| USDA - RUS | USDA-RBCS | Title of Information Document | OMB No. | 0570-0045 | ||||||
| SUMMARY OF INFORMATION COLLECTION | Agriculture Innovation Center Demonstration Program | Date Prepared | ||||||||
| USDA Rural Business-Cooperative Service | 08/01/22 | |||||||||
| 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 | Wage Class* $/per hour | Total Cost to the Public | TOTAL | ||
| SECTION OF | (If "none" | RESPON- | Reports Filed Annually | ANNUAL | PER | HOURS | RECORD- | |||
| REGULATIONS | DESCRIPTION | so state) | DENTS | RESPONSES | RESPONSE | (Col. f & g) | KEEPING | |||
| (Col. d & e) | HOURS | |||||||||
| (Col. i & j) | ||||||||||
| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (i) | (j) | (k) |
| Applicant/Recipient Burden | ||||||||||
| PAPERWORK REQUIREMENTS - NO FORM | ||||||||||
| 2 CFR 200 | SAMS Registration, Certifications and Representations | SAM.gov | 34 | 1 | 34 | 2.00 | 68 | 0 | 0 | |
| 4284.1010(c) | Proposal | Narrative | 34 | 1 | 34 | 40.00 | 1360 | $61.58 | $83,748.80 | |
| 4284.16 | Categorical Exclusion w/ no Environmental Report | RD 1970-B, Exh. D |
3 | 1 | 3 | 1.00 | 3.25 | $61.58 | $200.14 | |
| 4284.12(b) | Performance Reports - Semi-Annual | Narrative | 3 | 2 | 6 | 4.00 | 24 | $61.58 | $1,477.92 | |
| 4284.12(c) | Peformance Report - Final | Narrative | 3 | 1 | 3 | 3.00 | 9 | $61.58 | $554.22 | |
| 4284.16(c)(4) | Certification Regarding Lobbying | Narrative | 3 | 1 | 3 | 0.25 | 0.75 | $61.58 | $46.19 | |
| Subtotal: | 83 | 1,465 | $86,027.26 | |||||||
| GRAND TOTAL FOR THIS COLLECTION: | 34 | 83 | 1,465 | $86,027.26 | ||||||
| FORM BURDEN APPROVED UNDER OTHER OMB NUMBERS | ||||||||||
| 4284.16(b) | Assurance Agreement | RD 400-4 (0575-0018) |
3 | 1 | 3 | 0.25 | 0.75 | |||
| 4284.1014(b) | Letter of Intent to Meet Conditions | RD 1942-46 (0570-0062) |
3 | 1 | 3 | 1 | 3 | |||
| 4284.8 | Request for Obligation of Funds | RD-1940-1 (0570-0067) (0570-0062) |
5 | 1 | 3 | 0.25 | 0.75 | |||
| 4284.11(a) 428.1014(c) |
Financial Assistance Agreement | RD 4280-2 (0570-0067) |
3 | 1 | 3 | 1.00 | 3.00 | |||
| 4284.1010(b)(1) | Application for Federal Assistance | SF-424 (4040-0004) |
34 | 1 | 34 | 1.00 | 34.00 | |||
| 4284.1010(b)(2) | Budget Information - Non-Construction | SF-424A (4040-0006) |
34 | 1 | 34 | 3.00 | 102.00 | |||
| 4284.12(a) | Federal Financial Report | SF-425 (4040-0014) |
3 | 3 | 9 | 0.50 | 4.50 | |||
| 4284.11(c) | Request for Advance or Reimbursement | SF-270 (4040-0012) |
3 | 12 | 36 | 1.00 | 36.00 | |||
| 4284.16(c)(4) | Disclosure of Lobbying Activities | SF-LLL (4040-0013) |
3 | 1 | 3 | 0.25 | 0.75 | |||
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| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |