Burden Items

Burden Collection – Form – Included in Estimate

This form burden has been detailed in the attached supporting statement.

• RD 1942-46, “Letter of Intent to Meet Conditions” (Approved under OMB No. 0575-0015, 0570-0021, 0570-0061, 0570-0062, 0572-0137, 0570-0079).

• RD 1940-1, “Request for Obligation of Funds” (Approved under OMB No. 0570-0061, 0570-0062, 0570-0079)

• RD 4280-2, “RBCS Financial Assistance Agreement” (Approved under OMB No. 0570-0067, 0570-0079)

• RD 1924-9, “Certificate of Contractor’s Final Release and Waiver of Lien” (Approved under OMB No. 0575-0042, 0570-0079)

• RD 1924-10, “Release by Claimants” (Approved under OMB No. 0575-0042, 0570-0079)

Burden Collection – Non-Form – Included in Estimate

This non-form burden has been detailed in the attached supporting statement.

• SAM Registration.

• Project Narrative.

• Financial Viability.

• Feasibility Study.

• Source Documentation.

• Applicant certifications.

• Design and construction documents.

• Environmental review.

• Tribal Government Resolution of Consent.

• Tribal matching fund waiver.

• SAM Registration Maintenance.

• Insurance Requirements.

• Surety.

• Technical Services.

• Final Plans and Specs.

• Construction Contract.

• Time Extensions.

• Semi-Annual Project Performance Report.

• Final Project and Financial Status Report.

• Outcome Project Performance Report.

• Recordkeeping.

Burden Collection – Form – Not Included in Estimate

The burden related to the following forms is included in Requests for Common Forms.

• SF 424, “Application for Federal Assistance” (Approved under OMB No. 4040-0004).

• SF 424-C, “Budget Information - Construction Programs” (Approved under OMB No. 4040-0008).

• SF 424-D, “Assurances for Construction Programs” (Approved under OMB No. 4040-0009).

• AD‐2106, “Form to Assist in Assessment of USDA Compliance with Civil Rights Laws” (Approved under OMB No. 0503-0019).

• SF‐LLL, “Disclosure of Lobbying Activities” (Approved under OMB No. 4040-0013).

• SF-271, “Outlay Report and Request for Reimbursement for Construction Programs” (Approved under OMB No. 4040-0011).

• SF-425, “Federal Financial Report” (Approved under OMB No. 4040-0014).

• RD 400-1, “Equal Opportunity Agreement” (Approved under OMB No. 0575-0201).

• RD 400-4, “Assurance Agreement” (Approved under OMB No. 0575-0201).