Summary of Burden Spreadsheet

Spreadsheet - 0572-0138 (7.1.24).xlsx

Grant Program to Establish a Revolving Fund Program (RFP) to Finance Water and Wastewater Projects, 7 CFR 1783

Summary of Burden Spreadsheet

OMB: 0572-0138

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USDA - RUS
Title of Information Document




OMB No.










0572-0138

SUMMARY OF INFORMATION COLLECTION
7 CFR 1783 (RFP) Revolving Fund Program




Date Prepared











2024

INSTRUCTIONS:

> (f) TOTAL
(h) TOTAL
(k) TOTAL

Use this form when a single information collection document involves multiple reporting and


> - = (e) Average - = (g) Average - = (j) Average
recordkeeping requirements.


> (d) TOTAL
(f) TOTAL
(i) TOTAL

IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS




ANNUAL BURDEN






FORM

REPORTS


RECORDS



NO(s) NO. OF NO. OF TOTAL HOURS TOTAL NO. OF ANNUAL TOTAL
SECTION OF
(If "none" RESPON- RESPONSES ANNUAL PER HOURS RECORD- HOURS PER RECORD-
REGULATIONS DESCRIPTION so state) DENTS PER RESPONSES RESPONSE (Col. f & g) KEEPERS RECORD- KEEPING




RESPON- (Col. d & e)


KEEPER HOURS




DENT




(Col. i & j)
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k)

Items Cleared With This Package





















1783.7(d) Budget Justification Written 4 1 4 10.00 40.00















1783.7(a)(4) Legal Authority and Responsibility Written 4 1 4 0.25 1.00













1783.7(a)(7) Evidence of Tax Exempt Status Written 4 1 4 0.25 1.00















1783.7(b) Work Plan Narrative Written 4 1 4 40.00 160















1783.1 Grant Agreement Written 2 1 2 2.00 4















1783.36(b)(3)(ii) Project Performance Report Written 2 4 8 12.00 96















1783.7(a)(6) Audit Written 4 1 4 3.00 12















1783.2(a) Financial Statements Written 4 1 4 1.00 4















RD 1900-D, 1900.153 Documentation of assistance provided to Rural Development employees Written 4 1 4 0.25 1.00












Page __1__ of __3__

1783 Exhibit E Statement of Compliance, Title VI of Civil Rights Act of 1964 Written 4 1 4 0.50 1.00















1783.2(a) Balance Sheets and Financial Statements (Latest Financial Information) Written 4 1 4 1.00 4.00















1783 Exhibit D Evidence of Financial Management System Written 4 1 4 0.25 1.00
















Total Hours This Package


50.00
325.00











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Items Cleared Under Other Packages










Common Form - Burden reported as RCF





















1783.7(a)(1) Application for Federal Assistance SF-424 4 1 4 1.00 4





(4040-0004)




















1783.7(a)(2) Budget Information--Non-Construction Programs SF-424A 4 1 4 1.00 4


(4040-0006)


















7CFR 3015.84 (a) & 1783.36(a)(2) Request for Advance or Reimbursement SF 270 2 12 24 1.00 24




(4040-0012)




















7CFR 3016.41(b) & 1783.36(b)(3) Federal Financial Report SF 425 2 4 8 1.00 8





(4040-0014)




















4.2 Appl. Guide Disclosure of Lobbying Activities SF LLL 4 1 4 1.00 4





(4040-0013)




















4.2 Appl. Guide or 7CFR 15.4 Equal Opportunity Agreement RD 400-1 4 1 4 0.17 0.68















4.2 Appl. Guide or 7CFR 15.4 Assurance Agreement RD 400-4 4 1 4 0.25 1.00















2 CFR 200 System for Award Management (SAM) Registration, General Certifications and Representations sam.gov 4 1 4 2.25 9.00



















































RUS Form 36 (07-91)







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