0570-0074_RD Co-Op Agreements spreadsheet 2024_5.15.25

0570-0074_RD Co-Op Agreements spreadsheet 2024_5.15.25.xlsx

Rural Development Co-operative Agreement

0570-0074_RD Co-Op Agreements spreadsheet 2024_5.15.25

OMB: 0570-0074

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USDA - RUS
Title of Information Document




OMB No.






0570-0074

SUMMARY OF INFORMATION COLLECTION
Co-operative Agreements Date Prepared










Dec-24

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)

Reporting Requirements – No Forms










Executive Summary Written 64 1 64 2.00 128
















Work Plan Written 64 1 64 3.00 192
















Organizational Capacity Written 64 1 64 2.00 128
















Partnerships Written 64 1 64 1.00 64
















Targeted Impact Area Written 64 1 64 2.00 128
















Performance Measures Written 64 1 64 2.00 128
















Verification of Matching Funds Written 64 1 64 1.00 64
















Confilict of Interest Disclosure Written 64 1 64 0.50 32
















Risk Review Written 64 1 64 1.00 64
















Report Suitable for Public Distribution Written 64 1 64 2.00 128




SUBTOTAL


640
1,056.00




Reporting Requirements for Forms Approved under other OMB Numbers










Letter of Intent to Meet Conditions RD 1942-46 (0575-0015) 64 1 64 1

















Request for Obligations of Funds 1940-1 (0575-0067) 64 1 64 0.25

















Assurance Agreement 400-4 (0575-0018) 64 1 64 0.25

















Equal Opportunity Agreement 400-1 (0575-0018) 64 1 64 0.16

















Application for Federal Assistance SF-424 (4040-0004) 64 1 64 1.00

















Budget Information: Non-Construction Programs SF-424A (4040-0006 ) 64 1 64 1.00







64








Assurances - Non Construction Programs SF-424B (4040-0007) 64 1 64 0.50

















Federal Financial Report SF-425 (4040-0014) 64 4 256 1.00

















Request for Advance or Reimbursement SF-270 (4040-0012) 64 On ocassion On ocassion 1.00

















Disclosure Form to Report Lobbying SF-LLL (4040-0013) 64 1 64 0.16

















Certification Regarding Debarment, Suspension, and Other Responsibility Matters-Primary Covered Transactions AD-1047 (0505-0027) 64 1 64 0.25

















Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion. Lower Tier Covered Transactions AD-1048 (0505-0027) 64 1 64 0.25

















Certification Regarding Drug-Free Workplace Requirements (Grants).” AD-1049 (0505-0027) 64 1 64 0.25

















Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants AD-3031 (0505-0025) 64 1 64 0.25





Subtotal









RUS Form 36 (07-91)



























Annual Burden Hours
1,056








Record Keeping Hours






TOTAL ANNUAL BURDEN AND RECORDKEEPING HOURS


Total Burden Hours
1,056







































































0.00










0.00








0.00






















0.00














































0









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