| OMB No. 0570-0072 - Higher Blends Infrastructure Incentive Program (HBIIP) | |||||||||
| USDA Rural Business-Cooperative Services | |||||||||
| Title | Form No. (if any) | No. of Respondents | Reports Filed | Total Responses (D) x (E) | Estimated No. of hours per response | Estimated Total Manhours (F) x (G) | Wage Class with benefits |
Total Cost (H) x (I) with benefits |
|
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) |
| NOFO | REPORTING REQUIREMENTS - NON FORMS | ||||||||
| NOFO | HBIIP Project Technical Report (Pre-Award) | Written | 641 | 1 | 641 | 10.0 | 6,410 | $63.10 | $404,471 |
| NOFO | HBIIP Project Worksheet with Prioirty Scoring Criteria Transportation (Pre-Award) | Written | 641 | 1 | 641 | 10.0 | 6,410 | $63.10 | $404,471 |
| NOFO | SAM registration | 641 | 1 | 641 | 2.0 | 1,282 | $63.10 | $80,894 | |
| NOFO | Semi-Annual Report - Project Performance | Written | 606 | 2 | 1,212 | 0.5 | 606 | $63.10 | $38,239 |
| NOFO | Final Project and Financial Status report (Post-Award) | Written | 606 | 1 | 606 | 1.0 | 606 | $63.10 | $38,239 |
| NOFO | Outcome Project Performance Reports and Final Deliverables (Post-Award) | Written | 606 | 1 | 606 | 1.0 | 606 | $63.10 | $38,239 |
| NOFO | Build America Buy America Act Compliance -Specification Development | Written | 606 | 1 | 606 | 24.0 | 14,544 | $63.10 | $917,726 |
| FORMS APPROVED UNDER OTHER COLLECTIONS - NOT COMMON FORMS - BURDEN COUNTED IN TOTALS | |||||||||
| NOFO | Certification for Contracts, Grants and Loans | 1940-Q, Exhibit A-1 | 641 | 1 | 641 | 0.25 | 160 | $63.10 | $10,112 |
| NOFO | Request for Obligation of Funds | 1940-1 (0570-0062) |
606 | 1 | 606 | 0.25 | 152 | $63.10 | $9,560 |
| NOFO | Letter of Conditions | 4280-4 (0570-0035) |
606 | 1 | 606 | 1.5 | 909 | $63.10 | $57,358 |
| NOFO | Letter of Intent to Meet Conditions | 1942-46 (0575-0015, 0570-0021, 0570-0061, 0570-0062, 0575-0137) |
606 | 1 | 606 | 0.25 | 152 | $63.10 | $9,560 |
| NOFO | Rural Business-Cooperative Serivce Financial Assistance Agreement (Grant Agreement)(Post-Award) | 4280-2 (0570-0050) |
606 | 1 | 606 | 1.0 | 606 | $63.10 | $38,239 |
| NOFO | Environmental Review | Written (0575-0197) |
641 | 1 | 641 | 80.00 | 51,280 | $63.10 | $3,235,768 |
| SAM certification | Certification Regarding Debarment, Suspension & Other Resp. Matters-Primary Covered Trans. | AD-1047 (0505-0027) | 606 | 1 | 606 | 0.25 | 152 | $63.10 | $9,560 |
| SAM certification | Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions" | AD-1048 (0505-0027) | 606 | 1 | 606 | 0.25 | 152 | $63.10 | $9,560 |
| SAM certification | Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other Than Individuals | AD-1049 (0505-0027) | 606 | 1 | 606 | 0.25 | 152 | $63.10 | $9,560 |
| TOTAL | 9,871 | 10,477 | 84,177 | $5,311,553 | |||||
| FORMS APPROVED UNDER OTHER OMB NUMBERS (For Reporting Purposes Only-Not Counted in Average Yearly Total) | |||||||||
| NOFO | Application for Federal Assistance | SF-424 (4040-0004) | 641 | 1 | 641 | 1.1 | 705 | $63.10 | $44,492 |
| NOFO | Budget Information - Non-Construction Programs | SF 424A (4040-0006) | 641 | 1 | 641 | 1.80 | 1154 | $63.10 | $72,805 |
| NOFO | Assurances - Non-Construction Program | SF-424B (4040-0007) | 641 | 1 | 641 | 0.75 | 481 | $63.10 | $30,335 |
| NOFO | Budget Information - Construction Programs | SF-424C (4040-0008) | 641 | 1 | 641 | 2.00 | 1282 | $63.10 | $80,894 |
| NOFO | Assurances - Construction Programs | SF-424D (4040-0009) | 641 | 1 | 641 | 0.25 | 160 | $63.10 | $10,112 |
| NOFO | Outlay Report and Request for Reimbursement for Construction Projects | SF-271 (4040-0011) | 606 | 1 | 606 | 1.00 | 606 | $63.10 | $38,239 |
| NOFO | ACH Vendor/Miscellaneous Payment Enrollment Form | SF-3881 (1530-0069) | 6,006 | 1 | 6006 | 1.00 | 6006 | $63.10 | $378,979 |
| NOFO | Federal Financial Report | SF-425 (4040-0014) | 606 | 1 | 606 | 1.00 | 606 | $63.10 | $38,239 |
| NOFO | Disclosure of Lobbying Activities | SF LLL (4040-0013) | 641 | 1 | 641 | 0.125 | 80 | $63.10 | $5,056 |
| NOFO | Assurance Agreement | 400-4 (0575-0201) |
606 | 1 | 606 | 0.25 | 151.5 | $63.10 | $9,560 |
| NOFO | Compliance Statement | 400-6 (0575-0201) |
606 | 1 | 606 | 0.125 | 75.75 | $63.10 | $4,780 |
| NOFO | Equal Opportunity Agreement | 400-1 (0575-0201) |
606 | 1 | 606 | 0.125 | 75.75 | $63.10 | $4,780 |
| NOFO | Build America Buy America Waiver Request Data Collection | OF 2211 (0505-0028) | 400 | 1 | 400 | 2.00 | 800.0 | $63.10 | $50,480 |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |