Rollup and Individual Spreadsheets

---

Overview

RollUp
CF
DLTG
RCDG
REAP
VAPG
WaterWaste

---

Sheet 1: RollUp

ROLLUP OF BURDEN FOR DET GRANT PROGRAMS
Section of Regulations	Title	Form No. (if any)	Estimated No. of Respondents	Reports Filed Annually	Total Annual Responses (D) X (E)	Estimated Number of Man Hours per Response	Estimated Total Man Hours (F) X (G)	Wage Class $/hr	Total Cost to the Public (H)x( (I)
cheryl.thompson: add e Applicant requirements
5002.32(b)	Other forms and instructions
	Community Facilities		846		1,751		4,527		197,779
	Distance Learning and Telemedicine		180		2,880		8,165		325,204
	Rural Cooperative Development		60		60		6,000		210,000
	Rural Energy for America Program		295		5,498		23,498		1,451,023
	Value Added Producer		535		535		37,450		2,120,419
	Water and Waste Disposal		129		2,162		4,158		119,539
	Subtotal Applicant Requirements		2,045		12,886		83,798		4,423,963
Grantee requirements
5002.61(a)	Letter of Conditions
	Community Facilities		672		672		672		$16,800
	Distance Learning and Telemedicine		70		70		70		$2,626
	Rural Cooperative Development		25		25		25		$875
	Rural Energy for America Program		330		660		413		$20,625
	Value Added Producer		cheryl.thompson: change to 157 157		157		157		$8,889
	Water and Waste Disposal		54		444		738		$21,218
5002.61(b)	Grant Agreement
	Community Facilities		672		3,044		3,152		$103,988
	Distance Learning and Telemedicine		70		140		315		$11,816
	Rural Cooperative Development		25		25		25		$875
	Rural Energy for America Program		330		330		165		$8,250
	Value Added Producer		157		157		157		$8,889
	Water and Waste Disposal		54		173		1,057		$30,388
5002.70(a)	Monitoring and reporting performance
	Water and Waste Disposal		54		1,080		864		$24,840
5002.70(b)(1)	Performance Reports and Final Reports
	Distance Learning and Telemedicine		70		70		280		$10,503
	Rural Cooperative Development		25		75		1,275		$44,625
	Rural Energy for America Program		330		1,650		1,848		$92,400
	Value Added Producer		157		471		16,171		$1,334,108
5002.70(b)(2)	cheryl.thompson: added Additional Reports
	Rural Energy for America Program		198		660		1,188		$59,400
	Water and Waste Disposal		54		54		432		$12,420
5002.80	Grant Close Out and Related Activities
	Distance Learning and Telemedicine		70		70		420		$15,754
	Water and Waste Disposal		54		54		432		$12,420
General Provisions	Recordkeeping
	Community Facilities		672		672		2,016		$50,400
	Distance Learning and Telemedicine		350		420		560		$17,520
	Rural Cooperative Development		25		50		950		$33,250
	Rural Energy for America Program		330		330		990		$49,500
	Value Added Producer		157		157		471		$13,942
	Water and Waste Disposal		54		54		162		$4,658
	Subtotal Grantee Requirements				11,764		cheryl.thompson: changed 4 to 5 35,005		$2,010,977
	GRAND TOTAL		2,045		24,650	4.8	118,803		$6,434,941
NOTE: Community Facilities includes EII and Tribal College Grants.

---

Sheet 2: CF

Burden Estimate for Community Facilities Grant Program (including EII and Tribal College Grants) - 0575-0173
cheryl.thompson: Rural Housing Service USDA Rural Housing Service
Section of Regulations	Title	Form No. (if any)	Estimated No. of Respondents	Reports Filed Annually	Total Annual Responses (D) X (E)	Estimated Number of Man Hours per Response	Estimated Total Man Hours (F) X (G)	Wage Class $/hr	Total Cost to the Public (H)x( (I)	cheryl.thompson: These last 2 columns will be removed when uploaded in ROCIS; hard copy will be maintained n file. Previous Values for No of Respondents
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)
	Reporting - No Forms
	Project Proposal - Applicants
5002.32(b)	Lease/Management Agreement	Written	59	1	59	5	297	$25	$7,429	75	3570.61(e)
5002.32(b)	Statement of Inability to Obtain Credit Elsewhere	Written	846	1	846	1	846	$25	$21,150	895	3570.61(c)
5002.32(b)	Financial Feasibility Report	Written	846	1	846	4	3,384	$50	$169,200	895	3570.65(b)(2)
	Subtotal		846		1,751		4,527		$197,779
	Grantee Requirements
5002.61(b)	Liens on real property	Written	20	1	20	1	20	$25	$500	13	3570.80 (c)
5002.61(b)	Audits/financial statements	Written	336	1	336	7	2,352	$25	$58,800	837	3570.83(b)
Dept Regulations	Recordkeeping		672	1	672	3	2,016	$25	$50,400
	Subtotal		672		1,028		4,388		$109,700
	Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable)
5002.61(a)	Letter of Intent	RD 1942-46	672	1	672	1	672	$25	$16,800
5002.61(b)	Community Facilities Grant Agreement	RD 5002-1	672	1	672	0.5	336	$100	$33,600	848	3570.80(a)
5002.61(b)	Equal Opportunity Agreement	RD 400-1 (0575-0018)	672	1	672	0.16	108	$25	$2,688	895	3570.92
5002.61(b)	Assurance Agreement	RD 400-4 (0575-0018)	672	2	1344	0.25	336	$25	$8,400	480	3570.92
	Subtotal				3,360		1,452		$61,488
	GRAND TOTAL		846		6,139		10,367		$368,967
	Forms Approved Under Other OMB Numbers
	Application for Federal Assistance	SF 424 (4040-0004)	846	1	846	0.75	635	$25	$15,863	875	3570.65(a)
	Financial Status Report	SF-269 (0348-0039)	672	1	672	0.5	336	$25	$8,400	837	3570.80(a)

---

Sheet 3: DLTG

Burden Estimate for Distance Learning and Telemedicine Grant Program - 0572-0096
USDA Rural Utilities Service
Section of Regulations	Title	Form No. (if any)	Estimated No. of Respondents	Reports Filed Annually	Total Annual Responses (D) X (E)	Estimated Number of Man Hours per Response	Estimated Total Man Hours (F) X (G)	Wage Class $/hr	Total Cost to the Public (H)x( (I)
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)
	Reporting - No Forms
	Project Proposal - Applicants
5002.32(b)	Executive Summary	cheryl.thompson: replaced none with written Written	180	1	180	2.00	360	$39.83	$14,339
5002.32(b)	Scoring Criteria Documentation	Written	180	1	180	6.00	1,080	$39.83	$43,016
5002.32(b)	Scope of Work	Written	180	1	180	1.00	180	$39.83	$7,169
5002.32(b)	Financial Information	Written	180	1	180	2.00	360	$39.83	$14,339
5002.32(b)	Statement of Experience	Written	180	1	180	0.50	90	$39.83	$3,585
5002.32(b)	Funding Commitment from Other Sources	Written	180	1	180	0.50	90	$39.83	$3,585
5002.32(b)	Telecommunications System Plan	Written	180	1	180	30.00	5,400	$39.83	$215,082
5002.32(b)	Certification Regarding Architectural Barriers	Written	180	1	180	0.10	18	$39.83	$717
5002.32(b)	Other Funding Sources	Written	180	1	180	1.50	270	$39.83	$10,754
5002.32(b)	State Strategic Plan	Written	180	1	180	0.50	90	$39.83	$3,585
5002.32(b)	Non-Duplication of Service Certificate	Written	180	1	180	0.10	18	$39.83	$717
	SUBTOTAL		180		1,980		7,956		$316,887
	Grantee Requirements
5002.61(b)	Grant Agreement	Written	70	1	70	4.00	280	$37.51	$10,503
5002.61(b)	Evidence of Fidelity Bond Coverage	Written	70	1	70	0.50	35	$37.51	$1,313
5002.70(b)(1)	Performance Report	Written	70	1	70	4.00	280	$37.51	$10,503
5002.80	Audit Report	Written	70	1	70	6.00	420	$37.51	$15,754
Dept Regulations	Recordkeeping		70	1	70	3.00	210	$37.51	$7,877
Dept Regulations	Recordkeeping		350	1	350	1.00	350	$27.55	$9,643
	SUBTOTAL			70	700		1,575		$55,592
	Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable)
5002.32(b)	Certification Regarding Drug-Free Workplace	AD-1049	180	1	180	0.25	45	$39.83	$1,792
5002.32(b)	Certification Regarding Debarment and Suspension	AD-1048	180	1	180	0.25	45	$39.83	$1,792
5002.32(b)	Certification Regarding Debarment and Suspension	AD-1047	180	1	180	0.25	45	$39.83	$1,792
5002.32(b)	Equal Opportunity Agreement	RD 400-1	180	1	180	0.16	29	$39.83	$1,147
5002.32(b)	Assurance Agreement	RD 400-4	180	1	180	0.25	45	$39.83	$1,792
5002.61(a)	Letter of Intent	RD 1942-46	70	1	70	1.00	70	$37.51	$2,626
	Subtotal				970		279		$10,942
	GRAND TOTAL		180		3,650		9,810		$383,422
	Forms Approved Under Other OMB Numbers
	Application for Federal Assistance	SF-424 (4040-0004)	180	1	180	0.75	135
	Financial Status Report	SF-269	70	1	70	0.50	35
	Request for Advance or Reimbursement	SF-270 (0348-0004)	70	3	210	1.00	210
	Evidence of Legal Existence	SF-424B/Application	180	1	180	0.25	45
	Certification Regarding Lobbying	SF-LLL	180	1	180	0.13	23
	Equal Opportunity and Nondiscrimination Requirements	SF-424B	180	1	180	0.10	18
	Certification Regarding Flood Hazard Areas	SF-424B	180	1	180	0.10	18
	Certification Regarding Unfiorm Relocation Assistance, etc.	SF-424B	180	1	180	0.10	18
	Environmental Information	SF-424B	180	1	180	1.50	270
	Federal Debt Certification	SF-424	180	1	180	0.50	90
					1,720		862
NOTES
1:	The grant agreement item corresponds to "Updated Information for Preparing Legal Documents and Execution of Legal Documents." It combines individual estimates of 3 hours and 1 hour.
2:	Recordkeeping identifies four items in previously approved burden: updated information for preparing legal documents, execution of legal documents, evidence of fidelity bond coverage, and audit report.

---

Sheet 4: RCDG

Burden Estimate for Rural Cooperative Development Grant Program - 0570-0006
USDA Rural Business-Cooperative Service
Section of Notice	Title	Form No. (if any)	No. of Respondents	Reports Filed Annually	Total Annual Responses (C) x (D)	Estimated No. of Manhours per response	Estimated Total Manhours (E) x (F)	Wage** Class	Total Cost (G) x (H)
(A)		(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)
APPLICANT BURDEN
	Reporting - No Forms
	Project Proposal - Applicants
5002.32(b)	Proposal		60	1	60	100	6,000	$35.00	$210,000
	Subtotal		60		60		6,000		$210,000
	Grantee Requirements
5002.61(b)	Grant Agreement		25	1	25	1	25	$35.00	$875
5002.70(b)(1)	Performance Reports		25	2	50	17	850	$35.00	$29,750
5002.70(b)(1)	Final Report		25	1	25	17	425	$35.00	$14,875
Dept Regulations	krmeardon: This is a recordkeeping requirement for RCDG. Beneficiary Data		25	1	25	35	875	$35.00	$30,625
Dept Regulations	Recordkeeping		25	1	25	3	75	$35.00	$2,625
	Subtotal		25		150		2,250		$78,750
	Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable)
5002.61(a)	Letter of Intent	RD 1942-46	25	1	25	1	25	$35.00	$875
	Subtotal		25		25		25		$875
	GRAND TOTAL		60		235		8,275		$289,625
RECORDKEEPING REQUIREMENTS
		Records Retention	on occasion
	Forms Approved Under Other OMB Numbers
	Application for the Rural Cooperative Development Grant
		SF-424 (4040-0004)	60	1	60	0.75	45
		SF-424A (4040-0006)	60	1	60	3	180
		SF-424B (4040-0007)	60	1	60	0.25	15
	Post Grant Award
		SF-269 (0348-0039)	25	4	100	0.5	50
		SF-270 (0348-0004)	25	12	300	1	300

---

Sheet 5: REAP

Burden Estimate for Rural Energy for America Program Grants - 0570-0050
USDA Rural Business-Cooperative Service
Section of Notice	Title	Form No. (if any)	No. of Respondents	Reports Filed Annually	Total Annual Responses (D) x (E)	Estimated No. of Manhours per response	Estimated Total Manhours (F) x (G)	Wage** Class	Total Cost (H) x (I)	cheryl.thompson: Will remove both columns when uploaded into ROCIS; but will maintain hard copy for files
(A)		(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)
	Reporting - No Forms
	Project Proposal - Applicants
	Simplified Application
5002.102(c)(2)(ii)	Application Narrative - Renewables	Written	177	1	177	22	3,894	$50.00	$194,700		0.2998046875
5002.102(c)(2)(ii)	Application Narrative - EEI	written	118	1	118	9	1,062	$50.00	$53,100		0.2001953125
5002.102(c)(2)(ii)	Cerification for contracts, grants, and loans" 7 CFR 3018.110, grant exceeds $100,000	RD 1940-Q, Exhibit A-1	295	1	295	0.08	24	$50.00	$1,180
5002.102(c)(2)(ii)	Association or Relationship with Rural Development Employees	written	6	1	6	0.25	2	$50.00	$75	10	0.01953125
5002.102(c)(2)(ii)	Technical Requirements - Renewables	written	177	1	177	12	2,124	$80.00	$169,920
5002.102(c)(2)(ii)	Technical Requirements - EEI	written	118	1	118	8	944	$80.00	$75,520
5002.102(c)(2)(ii)	Energy Audit - EEI (>$50,000)	written	17	1	17	16	272	$50.00	$13,600	30	0.05859375
5002.102(c)(2)(ii)	Feasibility Studies - Renewables (>$200,000)	written	17	1	17	24	408	$50.00	$20,400	30	0.05859375
5002.102(c)(2)(ii)	Insurance (flood, business interruption)	assignment	49	1	49	0.5	25	$50.00	$1,225	85	0.166015625
	Subtotal		295		974		8,754		$529,720	512
	Full Application
5002.32(b)	Application Narrative - Renewables	Written	177	1	177	22	3,894	$50.00	$194,700	307	0.599609375
5002.32(b)	Application Narrative - EEI	written	118	1	118	9	1,062	$50.00	$53,100	205	0.400390625
5002.32(b)	Cerification for contracts, grants, and loans" 7 CFR 3018.110, grant exceeds $100,000	RD 1940-Q, Exhibit A-1	12	1	12	0.08	1	$50.00	$48	20	0.0390625
5002.32(b)	Association or Relationship with Rural Development Employees	written	9	1	9	0.25	2	$50.00	$113	15	0.029296875
5002.32(b)	Application Financial Statements	written	295	1	295	7	2,065	$50.00	$103,250	512	1
5002.32(b)	Technical Requirements - Renewables	written	177	1	177	24	4,248	$80.00	$339,840	307	0.599609375
5002.32(b)	Technical Requirements - EEI	written	118	1	118	16	1,888	$80.00	$151,040	205	0.400390625
5002.32(b)	Energy Audit - EEI (>$50,000)	written	17	1	17	16	272	$50.00	$13,600	30	0.05859375
5002.32(b)	Feasibility Studies - Renewables (>$200,000)	written	17	1	17	24	408	$50.00	$20,400	30	0.05859375
5002.32(b)	Insurance (flood, business interruption)	assignment	49	1	49	1.5	74	$50.00	$3,675	85	0.166015625
	Subtotal		295		989		13,914		$879,766
	SUBTOTAL - PROJECT PROPOSAL				1,963		22,667		$1,409,486
	Grantees
5002.70(b)(1)	Performance Report	written	330	4	1320	1	1,320	$50.00	$66,000
5002.70(b)(1)	Final Project Performance Report - Renewables	written	198	1	198	2	396	$50.00	$19,800		0.599303135888502
5002.70(b)(1)	Final Project Performance Report - EEI	written	132	1	132	1	132	$50.00	$6,600
5002.70(b)(2)	Financial Audit Report	written	330	1	330	2	660	$50.00	$33,000
5002.70(b)(2)	Periodic Servicing Reports - Renewables	written	198	1	198	2	396	$50.00	$19,800
5002.70(b)(2)	Periodic Servicing Reports - EEI	written	132	1	132	1	132	$50.00	$6,600
Dept Regulations	Recordkeeping		330	1	330	3	990	$50.00	$49,500
	Subtotal - Grantees		330		2,640		4,026		$201,300
	Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable)
5002.32(b)	Cert. Regarding Drug-Free Workplace Req. (Grants) Alt. I - For Grantees Other Than Individuals	AD -1049 (9000-0101)	589	1	589	0.25	147	$50.00	$7,363
5002.32(b)	Certification Regarding Debarment, Suspension & Other Resp. Matters-Primary Covered Trans.	AD-1047 or in writing	589	1	589	0.25	147	$50.00	$7,363
5002.32(b)	Equal Opportunity Agreement	RD 400-1	589	1	589	0.16	94	$50.00	$4,712
5002.32(b)	Assurance Agreement	RD 400-4	HP Authorized Customer: Is this an applicant or grantee requirement? CF shows it as a grantee requirement, but RES/EEI has it as an applicant requirement. 589	1	589	0.25	147	$50.00	$7,363
5002.102(c)(2)(ii); 5002.32(b)	Environmental Analysis	RD 1940-20	589	1	589	0.25	147	$50.00	$7,363
5002.102(c)(2)(ii); 5002.32(b)	Construction Planning and Performing Development - Renewable Energy Systems	RD 1924-6	354	1	354	0.25	89	$50.00	$4,425
5002.102(c)(2)(ii); 5002.32(b)	Construction Planning and Performing Development - EEI Projects	RD 1924-6	236	1	236	0.25	59	$50.00	$2,950
5002.61(a)	Letter of Intent	RD 1942-46	330	1	330	1	330	$50.00	$16,500		0.560546875
5002.61(a)	Request for Obligation of Funds	RD 1940-1	330	1	330	0.25	83	$50.00	$4,125	0.560546875
5002.61(b)	Renewable Energy/Energy Efficiency Grant Agreement	RD 5002-2a	330	1	330	0.5	165	$50.00	$8,250
	Subtotal				4,525		1,408		$70,412
	Grand Total				9,128		28,102		$1,681,198
	Forms Approved Under Other OMB Numbers
	Application for Federal Assistance	SF 424 (4040-0004)	589	1	589	1	589	0	0	1024
	Budget Information - Construction Programs	SF 424C (4040-0003)	589	1	589	3	1,767	0	0
	Assurances - Construction Programs	SF 424D (4040-0009)	589	1	589	0.25	147	0	0
	Disclosure of Lobbying Activities	SF LLL (0348-0046)	589	1	589	0.16	94	0	0
	Financial Status Report	SF-269 (0348-0039)	330	1	330	0.50	165	60	$9,900
	Outlay and Request for Reimbursement for Construction Programs	SF 271 (0348-0002)	330	5	1650	1	1,650	0	0
	Totals
Footnotes:

---

Sheet 6: VAPG

Burden Estimate for Value Added Producer Grant Program - 0570-0039
USDA Rural Business-Cooperative Service
Section of Regulations	Title	Form No. (if any)	Estimated No. of Respondents	Reports Filed Annually	Total Annual Responses (D) X (E)	Estimated Number of Man Hours per Response	Estimated Total Man Hours (F) X (G)	Wage Class $/hr	Total Cost to the Public (H)x( (I)
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)
APPLICANT Burden
PAPERWORK REQUIREMENTS – NO FORMS
	Reporting - No Forms
	Project Proposal - Applicants
5002.32(b)	Proposal		321	1	321	76	24,396	$56.62	$1,381,302
5002.105(f)(3)	Simplified Applications		214	1	214	61	13,054	$56.62	$739,117
	Subtotal		535		535		37,450		$2,120,419
	Grantee Requirements
5002.61(b)	Grant Agreement		157	1	157	1	157	$56.62	$8,889
5002.70(b)(1)	Performance Reports		157	2	314	9	2,826	$82.50	$233,145
5002.70(b)(1)	Final Report		157	1	157	85	13,345	$82.50	$1,100,963
Dept Regulations	Recordkeeping		157	1	157	3	471	$29.60	$13,942
	Subtotal				785		16,799		$1,356,938
	Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable)
5002.61(a)	Letter of Intent	RD 1942-46	157	1	157	1	157	$56.62	$8,889
	Subtotal		157		157		157		$8,889
	GRAND TOTAL				1,477		54,406		$3,486,247
NOTES
	The estimate of hours per response for simplified applications is a best guess as this is a new feature to VAPG.
	Forms Approved Under Other OMB Numbers
	Application for Federal Assistance	SF-424 (4040-0004)	535	1	535	1	535
	Budget Information – Non-Construction	SF-424A (4040-0006)	535	1	535	3	1605
	Assurances – Non-Construction	SF-424B (4040-0007)	535	1	535	0.25	134
		SF-269 (0348-0039)	157	2	314	0.5	157
	Request for Advance or Reimbursement	SF-270 90348-0004)	157	12	1884	1	1884

---

Sheet 7: WaterWaste

Burden Estimate for Water and Waste Disposal Facilities Grant Program - 0572-0121
USDA Rural Utilities Service
Section of Regulations	Title	Form No. (if any)	Estimated No. of Respondents	Reports Filed Annually	Total Annual Responses (D) X (E)	Estimated Number of Man Hours per Response	Estimated Total Man Hours (F) X (G)	Wage Class $/hr	Total Cost to the Public (H)x( (I)
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)
	Reporting - No Forms
	Project Proposal - Applicants
5002.32(b)	Relationship or association with RUS employees	Written	107	1	107	0.25	27	$28.75	$769
5002.32(b)	Statement on availability to obtain credit elsewhere	Written	107	1	107	1.00	107	$28.75	$3,076
5002.32(b)	Notification of service statement	Written	32	1	32	2.00	64	$28.75	$1,840
5002.32(b)	Evidence of public notice	Written	107	1	107	2.00	214	$28.75	$6,153
5002.32(b)	Intergovernmental comments	Written	129	1	129	1.00	129	$28.75	$3,709
5002.32(b)	Preliminary engineering report	Written	129	1	129	4.00	516	$28.75	$14,835
5002.32(b)	Supporting documentation	Written	129	1	129	6.00	774	$28.75	$22,253
5002.32(b)	Agreements for professional services	Written	107	1	107	4.00	428	$28.75	$12,305
5002.32(b)	Contracts for other services	Written	64	1	64	2.00	128	$28.75	$3,680
5002.32(b)	Positive programs to encourage connections	Written	21	1	21	3.00	63	$28.75	$1,811
5002.32(b)	User agreement	Written	11	1	11	4.00	44	$28.75	$1,265
	Subtotal		129		943		2,494		$71,695
	Grantee Requirements
5002.61(a)	Fidelity or employee dishonesty Bond	Written	54	1	54	4.00	216	$28.75	$6,210
5002.61(a)	Property insurance	Written	54	1	54	1.00	54	$28.75	$1,553
5002.61(a)	General Liability Insurance	Written	54	1	54	1.00	54	$28.75	$1,553
5002.61(a)	Flood Insurance	Written	11	1	11	1.00	11	$28.75	$316
5002.61(a)	Workman's compensation insurance	Written	54	1	54	0.50	27	$28.75	$776
5002.61(a)	Evidence of other funds	Written	32	1	32	1.00	32	$28.75	$920
5002.61(a)	Water rights	Written	13	1	13	3.00	39	$28.75	$1,121
5002.61(a)	Appraisal Report	Written	5	1	5	2.00	10	$28.75	$288
5002.61(a)	User Connections	Written	54	1	54	3.00	162	$28.75	$4,658
5002.61(a)	Lease agreements	Written	5	1	5	5.00	25	$28.75	$719
5002.61(b)	Construction contract forms	Written	54	1	54	3.00	162	$28.75	$4,658
5002.61(b)	Attorney's certification of construction contract	Written	54	1	54	15.00	810	$28.75	$23,288
5002.61(b)	Sewage treatment and bulk water sales contracts	Written	9	1	9	3.00	27	$28.75	$775
5002.61(b)	Contracts awarded prior to application	Written	2	1	2	2.00	4	$28.75	$116
5002.70(a)	Monitoring reports	Written	54	1	54	5.00	270	$28.75	$7,763
5002.70(a)	Resident Inspector resume	Written	54	1	54	2.00	108	$28.75	$3,105
5002.70(a)	Daily inspection report	Written	54	18	972	0.50	486	$28.75	$13,973
5002.70(b)(2)	Management report	Written	54	1	54	8.00	432	$28.75	$12,420
5002.80	Audits	Written	54	1	54	8.00	432	$28.75	$12,420
Dept Regulations	Recordkeeping	Written	54	1	54	3.00	162	$28.75	$4,658
	Subtotal		54		1,697		3,523		101,286
	Reporting - Forms Approved Under this Docket (all applications or grantees, as applicable)
5002.32(b)	Certification Regarding Debarment	AD-1047	107	1	107	0.25	27	$28.75	$769
5002.32(b)	Certification Regarding Drug-Free Workplace	AD-1049	107	1	107	0.25	27	$28.75	$769
5002.32(b)	Partial Payment Estimate	RD 1924-18	107	1	107	0.50	54	$28.75	$1,538
5002.32(b)	Contract Change Order	RD 1924-7	107	1	107	0.25	27	$28.75	$769
5002.32(b)	Equal Opportunity Agreement	RD 400-1	107	1	107	0.16	17	$28.75	$492
5002.32(b)	Assurance Agreement	RD 400-4	107	1	107	0.25	27	$28.75	$769
5002.32(b)	Operating Budget	RD 442-7	107	1	107	5.00	535	$28.75	$15,381
5002.32(b)	Balance Sheet or Financial Statement	RD 442-3	107	1	107	1.00	107	$28.75	$3,076
5002.32(b)	Agreement for Engineering Services	RD 1942-19	107	1	107	4.00	428	$28.75	$12,305
5002.32(b)	Resolution of Members or Stockholders	RD 1942-8	21	1	21	1.00	21	$28.75	$604
5002.32(b)	Opinion of Counsel Relative to Right-of-Way and Easements	RD 442-22	107	1	107	1.00	107	$28.75	$3,076
5002.32(b)	Statement of Budget, Income, and Equity	RD 442-2	107	1	107	2.50	268	$28.75	$7,691
5002.32(b)	Water Purchase Contract	RD 442-30	21	1	21	1.00	21	$28.75	$604
5002.61(a)	Letter of Intent	RD 1942-46	54	1	54	1.00	54	$28.75	$1,553
5002.61(a)	Estimate of Funds Needed for 30-Day Period Commencing ____"	RD 440-11	54	1	54	1.00	54	$28.75	$1,553
5002.61(b)	Grant Agreement	1780-12	54	1	54	1.00	54	$28.75	$1,553
	Subtotal				1,381		1,826		$52,501
	GRAND TOTAL				4,021		7,843		$225,482
	Forms Approved Under Other OMB Numbers
	Application for Federal Assistance	SF 424 (4040-0004)	107	1	107	1.00	107
	Financial Status Report	SF-269 (0348-0039)	54	1	54	0.50	27