Burden Spreadsheet

Final 0572-0121 spreadsheet_.xlsm

7 CFR 1780, Water and Waste Loan and Grant Program

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









2021

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 163 1 163 8.00 1,304




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 817 1 817 0.25 204

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




7 CFR 1778-ECWAG (0572-0110)
49 1 49 0.25 12












1780.7(d) & Statement on availability to obtain credit elsewhere Written 817 1 817 1.00 817
1780.33 (d) 7 CFR 1777-Section 306C
30 1 30 1.00 30




7 CFR 1778-ECWAG
49 1 49 1.00 49















1780.11(a)(2) Notification of service statement Written 163 1 163 1.00 163




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 517 1 517 4.00 2,068




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 68 1 68 4.00 272




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 817 1 817 2.00 1,634




7 CFR 1777-Colonias
30 1 30 2.00 60




7 CFR 1778-ECWAG
49 1 49 2.00 98 392



SUBTOTAL


3,629
6,854 391.75 0.00

TOTAL OF ALL PAGES


47,782
162,083 14,000
1,120
TOTAL - Columns "F" and "I" = OMB 83I, 13 b; Columns "H" and "K" = OMB 83I, 13c


61,782
163,203



1780.33(b) Intergovernmental comments Written 163 1 163 1.00 163




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 817 1 817 40.00 32,680




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




7 CFR 1778-ECWAG
49 1 49 40.00 1,960















1780.33(e) Supporting documentation Written 817 1 817 4.00 3,268




7 CFR 1777-Colonias
30 1 30 4.00 120




7 CFR 1778-ECWAG
49 1 49 4.00 196















1780.33(f) Environmental Report Written 817 1 817 24.00 19,608




7 CFR 1777-Colonias
30 1 30 24.00 720




7 CFR 1778-ECWAG
49 1 49 24.00 1,176















1780.33(h)(5) Certification Regarding Debarment- Primary Covered Trans. AD-1047 817 1 817 0.25 204




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




7 CFR 1778-ECWAG
49 1 49 0.25 12















1780.33(h)(5) Certification Regarding Debarment- Lower Tier Covered Trans. AD-1048 708 4 2,832 0.25 708




7 CFR 1777-Colonias (0505-0027) 29 4 116 0.25 29




7 CFR 1778-ECWAG
42 4 168 0.25 42















1780.33(h)(6) Certification Regarding Drug-Free Workplace AD-1049 517 1 517 0.25 129




7 CFR 1777-Colonias (0505-0027) 29 1 29 0.25 7




7 CFR 1778-ECWAG
42 1 42 0.25 11















1780.33(h)(7) Cert. for Contracts, Grants, and Loans (Regarding Lobbying) RD 1940-Q 817 1 817 0.25 204




7 CFR 1777-Colonias
30 1 30 0.25 8




7 CFR 1778-ECWAG
49 1 49 0.25 12















1780.33(h)(8) Certification on Tying Arrangements Written 817 1 817 0.25 204




7 CFR 1777-Colonias
30 1 30 0.25 8




7 CFR 1778-ECWAG
49 1 49 0.25 12 5,535



SUBTOTAL


9,258
62,704















1780.39(b)(1),(2) Agreements for professional services Written & 817 1 817 6.00 4,902



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




7 CFR 1778-ECWAG 1780-7 49 1 49 6.00 294















1780.39(b)(4) Contracts for other services Written 205 1 205 2.00 410




7 CFR 1777-Colonias
7 1 7 2.00 14




7 CFR 1778-ECWAG
15 1 15 2.00 30















1780.39(c)(3) User agreement Written & 163 1 163 4.00 652




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 163 1 163 4.00 652




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 469 1 469 4.00 1,876




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 586 1 586 2.00 1,172




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 817 1 817 1.00 817




7 CFR 1777-Colonias
30 1 30 1.00 30




7 CFR 1778-ECWAG
49 1 49 1.00 49















1780.39(g)(5) General Liability Insurance Written 817 1 817 1.00 817




7 CFR 1777-Colonias
30 1 30 1.00 30




7 CFR 1778-ECWAG
49 1 49 1.00 49




SUBTOTAL


4,326
12,094



1780.39(g)(6) Flood Insurance Written 163 1 163 1.00 163




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 817 1 817 1.00 817




7 CFR 1777-Colonias
30 1 30 1.00 30




7 CFR 1778-ECWAG
49 1 49 1.00 49
















Approval/Actions Following Obligation: (uses obligation data)









1780.41(a)(5) Letter of Conditions Written 805 1 805 1.00 805




7 CFR 1777-Colonias
33 1 33 1.00 33




7 CFR 1778-ECWAG
42 1 42 1.00 42















1780.44(f) Evidence of other funds Written 160 1 160 1.00 160




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 94 1 94 2.00 188




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 80 1 80 4.00 320




7 CFR 1777-Colonias
3 1 3 4.00 12




7 CFR 1778-ECWAG
6 1 6 4.00 24















1780.44(g)(3) Water rights Written 80 1 80 4.00 320




7 CFR 1777-Colonias
3 1 3 4.00 12




7 CFR 1778-ECWAG
6 1 6 4.00 24















1780.44(g)(4) Lease agreement Written 80 1 80 4.00 320




7 CFR 1777-Colonias
3 1 3 4.00 12




7 CFR 1778-ECWAG
6 1 6 4.00 24
















SUBTOTAL


2,490
3,385



1780.45(a)(2) Loan Resolution (Public Bodies) RUS Bulletin 1780-27 517 1 517 1.00 517




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 68 1 68 1.00 68




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 1780-12 517 1 517 1.00 517




7 CFR 1777-Colonias
33 1 33 1.00 33




7 CFR 1778-ECWAG
42 1 42 1.00 42















1780.47(d) & (e ) Audits and Year-End Financial Reports Written 805 3 2,415 8.00 19,320




7 CFR 1777-Colonias
33 3 99 8.00 792




7 CFR 1778-ECWAG
42 3 126 8.00 1,008















1780.47(f)(1) Management report- Quarterly Report Written 160 4 640 4.00 2,560




7 CFR 1777-Colonias
7 4 28 4.00 112




7 CFR 1778-ECWAG
10 4 40 4.00 160
















Actions during Construction: (uses construction data)









1780.61(a) Construction contract forms Written 708 1 708 8.00 5,664




7 CFR 1777-Colonias
33 1 33 8.00 264




7 CFR 1778-ECWAG
42 1 42 8.00 336















1780.61(b) Borrower attorney's certification of construction contract Written & 708 1 708 8.00 5,664




7 CFR 1777-Colonias Exhibit GC-H 33 1 33 8.00 264




7 CFR 1778-ECWAG
42 1 42 8.00 336















1780.70 Owner's Solicitation and Review of Offers Written 708 1 708 8.00 5,664




7 CFR 1777-Colonias
33 1 33 8.00 264




7 CFR 1778-ECWAG
42 1 42 8.00 336




SUBTOTAL


6,874
43,921















1780.74 Contracts awarded prior to application Written 39 1 39 2.00 78




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 1924-16 708 1 708 1.00 708




7 CFR 1777 - Colonias
33 1 33 1.00 33




7 CFR 1778 -ECWAG
42 1 42 1.00 42















1780.76(b) Monitoring construction- Owner's Report Written 708 12 8,496 2.00 16,992




7 CFR 1777-Colonias
33 12 396 2.00 792




7 CFR 1778-ECWAG
42 12 504 5.00 2,520















1780.76(c) Resident Inspector resume Written 708 1 708 2.00 1,416




7 CFR 1777-Colonias
33 1 33 2.00 66




7 CFR 1778-ECWAG
42 1 42 2.00 84















1780.76(d) Daily inspection report Written 708 12 8,496 0.50 4,248




7 CFR 1777-Colonias
33 12 396 0.50 198




7 CFR 1778-ECWAG
42 12 504 0.50 252















1780.83 Bond Transcript Documents Written 680 1 680 8.00 5,440




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 125 1 125 2.00 250




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


21,205
33,125 14,000
1,120

FORMS APPROVED UNDER OTHER OMB NUMBERS









1780.29(b)(1) Agreement for Engineering Services 1942-19 817 1 817 4.00 3,268




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




7 CFR 1778-ECWAG
49 1 49 4.00 196















1780.33(a) Application for Federal Assistance- Initial Application SF 424 817 2 1,634 1.00 1,634




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




7 CFR 1778-ECWAG
49 2 98 1.00 98















1780.33(a) Budget Information--Non-Construction Programs SF-424A 817 2 1,634 1.00 1,634




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




7 CFR 1778-ECWAG
49 2 98 1.00 98















1780.33(a) Assurances--Non-construction Programs SF-424B 817 2 1,634 1.00 1,634



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




7 CFR 1778-ECWAG
49 2 98 1.00 98















1780.33(e) Representations Regarding Felony Conviction and Tax AD-3030 817 1 817 0.25 204




Delinquent Status for Corporate Applicants (0505-0025)









7 CFR 1777-Colonias
30 1 30 0.25 8




7 CFR 1778-ECWAG
49 1 49 0.25 12















1780.33(e) Assurances Regarding Felony Conviction and Tax Deilnquent AD-3031 95 1 95 0.25 24




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 442-7 817 1 817 5.00 4,085




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




7 CFR 1778-ECWAG
49 1 49 5.00 245















1780.33(h)(3) Equal Opportunity Agreement RD 400-1 817 1 817 0.08 65




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




7 CFR 1778-ECWAG
49 1 49 0.08 4



























1780.33(h)(4) Assurance Agreement RD 400-4 817 1 817 0.25 204




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




7 CFR 1778-ECWAG
49 1 49 0.25 12















1780.39(f) Resolution of Members or Stockholders RD 1942-8 95 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 442-3 805 1 805 1.00 805




7 CFR 1777-Colonias (0575-0015) 33 1 33 1.00 33




7 CFR 1778-ECWAG
42 1 42 1.00 42















1780.41(a)(6) Letter of Intent to Meet Conditions RD 1942-46 805 1 805 1.00 805




7 CFR 1777-Colonias (0575-0015) 33 1 33 1.00 33




7 CFR 1778-ECWAG
42 1 42 1.00 42















1780.44© Initial Compliance Review RD 400-8 805 1 805 8.00 6,440




7 CFR 1777-Colonias (0575-0018) 33 1 33 8.00 264




7 CFR 1778-ECWAG
42 1 42 8.00 336















1780.44(g)(1)(i) Opinion of Counsel Relative to Right-of-Way and Easements RD 442-22 708 1 708 1.00 708




7 CFR 1777-Colonias (0575-0015) 33 1 33 1.00 33




7 CFR 1778-ECWAG
42 1 42 1.00 42















1780.44(g)(2) Preliminary Title Opinion RD 1927-9 90 1 90 1.50 135




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 90 1 90 0.34 31




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 90 1 90 0.25 23




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 442-2 817 1 817 2.50 2,043




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




7 CFR 1778-ECWAG
49 1 49 2.50 123















1780.62 Water Purchase Contract RD 442-30 205 1 205 1.00 205




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




7 CFR 1778-ECWAG
15 1 15 1.00 15















1780.75 Certification of Contractor's Release RD 1924-9 708 1 708 0.25 177




7 CFR 1777 - Colonias (0575-0042) 33 1 33 0.25 8




7 CFR 1778 -ECWAG
42 1 42 0.25 11















1780.75 Release by Claimants RD 1924-10 708 1 708 0.50 354




7 CFR 1777 - Colonias (0575-0042) 33 1 33 0.50 17




7 CFR 1778 -ECWAG
42 1 42 0.50 21















1780.76(e) Partial Payment Estimate RD 1924-18 708 12 8,496 0.50 4,248




7 CFR 1777-Colonias (0575-0042) 33 12 396 0.50 198




7 CFR 1778-ECWAG
42 12 504 0.50 252















1780.76(f) Inspection Report RD 1924-12 708 12 8,496 0.25 2,124




7 CFR 1777 - Colonias (0575-0042) 33 12 396 0.25 99




7 CFR 1778 -ECWAG
42 12 504 0.25 126















1780.76(h)(2) Contract Change Order RD 1924-7 708 2 1,416 0.25 354




7 CFR 1777-Colonias (0575-0042) 33 2 66 0.25 17




7 CFR 1778-ECWAG
42 2 84 0.25 21
















Sub-total (Forms Approved Under Other OMB Numbers)
16,117
36,905
34,451



RUS Form 36 (07-91)
































































































































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