Spreadsheet - Summary of Burden

USDA - RUS				Title of Information Document						OMB No.
				Higher Blends Infrastructure Incentive Program (HBIIP)
SUMMARY OF INFORMATION COLLECTION										Date Prepared
										Mar-20
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)
			(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)	(j)	(k)
			Items Cleared Under This Docket - 0570-New
			HBIIP Project Technical Report (Pre-Award)	non-form	100	1	100	120
			Request for Advance or Reimbursement’ (Post-Award)	SF 270	80	1	80	1.00	80.00
			HBIIP Project Worksheet with Priority Scoring Criteria Transportation (Pre-Award)	non-form	100	1	100	36.00	3600.00
			Reporting and Record Keeping Requirements Under This OMB Docket No. 0570-NEW
			Semi-Annual Report - Project Performance (Post-Award)	non-form					0.00	80	2	160
		2 CFR 200-343	Final Project and Financial Status report (Post-Award)	non-form					0.00	80	2	160
			Outcome Project Performance Reports and Final Deliverables (Post-Award)	non-form					0.00	80	2	160
Total burden hours for forms approved under this OMB Docket 0570-NEW					100	1.00	280	56.00	15680.00			480
			Record Keeping hours under this OMB Docket 0570-NEW						480.00
			Total Burden and RecordKeeping Burden						16080.00
			Items Cleared Under Other OMB Dockets
			Cleared Under OMB Docket No. 3090-0292
			(FFATA) Transparency Act Reporting (Pre-award)	100	50	1	50	1.33	66.50
			Cleared Under OMB Docket No. 4040-0004
			Application for Federal Assistance (Pre-Award)	SF 424	100	1	100	1.10	110.00
			Cleared Under OMB Docket No. 4040-0008
			Budget Information - Construction Programs (Pre-Award)	SF 424C	100	1	100	2.00	200.00
			Cleared Under OMB Docket No. 4040-0009
			Assurances - Construction Programs (Pre-Award)	SF 424D	100	1	100	0.25	25.00
			Cleared Under OMB Docket No. 0575-0197
			Written – Environmental Review Documents (Pre-Award)	written	100	1	100	80.00	8000.00
			Cleared Under OMB Docket No. 0570-0035
			Letter of Conditions	Form RD 4280-4	80	1	80	1.00	80.00
			Cleared Under OMB Docket No. 0570-0061 and 0570-0062
			Request for Obligation of Funds (Post-Award)	Form RD 1940–1	80	1	80	0.25	20.00
			Cleared Under OMB Docket No. 0575-0015, 0570-0021, 0570-0061, 0570-0062 and 0572-0137
			Letter of Intent to Meet Conditions (Post-Award)	Form RD 1942–46	80	1	80	1.00	80.00
			Cleared Under OMB Docket No. 4040-0014
			Federal Financial Report (Post-Award)	SF–425	80	1	80	1.00	80.00			-
			Cleared Under OMB Docket No. 0570-0050
			Rural Business-Cooperative Service Financial Assistance Agreement (Grant Agreement) (Post-award)	Form RD 4280-2	80	1	80	1.00	80.00
		Total burden hours for forms approved under other OMB Dockets			100	9	850	10.28	8,741.5
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							Annual Burden Hours		15,680.00
							Record Keeping Hours		480.00
			TOTAL ANNUAL BURDEN AND RECORDKEEPING HOURS				Total Burden Hours		16,160.00