RISE Burden Spreadsheet - Closeout

---

Overview

Burden Hours
Forms Approved Other Pkgs

---

Sheet 1: Burden Hours

OMB No. 0570-0075 - Rural Innovation Stronger Economy Grant Program
USDA Rural Business-Cooperative Service
Section of Rule (new)	Title	Form No. (if any)	No. of Respondents	Reports Filed	Total Responses (D) x (E)	Estimated No. of Manhours per response	Estimated Total Manhours (F) x (G)	Wage Class	Total Cost (H) x (I)
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)
	REPORTING REQUIREMENTS - NON FORMS
4284.1103	Rural in character determination request	written	1	1	1	3.0	3	$82.39	$247
4284.1108(d)(1); 4284.1113(e)	Environmental Analysis	written	10	1	10	4.0	40	$82.39	$3,296
4284.1115(a)	Concept Proposal
4284.1115(a)(1)	Partnership information	written	30	1	30	1.0	30	$82.39	$2,472
4284.1115(a)(2)	Geographic region information	written	30	1	30	1.5	45	$82.39	$3,708
4284.1115(a)(3)	Industry cluster information	written	30	1	30	2.0	60	$82.39	$4,943
4284.1115(a)(4)	Executive summary	written	30	1	30	3.0	90	$82.39	$7,415
	Application Content
4284.1115(b)	SAM registration	written	30	1	30	1.0	30	$82.39	$2,472
4284.1115(b)(vi)	Identify known relationship or association with Agency employee	written	3	1	3	0.5	1.5	$82.39	$124
4284.1115(b)(vii)	Update previously submitted information	written	3	1	3	1.0	3	$82.39	$247
4284.1115(b)(viii); 4284.1117(a)	Readiness demonstration	written	30	1	30	2.0	60	$82.39	$4,943
4284.1115(b)(ix); 4284.1117(b)	Targeted inititatives documentation	written	30	1	30	2.0	60	$82.39	$4,943
4284.1115(b)(x)	Jobs and benefit to small and disadvantaged businesses discussion	written	30	1	30	2.0	60	$82.39	$4,943
4284.1115(b)(xi); 4284.1117(d); 4284.1117(f)	Region identification and discussion	written	30	1	30	4.0	120	$82.39	$9,887
4284.1115(b)(xii)	Financial information	written	30	1	30	2.0	60	$82.39	$4,943
4284.1119(a); RD Form 4280-2 "Rural Business-Cooperative Service Financial Assistance Agreement" II.A.1.f.	Bonding and insurance requirement	written	30	1	30	0.5	15	$82.39	$1,236
4284.1114(b); 4284.1119(c)	Matching funds availability	written	30	1	30	0.5	15	$82.39	$1,236
4284.1120(c)	Transfer of applicant	written	1	1	1	1.0	1	$82.39	$82
4284.1110(d)	Application modification	written	1	1	1	1.0	1	$82.39	$82
4284.1110(f)	Application withdrawal	written	1	1	1	0.5	0.5	$82.39	$41
4284.1120	Servicing
4284.1120(b)(2)	Programmatic changes- project cost or scope	written	2	1	2	2.0	4	$82.39	$330
4284.1120(b)(3)	Programmatic changes- change in contractor or vendor	written	2	1	2	1.0	2	$82.39	$165
4284.1120(c)	Transfer of Financial Assistance Agreement	written	2	1	2	1.0	2	$82.39	$165
4284.1120(d)	Disposition of acquired property	written	2	1	2	1.00	2	$82.39	$165
4284.1120(e)(1)	Financial management	written	10	1	10	1.00	10	$82.39	$824
4284.1120(e)(2)	Records management	written	10	1	10	2.00	20	$82.39	$1,648
4284.1120(f)	Audit requirements	written	10	1	10	1.00	10	$82.39	$824
4284.1120(h)(2)	Semi-annual performance report	written	10	2	20	2.00	40	$82.39	$3,296
4284.1119(d)(iii)	SAM registration maintenance		10	1	10	1.00	10	$82.39	$824
4284.1110(g)(1)	Request for time extension	written	2	1	2	0.50	1	$82.39	$82
4284.1105	Request for Appeal	written	1	1	1	2.00	2	$82.39	$165
FORMS APPROVED UNDER OTHER COLLECTIONS - NOT COMMON FORMS - BURDEN COUNTED IN TOTALS
4284.1108(c)	Compliance Review	RD 400-8 (0575-0018 and 0575-0062)	10	1	10	8.00	80	$82.39	$6,591
4284.1115(b)(v)	Equal Opportunity Agreement	RD 400-1 (0575-0018)	10	1	10	0.10	1	$82.39	$82
4284.1119(b)	Request for Obligation of Funds	RD 1940-1 (0570-0061 and 0570-0062)	10	1	10	0.25	2.5	$82.39	$206
4284.1119(b)	Letter of Intent to Meet Conditions	RD 1942-46 (0575-0015)	10	1	10	1.00	10	$82.39	$824
4284.1103; 4284.1110(g); 4284.1119(c),(e) and (f); 4284.1120; 4284.1120(c);	Rural Business-Cooperative Service Financial Assistance Agreement	RD 4280-2 (0570-0067)	10	1	10	1.00	10	$82.39	$824
SAM certification	Certification Regarding Debarment, Suspension & Other Resp. Matters-Primary Covered Trans.	AD-1047 (0505-0027)	10	1	10	0.25	2.5	$82.39	$206
SAM certification	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions"	AD-1048 (0505-0027)	10	1	10	0.25	2.5	$82.39	$206
SAM certification	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals	AD-1049 (0505-0027)	10	1	10	0.25	2.5	$82.39	$206
SAM certification	Assurance Agreement	RD 400-4 (0575-0018)	10	1	10	0.25	2.5	$82.39	$206
SAM certification	Representations Regarding Felony Corporation and Tax Delinquent Status for Corporate Applicants	AD-3030 (0505-0025)	10	1	10	0.25	2.5	$82.39	$206
SAM certification	Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants	AD-3031 (0505-0025)	10	1	10	0.25	2.5	$82.39	$206
	TOTAL		551		561		916.5		$75,510

---

Sheet 2: Forms Approved Other Pkgs

	FORMS APPROVED UNDER OTHER OMB NUMBERS (For Reporting Purposes Only-Not Counted in Average Yearly Total)
4284.1115(b)(2)(i)	Application for Federal Assistance	SF-424 (4040-0004)	30	1	30	1.1	33	$82.39	$2,719
4284.1115(b)(2)(ii)	Budget Information - Non-Construction Programs	SF 424A (4040-0006)	30	1	30	1.80	54	$82.39	$4,449
SAM certification	Assurances - Non-Construction Program	SF-424B (4040-0007)	30	1	30	0.75	23	$82.39	$1,854
4284.1115(b)(2)(iii)	Budget Information - Construction Programs	SF-424C (4040-0008)	15	1	15	2.00	30	$82.39	$2,472
4284.115(b)(2)(iv)	Assurances - Construction Programs	SF-424D (4040-0009)	15	1	15	0.25	4	$82.39	$309
4284.1120(g)	Request for Advance or Reimbursement	SF-270 (4040-0012)	10	4	40	1.00	40	$82.39	$3,296
4284.1120(g)	Outlay Report and Request for Reimbursement for Construction Projects	SF-271 (4040-0011)	5	4	20	1.00	20	$82.39	$1,648
4824.1120(h)(1)	Federal Financial Report	SF-425 (4040-0014)	10	2	20	1.00	20	$82.39	$1,648
	Disclosure of Lobbying Activities	SF LLL (4040-0013)	10	1	10	0.125	1	$82.39	$103
	System for Award Management (SAM) Registration Representation and Certifications (For Reporting Purposes Only-Not Counted in Average Yearly Total)