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["                                                                    USDA - RUS",{"$nulls":7},"OMB  No."]
[null,null," ",{"$nulls":5},"0572-0157"]
[" SUMMARY  OF  INFORMATION  COLLECTION",null,"7 CFR 1775 Technical Assistance and Construction for Innovative Regional Wastewater Treatment Solutions grant program\n",{"$nulls":5},"Date  Prepared"]
[{"$nulls":8},"July 2024"]
[" INSTRUCTIONS:"," ",null,null,">","(f)  TOTAL",null,"(h)  TOTAL",null," "]
["Use this form when a single information collection document involves multiple reporting and                  ",{"$nulls":3},">","-","= (e)  Average","-","= (g)  Average","-","= (j)  Average"]
["  recordkeeping requirements.  ",{"$nulls":3},">","(d)  TOTAL",null,"(f)  TOTAL",null,"(i)  TOTAL"]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS",{"$nulls":3},"RECORDS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL","NO.  OF","ANNUAL","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS","RECORD-","HOURS  PER","RECORD-"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(F x G)","KEEPERS","RECORD-","KEEPING"]
[{"$nulls":4},"RESPON-","(D x E)",{"$nulls":3},"KEEPER","HOURS"]
[{"$nulls":4},"DENT",{"$nulls":5},"(Col.  i  &  j)"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)","(i)","(j)","(k)"]
[null,"Items Cleared Under This OMB Control Numbe *"]
[]
[null,"Initial Application/Application Process"]
["1775.10(c)(6)","Documentation of Assistance Provided to Rural Development Employees ","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D19*E19)","v":{"v":9,"d":"9 "}},{"v":0.3125,"d":"0.313"},{"$f":"SUM(F19*G19)","v":{"v":2.8125,"d":"3 "}}]
[]
["1775.10(c)(9)","Indirect Cost Rate Agreement","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D21*E21)","v":{"v":9,"d":"9 "}},{"v":1.25,"d":"1.250"},{"$f":"SUM(F21*G21)","v":{"v":11.25,"d":"11 "}}]
[]
["1775.10(c)(10)","Statement of Compliance , Title VI of Civil Rights Act of 1964","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D23*E23)","v":{"v":9,"d":"9 "}},1.625,{"$f":"SUM(F23*G23)","v":{"v":14.625,"d":"15 "}}]
[]
["1775.10","Statement Concerning Assistance Under the National Forest Service-Dependent Rural Communities Economic Diversification Act","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D25*E25)","v":{"v":9,"d":"9 "}},1.625,{"$f":"SUM(F25*G25)","v":{"v":14.625,"d":"15 "}}]
[]
["1775.10(d)(1)","Evidence of Legal Existence and Authority","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D27*E27)","v":{"v":9,"d":"9 "}},{"v":0.3125,"d":"0.313"},{"$f":"SUM(F27*G27)","v":{"v":2.8125,"d":"3 "}}]
[]
["1775.10(d)(3)","Narrative","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"v":9,"d":"9 "},{"v":2.5,"d":"2.500"},{"$f":"SUM(F29*G29)","v":{"v":22.5,"d":"23 "}}]
[null," ",{"$nulls":3}," ",null," "]
["1775.10(d)(8)","Scope of Work","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"v":9,"d":"9 "},{"v":15,"d":"15.000"},{"$f":"SUM(F31*G31)","v":{"v":135,"d":"135 "}}]
[]
["1775.10(d)(6)","Budget Justification","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"v":9,"d":"9 "},{"v":12.5,"d":"12.500"},{"$f":"SUM(F33*G33)","v":{"v":112.5,"d":"113 "}}]
[]
["1775.10(d)(4)","Balance Sheets and latest Financial Information","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D35*E35)","v":{"v":9,"d":"9 "}},{"v":1.25,"d":"1.250"},{"$f":"SUM(F35*G35)","v":{"v":11.25,"d":"11 "}}]
[]
["1775.10(d)(7)","Evidence of Financial Management System","Written",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D37*E37)","v":{"v":9,"d":"9 "}},3.125,{"$f":"SUM(F37*G37)","v":{"v":28.125,"d":"28 "}}]
[]
[null,"Sub-total",null,{"v":9,"d":"9 "},null,{"$f":"SUM(F19:F38)","v":{"v":90,"d":"90 "}},null,{"$f":"SUM(H19:H38)","v":{"v":355.5,"d":"356 "}}]
[null,"Post-Application"]
[1775.13,"Grant Agreement","RUS Guide 1775-1",{"v":1,"d":"1 "},{"v":1,"d":"1 "},{"$f":"SUM(D41*E41)","v":{"v":1,"d":"1 "}},{"v":2.5,"d":"2.500"},{"$f":"SUM(F41*G41)","v":{"v":2.5,"d":"3 "}}]
[]
[1775.2,"Project Performance Report","Written",{"v":1,"d":"1 "},{"v":4,"d":"4 "},{"$f":"SUM(D43*E43)","v":{"v":4,"d":"4 "}},{"v":15,"d":"15.000"},{"$f":"SUM(F43*G43)","v":{"v":60,"d":"60 "}}]
[]
[1775.21,"Audit","Written",{"v":1,"d":"1 "},{"v":1,"d":"1 "},{"$f":"SUM(D45*E45)","v":{"v":1,"d":"1 "}},{"v":3.75,"d":"3.750"},{"$f":"SUM(F45*G45)","v":{"v":3.75,"d":"4 "}}]
[]
[1775.21,"Financial Statements","Written",{"v":1,"d":"1 "},{"v":1,"d":"1 "},{"$f":"SUM(D47*E47)","v":{"v":1,"d":"1 "}},{"v":1.25,"d":"1.250"},{"$f":"SUM(F47*G47)","v":{"v":1.25,"d":"1 "}}]
[]
[null,"Sub-total",null,{"v":1,"d":"1 "},null,{"$f":"SUM(F41:F48)","v":{"v":7,"d":"7 "}},null,{"$f":"SUM(H41:H48)","v":{"v":67.5,"d":"68 "}}," ",null," "]
[null,"Items Cleared for this Package Combined Total ",null,{"v":9,"d":"9 "},null,{"$f":"F39+F49","v":{"v":97,"d":"97 "}},null,{"$f":"H39+H49","v":{"v":423,"d":"423 "}}]
[{"$nulls":3},"Average Response Hours",null,null,{"$f":"H50/F50","v":{"v":4.360824742268041,"d":"4.4"}}]
[]
[null,"Items Cleared Under Other OMB Docket Numbers"]
[]
["1775.10(c)(3)","Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions","AD-1047 (0505-0027)",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D55*E55)","v":{"v":9,"d":"9 "}},{"v":0.3125,"d":"0.313"},{"$f":"SUM(F55*G55)","v":{"v":2.8125,"d":"3 "}}]
[]
["1775.10(c)(5)","Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction.”  ","AD-1048 (0505-0027)",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D57*E57)","v":{"v":9,"d":"9 "}},{"v":0.3125,"d":"0.313"},{"$f":"SUM(F57*G57)","v":{"v":2.8125,"d":"3 "}}]
[]
["1775.10(c)(4)","Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - for Grantees Other Than Individuals","AD-1049 (0505-0027)",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D59*E59)","v":{"v":9,"d":"9 "}},{"v":0.3125,"d":"0.313"},{"$f":"SUM(F59*G59)","v":{"v":2.8125,"d":"3 "}}]
[]
[{"$nulls":9},"PAGE 1"]
[]
[null,"Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants","AD-3030",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D63*E63)","v":{"v":9,"d":"9 "}},{"v":0.3125,"d":"0.313"},{"$f":"SUM(F63*G63)","v":{"v":2.8125,"d":"3 "}}]
[null,null,"(0505-0025)"]
[]
[null,"Assurances Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants","AD-3031",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D66*E66)","v":{"v":9,"d":"9 "}},0.625,{"$f":"SUM(F66*G66)","v":{"v":5.625,"d":"6 "}}]
[null,null,"(0505-0025)"]
[]
[]
["1775.10(c)(1)","Application for Federal Assistance","SF-424",{"v":1,"d":"1 "},{"v":1,"d":"1 "},{"v":26,"d":"26 "},{"v":0.9375,"d":"0.938"},{"$f":"SUM(F70*G70)","v":{"v":24.375,"d":"24 "}}," "," "," "]
[]
["1775.10(c)(2)","Budget Information--Non-Construction Programs","SF-424A",{"v":1,"d":"1 "},{"v":1,"d":"1 "},{"v":26,"d":"26 "},{"v":3.75,"d":"3.750"},{"$f":"SUM(F72*G72)","v":{"v":97.5,"d":"98 "}}," "," "," "]
[]
["1775.10(c)(2)","Assurances--Non-construction Programs","SF-424B",{"v":1,"d":"1 "},{"v":1,"d":"1 "},{"v":26,"d":"26 "},{"v":0.3125,"d":"0.313"},{"$f":"SUM(F74*G74)","v":{"v":8.125,"d":"8 "}}]
[]
["1775.10(c)(8)","Equal Opportunity Agreement","RD 400-1",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D76*E76)","v":{"v":9,"d":"9 "}},{"v":0.2125,"d":"0.213"},{"$f":"SUM(F76*G76)","v":{"v":1.9124999999999999,"d":"2 "}}]
[null," ","(0575-0018)",null,null," ",null," "]
[]
["1775.10(c)(7)","Assurance Agreement","RD 400-4",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D79*E79)","v":{"v":9,"d":"9 "}},{"v":0.3125,"d":"0.313"},{"$f":"SUM(F79*G79)","v":{"v":2.8125,"d":"3 "}}]
[null,null,"(0575-0018)",null,null," ",null," "]
[]
["1775.10(c)(11)","Disclosure of Lobbying Activities","SF LLL",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"SUM(D82*E82)","v":{"v":9,"d":"9 "}},{"v":0.3125,"d":"0.313"},{"$f":"SUM(F82*G82)","v":{"v":2.8125,"d":"3 "}}]
[null,null,"(4040-0013)"]
[]
["1775.18(a)","Request for Advance or Reimbursement (Corporation)","SF-270",{"v":1,"d":"1 "},{"v":12,"d":"12 "},{"$f":"SUM(D85*E85)","v":{"v":12,"d":"12 "}},{"v":1.25,"d":"1.250"},{"$f":"SUM(F85*G85)","v":{"v":15,"d":"15 "}}]
[" ",null,"(4040-0012)"]
[]
[null,"Federal Financial Report","SF-425",{"v":1,"d":"1 "},{"v":4,"d":"4 "},{"$f":"SUM(D88*E88)","v":{"v":4,"d":"4 "}},1.875,{"$f":"SUM(F88*G88)","v":{"v":7.5,"d":"8 "}}]
[null,null,"(4040-0014)"]
[]
[null,"ACH Vendor/Miscellaneous Payment Enrollment Form","SF-3881",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"D91*E91","v":{"v":9,"d":"9 "}},0.25,{"v":3,"d":"3 "}]
[null,null,"(1530-0069)"]
[]
[null,"Request for Obligation of Funds","RD 1940-1",{"v":9,"d":"9 "},{"v":1,"d":"1 "},{"$f":"D94*E94","v":{"v":9,"d":"9 "}},0.25,{"v":3,"d":"3 "}]
[null,null,"(0570-0062)"]
[" RUS  Form  36   (07-91)",{"$nulls":8},"Page __2__  of __2__"]

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