| OMB No. 0570-NEW - Meat and Poultry Intermediary Lending Program |
|
| USDA Rural Business-Cooperative Service |
|
| Section of Notice |
Title |
Form No. (if any) |
No. of Respondents |
Reports Filed |
Total Responses (D) x (E) |
Estimated No. of Hours per response |
Estimated Total Hours (F) x (G) |
Wage Class |
Total Cost (H) x (I) |
|
| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
|
| Reporting Requirements - Non-Forms |
|
| APPLICATION |
|
| C.1.(c) and D.1.(b) |
SAM Registration |
on-line |
75 |
1 |
75 |
2 |
150 |
$48.01 |
$7,201.50 |
|
| D.2.(d) |
Scope of Work |
written |
75 |
1 |
75 |
18 |
1350 |
$48.01 |
$64,813.50 |
|
| D.2.(m) |
MPILP Revolving Loan Fund Plan |
written |
75 |
1 |
75 |
5 |
375 |
$48.01 |
$18,003.75 |
|
| G. and K.1.(b) |
Environmental Review |
written |
75 |
1 |
75 |
4 |
300 |
$48.01 |
$14,403.00 |
|
| H.1. |
Request for Appeal |
written |
10 |
1 |
10 |
2 |
20 |
$48.01 |
$960.20 |
|
| AWARDEE PROCESSING AND REPORTING |
|
| O. |
SAM Registration Maintenance |
on-line |
75 |
1 |
75 |
1 |
75 |
$48.01 |
$3,600.75 |
|
| C.7. |
Insurance Requirements |
written |
75 |
1 |
75 |
1 |
75 |
$48.01 |
$3,600.75 |
|
| K.1.(a) |
Certifications to make loans to ultimate recipients |
written |
20 |
12 |
240 |
1.5 |
360 |
$48.01 |
$17,283.60 |
|
| D.2.(m) |
Operating Plans for Revolving Line of Credit |
written |
75 |
1 |
75 |
5 |
375 |
$48.01 |
$18,003.75 |
|
| D.2.(n) |
Fidelity Bond Coverage |
written |
75 |
1 |
75 |
1 |
75 |
$48.01 |
$3,600.75 |
|
| M. |
Annual Project Performance Report |
written |
20 |
1 |
20 |
2 |
40 |
$48.01 |
$1,920.40 |
|
| C.13.(c) |
Loan Loss Reserve- change of use request |
written |
10 |
1 |
10 |
1 |
10 |
$48.01 |
$480.10 |
4,388 |
| G. and K1.(b) |
Environmental Policies, Exhibit C |
written |
75 |
1 |
75 |
4 |
300 |
$48.01 |
$14,403.00 |
|
|
Categorical Exclusion - No Report |
written |
50 |
1 |
50 |
4 |
200 |
$48.01 |
$9,602.00 |
|
|
Categorical Exclusion with Report |
written |
20 |
1 |
20 |
6 |
120 |
$48.01 |
$5,761.20 |
|
|
Environmental Assessment |
written |
5 |
1 |
5 |
8 |
40 |
$48.01 |
$1,920.40 |
|
| K.1.(c) |
Intergovernmental Review |
written |
75 |
1 |
75 |
2 |
150 |
$48.01 |
$7,201.50 |
|
|
Reporting Requirements - FORMS -Approved under other collections and included in burden |
|
| I. |
Request for Obligation of Funds |
1940-1 (0570-0061 and 0570-0062) |
20 |
1 |
20 |
0.25 |
5 |
$48.01 |
$240.05 |
|
| I.(1) |
RBCS Financial Assistance Agreement |
4280-2 (0570-0067) |
20 |
1 |
20 |
1 |
20 |
$48.01 |
$960.20 |
|
| I.(1) |
Letter of Intent to Meet Conditions |
1942-46 (0575-0015, 0570-0021, 0570-0061, 0570-0062, 0572-0137)) |
20 |
1 |
20 |
1 |
20 |
$48.01 |
$960.20 |
|
| M.4. |
Report of IRP/RDLF Lending Activity |
1951-4 (0570-0015) |
20 |
4 |
80 |
4 |
320 |
$48.01 |
$15,363.20 |
|
| Q. |
Equal Opportunity Agreement - Construction Projects only |
400-1 (0575-0018) |
75 |
1 |
75 |
0.10 |
8 |
$48.01 |
$360.08 |
|
|
TOTAL |
|
1,040 |
|
1,320 |
74 |
4,388 |
|
$210,643.88 |
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| FORMS APPROVED UNDER OTHER OMB NUMBERS (For Reporting Purposes Only-Not Counted in Average Yearly Total) |
| NOFA Reference |
Title |
Form No. (if any) |
Estimated No. of Respondents |
Reports Filed Annually |
Total Responses (D) x (E) |
Estimated No. of Hours per response |
Estimated Total Hours (F) x (G) |
Wage Class |
Total Cost (H) x (I) |
| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
|
Cleared in other Packages |
|
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|
|
Application for Federal Assistance |
SF 424 (4040-0004) |
100 |
1.00 |
100.00 |
1.00 |
100.00 |
|
$0 |
|
Budget Information - Non-Construction Programs |
SF 424A (4040-0006) |
20 |
1.00 |
20.00 |
0.75 |
15.00 |
|
$0 |
|
Budget Information - Construction Programs |
SF 424C (4040-0008) |
80 |
1.00 |
80.00 |
2.00 |
160.00 |
|
$0 |
|
Federal Financial Report |
SF 425 (0348-0014) |
20 |
2.00 |
40.00 |
1.00 |
40.00 |
|
$0 |
|
Request for Advance or Reimbursement |
SF 270 (4040-0012) |
20 |
12.00 |
240.00 |
1.00 |
240.00 |
|
$0 |
|
Disclosure of Lobbying Activities |
SF-LLL (4040-0013) |
1 |
1 |
1 |
0.25 |
0 |
|
$0 |
|
TOTAL |
|
|
|
480.00 |
5.75 |
555.00 |
|
$- |
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| Reporting Requirements - FORMS Collected via SAM certification, approved under other collections and included in burden |
| SAM certification |
Certification Regarding Debarment, Suspension & Other Resp. Matters-Primary Covered Trans. |
AD-1047 (0505-0027) |
10 |
1 |
10 |
0.25 |
2.5 |
|
$- |
| 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 |
|
$- |
| 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 |
|
$- |
| SAM certification |
Assurance Agreement |
RD 400-4 (0575-0018) |
10 |
1 |
10 |
0.25 |
2.5 |
|
$- |
| SAM certification |
Representations Regarding Felony Corporation and Tax Delinquent Status for Corporate Applicants |
AD-3030 (0505-0025) |
10 |
1 |
10 |
0.25 |
2.5 |
|
$- |
| SAM certification |
Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants |
AD-3031 (0505-0025) |
10 |
1 |
10 |
0.25 |
2.5 |
|
$- |