| USDA - RUS |
USDA Rural Business-Cooperative Service |
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OMB No. |
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Burden Estimate for Applicants for Socially-Disadvantaged Groups Grant Program 2022 |
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0570-0052 |
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| SUMMARY OF INFORMATION COLLECTION |
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Review Rating Summary |
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Date Prepared |
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05/31/22 |
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| INSTRUCTIONS: |
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> |
(f) TOTAL |
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(h) TOTAL |
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(k) TOTAL |
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| Use this form when a single information collection document involves multiple reporting and |
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> |
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= (e) Average |
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= (g) Average |
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= (j) Average |
| recordkeeping requirements. |
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(d) TOTAL |
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(f) TOTAL |
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(i) TOTAL |
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| IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS |
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ANNUAL BURDEN |
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FORM |
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REPORTS |
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RECORDS |
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NO(s) |
NO. OF |
NO. OF |
TOTAL |
HOURS |
TOTAL |
WAGE CLASS |
TOTAL |
| SECTION OF |
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(If "none" |
RESPON- |
RESPONSES |
ANNUAL |
PER |
HOURS |
PER HOUR |
COST |
| REGULATIONS |
DESCRIPTION |
so state) |
DENTS |
PER |
RESPONSES |
RESPONSE |
(Col. f & g) |
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TO THE PUBLIC |
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RESPON- |
(Col. d & e) |
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DENT |
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(Col. i & j) |
| (a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(j) |
(k) |
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| REPORTING REQUIREMENTS - NO FORMS |
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| 2 CFR 200 |
SAMS Registration, Certification and Representations |
Sam.gov |
9 |
1 |
9 |
2 |
18 |
0 |
0 |
| Section D (2)(g) |
Executive Summary |
Written |
40 |
1 |
40 |
1.25 |
50.00 |
39.00 |
1,950.00 |
| Section D (2)(g) |
Budget/Work Plan |
Written |
40 |
1 |
40 |
3.75 |
150.00 |
39.00 |
5,850.00 |
| Section D (2) (h) |
Eligibility Discussion |
Written |
40 |
1 |
40 |
1.5 |
60.00 |
39.00 |
2,340.00 |
| Section D (2) (i) |
Scoring Criterion |
Written |
40 |
1 |
40 |
5.25 |
210.00 |
39.00 |
8,190.00 |
| Section D (2)(j) |
Performance Measures |
Written |
40 |
1 |
40 |
1 |
40.00 |
39.00 |
1,560.00 |
| Section D (5) |
Intergov. Review Comments |
Written |
40 |
1 |
40 |
1 |
40.00 |
39.00 |
1,560.00 |
| Section F(3) |
Project Performance Report |
Written |
20 |
2 |
40 |
2 |
80.00 |
39.00 |
3,120.00 |
| Section F (2) |
Grant Agreement |
Written |
20 |
1 |
20 |
1 |
20.00 |
39.00 |
780.00 |
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GRAND TOTAL FOR THIS COLLECTION |
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40 |
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309 |
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668 |
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$25,350 |
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| REPORTING REQUIREMENTS APPROVED UNDER OTHER OMB NUMBERS |
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| Section F(2) |
Application for Federal Assistance (For Nonconstruction) |
Form SF-424 4040-0004 |
20 |
1 |
20 |
1 |
20 |
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| Section F(2) |
Budget Information-Non-Construction Programs |
Form SF-424A 4040-0006 |
20 |
1 |
20 |
1 |
20 |
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| Section F(3) |
Financial Report -Semi-Annual |
Form SF-425 4040-0014 |
20 |
3 |
60 |
1 |
60 |
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| Section F(2) |
Assurances--Non-Construction Programs |
Form SF-424B 4040-0007 |
0 |
0 |
0 |
0 |
0 |
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| Section F(2) |
Request for Advance or Reimbursement |
Form SF-270 4040-0012 |
20 |
8 |
160 |
1 |
160 |
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| Section F(2) |
Letter of Intent to Meet Conditions |
Form RD 1942-46 |
20 |
1 |
20 |
1 |
20 |
0 |
0 |
| Section F(2) |
Assurance Agreement |
Form RD 400-4 |
20 |
1 |
20 |
0.25 |
5 |
0 |
0 |
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| RUS Form 36 (07-91) |
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