USDA - RUS |
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Title of Information Document |
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OMB No. |
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Special Evaluation Assistance for Rural Communities and Households Program (SEARCH) |
0572-0146 |
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SUMMARY OF INFORMATION COLLECTION |
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Date Prepared |
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9/1/2022 |
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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 |
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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 |
NO. OF |
ANNUAL |
TOTAL |
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SECTION OF |
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(If "none" |
RESPON- |
RESPONSES |
ANNUAL |
PER |
HOURS |
RECORD- |
HOURS PER |
RECORD- |
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NOFA |
DESCRIPTION |
so state) |
DENTS |
PER |
RESPONSES |
RESPONSE |
(Col. f & g) |
KEEPERS |
RECORD- |
KEEPING |
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RESPON- |
(Col. d & e) |
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KEEPER |
HOURS |
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DENT |
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(Col. i & j) |
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(a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
(k) |
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Burden associated with this package |
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REPORTING REQUIREMENTS NON-FORM BURDEN |
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1774.10 |
SAM Registration |
SAM.gov |
88 |
1 |
88 |
2.25 |
198 |
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1774.2 |
Documentation of Income Survey |
Written |
18 |
1 |
18 |
8.00 |
144 |
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1774.10(a)(3) & |
Audits Based on Federal Assistance |
Written |
70 |
1 |
70 |
8.00 |
560 |
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1774.16(d)(2) & |
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1774.10(a)(3) |
Evidence of Other Funds |
Written |
18 |
1 |
18 |
1.00 |
18 |
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1774.10(a)(3) |
Supporting documentation (Org. Documents, etc.) |
Written |
88 |
1 |
88 |
4.00 |
352 |
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1774.10(a)(3) |
Statement on availability to obtain credit elsewhere |
Written |
88 |
1 |
88 |
1.00 |
88 |
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1774.10(a)(4) |
Project Narrative |
Written |
88 |
1 |
88 |
2.00 |
176 |
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1774.10(a)(6)(vi) |
Certification for Contracts, Grants and Loans Regarding Lobbying |
RD 1940-Q |
88 |
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0.25 |
22 |
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Exhibit A-1 |
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1774.10(a)(6)(vii) |
Certification Regarding Prohibited Tying Arrangements |
Written |
88 |
1 |
88 |
0.25 |
22 |
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1774.13(i) |
Statement Concerning Assistance Under the NFS - Dependent Rural Communities Economic Diversification Act |
Written |
88 |
1 |
88 |
0.25 |
22 |
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1774.14 |
Feasibility Study and Assessments |
Written |
20 |
1 |
20 |
24.00 |
480 |
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1774.14 |
Preliminary engineering report |
Written |
61 |
1 |
61 |
24.00 |
1,464 |
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1774.14 |
Environmental Report |
Written |
61 |
1 |
61 |
24.00 |
1464 |
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1774.16(a) |
Public Information/ Evidence of Public Notice |
Written |
88 |
1 |
88 |
2.00 |
176 |
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1774.16(a) |
Agreement for Engineering Services/ Professional Services |
Written & |
88 |
1 |
88 |
4.00 |
352 |
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EJCDC |
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1774.16(d)(3) |
Letter of Conditions |
Written |
81 |
1 |
81 |
1.00 |
81 |
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1774.18 |
Management report- Quarterly Report |
Written |
18 |
4 |
70 |
4.00 |
282 |
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1774.20 |
Relationship or Assocation with RUS Employees |
Written |
81 |
1 |
81 |
0.25 |
20 |
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SUBTOTAL |
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1,272 |
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5,920 |
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RECORDKEEPING REQUIREMENTS |
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Accounting Records |
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65 |
1 |
65 |
1.00 |
65 |
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SUBTOTAL |
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65 |
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65 |
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GRAND TOTAL FOR THIS COLLECTION |
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1,337 |
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5,985 |
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[Threaded comment]
Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924
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Comment:
sums are pending program confirmation
Reply:
@Daskal, MaryPat - RD, National Office Please use this Spreadsheet to review for clearance.
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FORMS APPROVED UNDER OTHER OMB NUMBERS |
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1774.8 |
Initial Compliance Review |
RD 400-8 |
81 |
1 |
81 |
8.00 |
648 |
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(0575-0015) |
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1774.10(a)(1) |
Application for Federal Assistance |
SF 424 |
88 |
1 |
88 |
1.00 |
88 |
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(4040-0004) |
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1774.10(a)(2) |
Budget Information - Non-Construction Programs |
SF 424A |
88 |
1 |
88 |
1.00 |
88 |
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(4040-0006) |
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1774.10(a)(6)(i) |
Operating Budget |
RD 442-7 |
18 |
1 |
18 |
5.00 |
90 |
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(0575-0015) |
16 |
1 |
16 |
5.00 |
80 |
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1774.10(a)(6)(ii) |
Equal Opportunity Agreement |
RD 400-1 |
88 |
1 |
88 |
0.17 |
15 |
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(0575-0018) |
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1774.10(a)(6)(iii) |
Assurance Agreement |
RD 400-4 |
88 |
1 |
88 |
0.25 |
22 |
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(0575-0018) |
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1774.16(d)(2) |
Balance Sheet or Financial Statement |
RD 442-3 |
18 |
1 |
18 |
1.00 |
18 |
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1774.18 |
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(0575-0015) |
16 |
1 |
16 |
1.00 |
16 |
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1774.16(d)(4) |
Letter of Intent to Meet Conditions |
RD 1942-46 |
81 |
1 |
81 |
1.00 |
81 |
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(0575-0015) |
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1774.16(d)(5) |
Request for Obligation of Funds |
RD 1940-1 |
81 |
1 |
81 |
0.25 |
20 |
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(0570-0061) |
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1774.17(a) |
Grant Agreement |
RUS Bulletin 1780-12 |
81 |
1 |
81 |
1.00 |
81 |
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(0572-0121) |
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1774.17(a) |
Resolution of Members or Stockholders |
RD 1942-8 |
7 |
1 |
7 |
1.00 |
7 |
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(0575-0015) |
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1774.17(b) |
Partial Payment Estimate |
RD 1924-18 |
81 |
1 |
81 |
0.50 |
41 |
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(0575-0042) |
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1774.18 |
Statement of Budget, Income, and Equity |
RD 442-2 |
16 |
1 |
16 |
2.50 |
40 |
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(0575-0015) |
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1774.17 |
ACH Vendor/Miscellaneous Payment Enrollment Form |
SF 3881 |
81 |
1 |
81 |
0.25 |
20 |
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Total burden associated with OTHER packages |
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929 |
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1,355 |
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Page 4 |
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