Summary of Burden - Spreadsheet

USDA - RUS		Title of Information Document						OMB No.
		Special Evaluation Assistance for Rural Communities and Households Program (SEARCH)						0572-0146
SUMMARY OF INFORMATION COLLECTION								Date Prepared
								2019
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-
NOFA	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)
	Burden associated with this package
	NON-FORM BURDEN
1774.10(a)(3) &	Audits or Finanicial Statements	Written	111	1	111	8.00	888
1774.16(d)(2) &
1774.10(a)(3)	Evidence of Other Funds	Written	22	1	22	1.00	22
1774.10(a)(3)	Supporting documentation (Org. Documents, etc.)	Written	111	1	111	4.00	444
1774.10(a)(3)	Statement on availability to obtain credit elsewhere	Written	111	1	111	1.00	111
1774.10(a)(4)	Project Narrative	Written	111	1	111	2.00	222
1774.10(a)(6)(vi)	Certification for Contracts, Grants and Loans Regarding Lobbying	RD 1940-Q	111	1	111	0.25	28
		Exhibit A-1
1774.10(a)(6)(vii)	Certification Regarding Prohibited Tying Arrangements	Written	111	1	111	0.25	28
1774.13(i)	Certification Regarding National Forest-Dependent Rural	Written	111	1	111	0.25	28
	Communities Economic Diversifcation Act of 1990
1774.16(a)	Public Information	Written	111	1	111	2.00	222
1774.16(a)	Agreements for professional services	Written &	111	1	111	4.00	444
		EJCDC
1774.16(d)(3)	Letter of Conditions	Written	105	1	105	1.00	105
1774.16(d)(5)	Request for Obligation of Funds	1940-1	105	1	105	0.25	26
1774.17	ACH Vendor/Miscellaneous Payment Enrollment Form	SF 3881	105	1	105	0.25	26			Page 1
1774.18	Audits or Finanicial Statements	Written	53	1	53	8.00	424
1774.18	Management report- Quarterly Report	Written	21	4	84	4.00	336
1774.20	Relationship or Assocation with RUS Employees	Written	105	1	105	0.25	26
1774.18	Borrower shall maintain accounting records for 3 years							315	0.08	25
	Burden hours associated with THIS package			19.00	1,578	2.28	3,380			Page 2
	FORMS APPROVED UNDER OTHER OMB NUMBERS
1,774.8	Initial Compliance Review	RD 400-8	105	1	105	8.00	840
		(0575-0015)
1774.10(a)(1)	Application for Federal Assistance	SF 424	111	1	111	1.00	111
		(4040-0004)
1774.10(a)(2)	Budget Information - Non-Construction Programs	SF 424A	111	1	111	1.00	111
		(4040-0006)
1774.10(a)(2)	Assurances - Non-Construction Programs	SF 424B	111	1	111	1.00	111
		(4040-0007)
1774.10(a)(6)(i)	Operating Budget	RD 442-7	111	1	111	5.00	555
		(0575-0015)
1774.10(a)(6)(ii)	Equal Opportunity Agreement	RD 400-1	111	1	111	0.17	19
		(0575-0018)
1774.10(a)(6)(iii)	Assurance Agreement	RD 400-4	111	1	111	0.25	28
		(0575-0018)
1774.10(a)(6)(iv)	Certification Regarding Debarment	AD 1047	111	1	111	0.25	28
		(0572-0027)
1774.10(a)(6)(iv)	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction.”	AD 1048	111	1	111	0.25	28
		(0572-0027)
1774.10(a)(6)(v)	Certification Regarding Drug-Free Workplace	AD 1049	111	1	111	0.25	28
		(0572-0027)
										Page 3
1774.10(a)(6)	Rep. Regarding Felony Conviction and Tax Delinquent	AD 3030	111	1	105	0.25	26
	Status for Corporate Applicants	(0505-0025)
1774.10(a)(6)	Assurance Regarding Felong Conviction or Tax Delinquent	AD 3031	8	1	21	0.25	5
	Status for Corporate Applicants	(0505-0025)
1774.16(d)(2)	Balance Sheet or Financial Statement	RD 442-3	55	1	55	1.00	55
1774.18		(0575-0015)	52	1	52	1.00	52
1774.16(d)(4)	Letter of Intent to Meet Conditions	RD 1942-46	105	1	105	1.00	105
		(0575-0015)
1774.17(a)	Grant Agreement	RUS Bulletin 1780-12	105	1	105	1.00	105
		(0572-0121)
1774.17(a)	Resolution of Members or Stockholders	RD 1942-8	105	1	105	1.00	105
		(0575-0015)
1774.17(b)	Partial Payment Estimate	RD 1924-18	105	1	105	0.50	53
		(0575-0042)
1774.18	Statement of Budget, Income, and Equity	RD 442-2	52	1	52	2.50	130
		(0575-0015)
	Total burden associated with OTHER packages		1,802	19	1,809	1.35	2,494
	Total COMBINED burden associated with this package		1,802	38	3,387	1.78	5,874			Page 4