$nulls":6},"0575-AD02"]
[" SUMMARY  OF  INFORMATION  COLLECTION",null,"7 CFR 3570 Technical Assistance Programs",{"$nulls":5},"Date  Prepared"]
[{"$nulls":9},"2019-04-19"]
[" INSTRUCTIONS:"," ",null,null,">","(f)  TOTAL",null,"(h)  TOTAL",null," "]
["Use this form when a single information collection document involves multiple reporting and                  ",{"$nulls":3},">","-","= (e)  Average","-","= (g)  Average","-","= (j)  Average"]
["  recordkeeping requirements.  ",{"$nulls":3},">","(d)  TOTAL",null,"(f)  TOTAL",null,"(i)  TOTAL"]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS",{"$nulls":3},"RECORDS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL","NO.  OF","ANNUAL","TOTAL"]
["SECTION  OF",null,"(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"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)",{"$nulls":3},"KEEPER","HOURS"]
[{"$nulls":4},"DENT",{"$nulls":5},"(Col.  i  &  j)"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)","(i)","(j)","(k)"]
[null,"Reporting Requirements - Non Forms"]
["3570.265(c)(6)","Documentation of assistance provided to Rural Development employees","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},0.25,{"$f":"SUM(F17*G17)","v":12.75}]
[{"$nulls":3}," "]
["3570.265(c)(9)","Indirect Cost Agreement","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"$f":"SUM(D19*E19)","v":{"v":51,"d":"51 "}},{"v":1,"d":"1.00"},{"$f":"SUM(F19*G19)","v":{"v":51,"d":"51.00"}}]
[]
["3570.265(c)(10)","Statement of Compliance , Title VI of Civil Rights Act of 1964","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"$f":"SUM(D21*E21)","v":{"v":51,"d":"51 "}},{"v":0.5,"d":"0.50"},{"$f":"SUM(F21*G21)","v":{"v":25.5,"d":"25.50"}}]
[]
["3570.265(d)(1)(i)","Evidence of Legal Existence and Authority","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"$f":"SUM(D23*E23)","v":{"v":51,"d":"51 "}},0.25,{"$f":"SUM(F23*G23)","v":12.75}]
[]
["3570.265(d)(1)(ii)","Evidence of Tax Exempt Status","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},0.25,{"$f":"SUM(F25*G25)","v":12.75}]
[]
["3570.265(d)(2)","Narrative - Project Proposal","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},{"v":1,"d":"1.00"},{"$f":"F27*G27","v":{"v":51,"d":"51.00"}}]
[null," ",{"$nulls":3}," ",null," "]
["3570.265(d)(3)","Latest Financial Information","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"$f":"SUM(D29*E29)","v":{"v":51,"d":"51 "}},{"v":1,"d":"1.00"},{"$f":"SUM(F29*G29)","v":{"v":51,"d":"51.00"}}]
[]
["3570.265(d)(4)","Documentation of cash matching funds","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},{"v":0.5,"d":"0.50"},{"$f":"F31*G31","v":{"v":25.5,"d":"25.50"}}]
[]
["3570.265(d)(5)","Scope of Work/Work Plan","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},{"v":2,"d":"2.00"},{"$f":"F33*G33","v":{"v":102,"d":"102.00"}}]
[]
["3570.265(d)(7)","Budget justification","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},{"v":5,"d":"5.00"},{"$f":"F35*G35","v":{"v":255,"d":"255.00"}}]
[]
["3570.265(d)(8)","Evidence of Financial Management System","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"$f":"SUM(D37*E37)","v":{"v":51,"d":"51 "}},0.25,{"$f":"SUM(F37*G37)","v":12.75}]
[]
["3570.265(d)(9)","Documentation on each of the priority ranking criteria ","Written",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},{"v":10,"d":"10.00"},{"$f":"F39*G39","v":{"v":510,"d":"510.00"}}]
[null,"Subtotal",{"$nulls":3},{"$f":"SUM(F17:F39)","v":{"v":612,"d":"612 "}},null,{"$f":"SUM(H17:H39)","v":{"v":1122,"d":"1,122.00"}}]
[]
[null,"Awardees"]
[1775.2,"Project Performance Report","Written",{"v":12,"d":"12 "},{"v":4,"d":"4 "},{"v":12,"d":"12 "},{"v":12,"d":"12.00"},{"$f":"SUM(F43*G43)","v":{"v":144,"d":"144.00"}}]
[]
[1775.21,"Audit","Written",{"v":12,"d":"12 "},{"v":1,"d":"1 "},{"$f":"SUM(D45*E45)","v":{"v":12,"d":"12 "}},{"v":3,"d":"3.00"},{"$f":"SUM(F45*G45)","v":{"v":36,"d":"36.00"}}]
[]
[1775.21,"Financial Statements","Written",{"v":12,"d":"12 "},{"v":1,"d":"1 "},{"$f":"SUM(D47*E47)","v":{"v":12,"d":"12 "}},{"v":1,"d":"1.00"},{"$f":"SUM(F47*G47)","v":{"v":12,"d":"12.00"}}]
[null,"Subtotal",{"$nulls":3},{"$f":"SUM(F43:F47)","v":{"v":36,"d":"36 "}},null,{"$f":"SUM(H43:H47)","v":{"v":192,"d":"192.00"}}]
[]
[null,"Reporting Requirements - Forms"]
["3570.265(c)(3)","Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions","AD-1047 (0505-0027)",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},0.25,{"$f":"F51*G51","v":12.75}]
[]
["3570.265(c)(5)","Certification Regarding Debarment","AD-1048 (0505-0027)",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},0.25,{"$f":"SUM(F53*G53)","v":12.75}]
[]
["3570.265(c)(4)","Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - for Grantees Other Than Individuals","AD-1049 (0505-0027)",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},0.25,{"$f":"SUM(F55*G55)","v":12.75}]
[]
["3570.265(c)(7)","Equal Opportunity Agreement","RD 400-1 (0575-0018)",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},0.17,{"$f":"SUM(F57*G57)","v":8.67}]
[]
["3570.265(c)(8)","Assurance Agreement","RD 400-4 (0575-0018)",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},0.25,{"$f":"SUM(F59*G59)","v":12.75}]
[]
["3570.272( e )","Community Facilities Technical Assistance and Training Grant Agreement","RD 3570-4 (0575-0198)",{"v":12,"d":"12 "},{"v":1,"d":"1 "},{"v":12,"d":"12 "},{"v":2,"d":"2.00"},{"$f":"F61*G61","v":{"v":24,"d":"24.00"}}]
[null,"Subtotal",{"$nulls":3},{"$f":"SUM(F51:F61)","v":{"v":267,"d":"267 "}},null,{"$f":"SUM(H51:H61)","v":83.67}]
[null,"Grand Total",{"$nulls":3},{"$f":"F40+F48+F62","v":{"v":915,"d":"915 "}},null,{"$f":"H40+H48+H62","v":{"v":1397.67,"d":"1,397.67"}}," ",null," "]
[]
[null,"Common Forms Approved Under Other Packages - Burden Reported as RCF",{"$nulls":6}," "," "," "]
["3570.265(c)(1)","Application for Federal Assistance (Non-construction Programs)","SF-424 (4040-0004)",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},{"v":1,"d":"1.00"},{"$f":"F66*G66","v":{"v":51,"d":"51.00"}},null,null," "]
[]
["3570.265(c)(2)","Budget Information--Non-Construction Programs","SF-424A (4040-0006)",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},{"v":1,"d":"1.00"},{"$f":"F68*G68","v":{"v":51,"d":"51.00"}}]
[]
["3570.265(c)(2)","Assurances--Non-construction Programs","SF-424B (4040-0007)",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"v":51,"d":"51 "},{"v":0.5,"d":"0.50"},{"$f":"F70*G70","v":{"v":25.5,"d":"25.50"}}," "," "," "]
[]
["3570.268(a)","Request for Advance or Reimbursement","SF-270 (4040-0012)",{"v":12,"d":"12 "},{"v":12,"d":"12 "},{"v":51,"d":"51 "},{"v":1,"d":"1.00"},{"$f":"SUM(F72*G72)","v":{"v":51,"d":"51.00"}}]
[]
["3570.265(c)(11)","Disclosure of Lobbying Activities","SF LLL (4040-0013)",{"v":51,"d":"51 "},{"v":1,"d":"1 "},{"$f":"SUM(D74*E74)","v":{"v":51,"d":"51 "}},{"v":1,"d":"1.00"},{"$f":"SUM(F74*G74)","v":{"v":51,"d":"51.00"}}]
[]
["3570.270(a)","Federal Financial Report","SF-425 (4040-0014)",{"v":12,"d":"12 "},{"v":4,"d":"4 "},{"v":12,"d":"12 "},{"v":1,"d":"1.00"},{"$f":"SUM(F76*G76)","v":{"v":12,"d":"12.00"}}]

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