Burden Hours Spreadsheet

Burden Hours WWD 2024 11 18.xlsm

7 CFR 1780, Water and Waste Loan and Grant Program

Burden Hours Spreadsheet

OMB: 0572-0121

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Overview

Summary
12 BH Collection WWLG
12 Not Inc in BH WWLG
12 BH Collection WWPPG
12 Not Inc in BH WWPPG
12 BH Collection Colonias
12 Not Inc in BH Colonias
12 BH Collection Tribal Lands
12 Not Inc in BH Tribal Lands
12 BH Collection ECWAG
12 Not Inc in BH ECWAG
12 BH Collection RAVG-Reg
12 Not Inc in BH RAVG-Reg
12 BH Collection RAVG PPG
12 Not Inc in BH RAVG PPG
12 Est Prof Wage Rate
14 Ann Cost to Fed Gov Est WWLG
14 Ann Cost toFedGovEst WWPPG
14 AnnCost toFedGovEst Colonias
14 AnnCost toFedGovEst Tribal
14 AnnCost toFedGovEst ECWAG
14 AnnCost toFedGovEst RAVGReg
14 Ann Cost toFedGovEst RAVGPPG

Sheet 1: Summary

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
PREDEVELOPMENT PLANNING GRANTS (PPG)
ALLEVIATE HEALTH RISKS FOR COLONIAS OR ON TRIBAL LANDS
EMERGENCY COMMUNITY WATER ASSISTANCE GRANTS (ECWAG)
RURAL AND NATIVE ALASKAN VILLAGES GRANTS (RAVG-REGULAR)
RURAL AND NATIVE ALASKAN VILLAGES GRANTS - PREDEVELOPMENT PLANNING GRANTS (RAVG PPG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

For FR Notice
	WWLG	WWPPG	Colonias	Tribal Lands	ECWAG	RAVG - REG	RAVG PPG	Total
Estimated No. of Total Respondents (Applicants)	525	27	9	11	41	23	20	656
Estimated No. of Total Awards (Awardees)	255	24	9	11	41	14	20	374
Total Responses	24,811	518	596	723	1,967	1,138	364	30,117
Estimated Total Hours	93,550	1,311	1,895	2,334	5,336	4,048	726	109,200
Total Cost	$7,016,250	$98,325	$142,125	$175,050	$400,200	$303,600	$54,450	$8,190,000
Average Hours Per Response	3.771	2.531	3.180	3.228	2.713	3.557	1.995	3.6258591
Number of Responses Per Respondent	47.259	19.185	66.222	65.727	47.976	49.478	18.200	45.910

Supporting Statement Tables:
Table 12.1
	WWLG	WWPPG	Colonias	Tribal Lands	ECWAG	RAVG - REG	RAVG PPG	Total
Total Respondents (Applicants)	525	27	9	11	41	23	20	656
Total Awards (Awardees)	255	24	9	11	41	14	20	374
Annual Responses	24,811	518	596	723	1,967	1,138	364	30,117
Total Hours	93,550	1,311	1,895	2,334	5,336	4,048	726	109,200
Cost Per Hours	$75.00
Total Annual Cost	$7,016,250	$98,325	$142,125	$175,050	$400,200	$303,600	$54,450	$8,190,000

Total Hours - Reporting	93,295	1,287	1,886	2,323	5,295	4,034	706	108,826	108,826	0
Total Responses - Reporting	24,556	494	587	712	1,926	1,124	344	29,743	29,743	0
Average Hours per Response	3.7993	2.6053	3.2129	3.2626	2.7492	3.5890	2.0523	3.6588777

Total Hours - Record Keeping	255	24	9	11	41	14	20	374
Total Responses - Record Keeping	255	24	9	11	41	14	20	374
Average Hours per Record Keeping	1	1	1	1	1	1	1	1

Table 14.1
	WWLG	WWPPG	Colonias	Tribal Lands	ECWAG	RAVG - REG	RAVG PPG	Total
Step 1: Application	$9,443,371	$485,659	$161,886	$197,861	$0	$413,710	$359,747	$11,062,234
Step 2: Application Review	$3,206,217	$301,762	$113,161	$138,307	$515,509	$176,028	$251,468	$4,702,452
Step 3: Grant Award	$3,867,671	$0	$136,506	$166,841	$621,861	$212,343	$0	$5,005,222
Total Cost to Federal Government	$16,517,259	$787,421	$411,553	$503,009	$1,137,370	$802,081	$611,215	$20,769,908

Table 13.1
Document Type	Total Est. # of Docs	Est. % Mailed	Est. # of Docs Mailed	Est. Mailing Cost	Total Mailing Cost
PER	568	5%	28	$15	$420
Environmental Documentation - Categorical Exclusion with Report	341	5%	17	$12	$204
Environmental Documentation - Environmental Assessment	57	10%	6	$15	$90
Construction Contract Documents	298	20%	60	$20	$1,200
Audits and Year End Financial Reports	1,042	20%	208	$15	$3,120
				Total	$5,034

Sheet 2: 12 BH Collection WWLG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		525							Estimated No. of Total Awards (Awardees)	255
Average hours per response		3.771							Number of responses per respondent	47.26
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	24,811		93,550		$7,016,250
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.1(d)	Documentation of Income Survey	Written	10%	53	1	53	8.00	424	$75.00	$31,800
1780.1(f)	Relationship or association ith RUS employees	Written	100%	525	1	525	0.25	131	$75.00	$9,825
1780.1(h)	Evidence proposed facility will be consistent with development plans	Written	100%	525	1	525	1.00	525	$75.00	$39,375
1780.7(d) & 1780.33(d)	Statement of availability to obtain credit elsewhere	Written	100%	525	1	525	1.00	525	$75.00	$39,375
1780.7(g)	Evidence No Outstanding Judgement Obtained	Written	100%	525	1	525	0.25	131	$75.00	$9,825
1780.9(g)(2)	Agreement between Applicant and Individual Users for Water or Sewer service provided through individual installations or small clusters of users within an Applicant's service area	Written	10%	53	1	53	1.00	53	$75.00	$3,975
1780.11(a)(2)	Notification of service statement	Written	15%	79	1	79	1.00	79	$75.00	$5,925
1780.14(a)	Security- Public Bodies- General Obligation and Revenue Bonds	Written	85%	446	1	446	4.00	1,784	$75.00	$133,800
1780.14(b)	Security- Not-For-Profit- Liens on property and Financing Stmt.	Written	15%	79	1	79	4.00	316	$75.00	$23,700
1780.19	Evidence of Public Notice of Intent	Written	100%	525	1	525	2.00	1,050	$75.00	$78,750
1780.31(c)	Eligibility Determination Request in lieu of application	Written	0%	0	1	0		0	$75.00	$0
1780.33(b)	Intergovernmental comments	Written	Mathis, Katherine - RD, National Office: Excludes Tribal Applicants 99%	520	1	520	1.00	520	$75.00	$39,000
1780.33(c)	Preliminary engineering report	Written	100%	525	1	525	40.00	21,000	$75.00	$1,575,000
1780.33(e)	Supporting documentation	Written	100%	525	1	525	4.00	2,100	$75.00	$157,500
1780.33(f)	Environmental Documentation - Categorical exclusion without report	Written	30%	158	1	158	1.00	158	$75.00	$11,850
1780.33(f)	Environmental Documentation - Categorical exclusion with report	Written	60%	315	1	315	20.00	6,300	$75.00	$472,500
1780.33(f)	Environmental Documentation - Environmental Assessment	Written	10%	53	1	53	50.00	2,650	$75.00	$198,750
1780.33(f)	Environmental Documentation - Environmental Impact Statement	Written	0%	0	1	0	150.00	0	$75.00	$0
1780.33(h)(7)	Certification for Contracts, Grants, and Loans (Regarding Lobbying)	Written	100%	525	1	525	0.25	131	$75.00	$9,825
1780.33(h)(8)	Certification on Tying Arrangements	Written	100%	525	1	525	0.25	131	$75.00	$9,825
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-500	Written	99%	517	1	517	8.00	4,136	$75.00	$310,200
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-520	Written	1%	5	1	5	6.00	30	$75.00	$2,250
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-525	Written	0%	0	1	0	6.00	0	$75.00	$0
1780.39(b)(1)	Agreement for Engineering and/or Architectural Services - Agency non-standard	Written	0.50%	3	1	3	6.00	18	$75.00	$1,350
1780.39(b)(2)	Agreements for Legal Services	Written	100%	525	1	525	6.00	3,150	$75.00	$236,250
1780.39(b)(2)	Agreements for Other Professional Services	Written	100%	525	1	525	6.00	3,150	$75.00	$236,250
1780.39(b)(3)	Agreements for Bond Counsel	Written	100%	525	1	525	6.00	3,150	$75.00	$236,250
1780.39(b)(4)	Contracts for other services	Written	25%	131	1	131	2.00	262	$75.00	$19,650
1780.39(c)(3)	User Agreement - Water	Written	10%	53	1	53	4.00	212	$75.00	$15,900
1780.39(c)(3)	User Agreement - Sewer	Written	10%	53	1	53	4.00	212	$75.00	$15,900
1780.39(c)(5)(i)	Positive programs to encourage connections	Written	20%	105	1	105	4.00	420	$75.00	$31,500
1780.39(d)	Interim financing	Written	75%	394	1	394	4.00	1,576	$75.00	$118,200
1780.39(g)(3)	Fidelity or employee dishonesty Bond	Written	100%	525	1	525	2.00	1,050	$75.00	$78,750
1780.39(g)(4)	Property insurance	Written	100%	525	1	525	1.00	525	$75.00	$39,375
1780.39(g)(5)	General Liability Insurance	Written	100%	525	1	525	1.00	525	$75.00	$39,375
1780.39(g)(6)	Flood Insurance	Written	30%	158	1	158	1.00	158	$75.00	$11,850
1780.39(g)(7)	Workman's compensation insurance	Written	100%	525	1	525	1.00	525	$75.00	$39,375
	SAM Registration	Written	100%	525	1	525	2.00	1,050	$75.00	$78,750
APPROVAL/ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(5)	Letter of Conditions	Written	100%	255	1	255	1.00	255	$75.00	$19,125
1780.44(b)	Verification of Applicant Contribution	Written	100%	255	1	255	1.00	255	$75.00	$19,125
1780.44(f)	Evidence of other funds	Written	100%	255	1	255	1.00	255	$75.00	$19,125
1780.44(g)	Appraisal Report	Written	1%	3	1	3	2.00	6	$75.00	$450
1780.44(g)(1)(ii)	User Connections	Written	15%	38	1	38	4.00	152	$75.00	$11,400
1780.44(g)(3)	Water rights	Written	15%	38	1	38	4.00	152	$75.00	$11,400
1780.44(g)(4)	Lease agreement	Written	15%	38	1	38	4.00	152	$75.00	$11,400
1780.45(a)(1)	Promissory Note	Written	15%	38	1	38	0.25	10	$75.00	$750
1780.45(a)(2)	Loan Resolution (Public Bodies)	Written	85%	217	1	217	1.00	217	$75.00	$16,275
1780.45(a)(2)	Loan Resolution, Security Agreement	Written	15%	38	1	38	1.00	38	$75.00	$2,850
1780.45(c)	Water and Waste System Grant Agreement	Written	65%	166	1	166	1.00	166	$75.00	$12,450
1780.47(d) & (e )	Audits and Year-End Financial Reports	Written	100%	255	3	765	8.00	6,120	$75.00	$459,000
1780.47(f)(1)	Management report- Quarterly Report	Written	25%	64	4	256	4.00	1,024	$75.00	$76,800
1780.54	Value Engineering Study (VES)	Written	1%	3	1	3	20.00	60	$75.00	$4,500
1780.57(g) and (h)	Evidence of Conformity with Drinking Water and Water Pollution Control Standards	Written	100%	255	1	255	1.00	255	$75.00	$19,125
1780.57(m)	Exception for Metering Devices	Written	5%	13	1	13	2.00	26	$75.00	$1,950
1780.63	Sewage Treatment Contract(s)	Written	5%	13	1	13	8.00	104	$75.00	$7,800
	American Iron and Steel (AIS) Requirement Prior to Construction	Written	100%	255	1	255	8.00	2,040	$75.00	$153,000
	Build America, Buy America Act (BABAA) Requirement Prior to Construction	Written	100%	255	1	255	16.00	4,080	$75.00	$306,000
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.57	Final operating permit(s) for the entire project components	Written	100%	255	1	255	2.00	510	$75.00	$38,250
1780.61(a)	Construction contract documents - EJCDC C-Series	Written	94%	240	1	240	8.00	1,920	$75.00	$144,000
1780.61(a)	Construction contract document - EJCDC C-522 for small projects	Written	1%	3	1	3	6.00	18	$75.00	$1,350
1780.61(b)	Certificate of Owner's Engineers Certifications	Written	100%	255	1	255	1.00	255	$75.00	$19,125
1780.61(b)	Certificate of Owner's Attorney Concurrence	Written	96%	245	1	245	8.00	1,960	$75.00	$147,000
1780.70	Owner's Solicitation and Review of Offers - Competitive Sealed Bids	Written	75%	191	1	191	10.00	1,910	$75.00	$143,250
1780.70	Owner's Solicitation and Review of Offers - Noncompetitive proposals	Written	1%	3	1	3	10.00	30	$75.00	$2,250
1780.70	Owner's Solicitation and Review of Offers - Alternative Delivery Methods	Written	1%	3	1	3	10.00	30	$75.00	$2,250
1780.70	Owner's Solicitation and Review of Offers - Small Projects	Written	22%	56	1	56	8.00	448	$75.00	$33,600
1780.70	Owner's Solicitation and Review of Offers - Micro Purchases	Written	1%	3	1	3	4.00	12	$75.00	$900
1780.74	Contracts awarded prior to application	Written	5%	13	1	13	2.00	26	$75.00	$1,950
1780.76(a)	Pre-Construction Conference	Written	100%	255	1	255	4.00	1,020	$75.00	$76,500
1780.76(b)	Monitoring Construction- Owner's Report	Written	100%	255	12	3,060	2.00	6,120	$75.00	$459,000
1780.76(c)	Resident inspector resume	Written	100%	255	1	255	1.00	255	$75.00	$19,125
1780.76(d)	Daily inspection report	Written	100%	255	12	3,060	0.50	1,530	$75.00	$114,750
1780.83	Bond Transcript Documents	Written	85%	217	1	217	8.00	1,736	$75.00	$130,200
1780.89 & .90	Multiple Advances of Agency Funds (Bond Anticipation Note)	Written	15%	38	1	38	2.00	76	$75.00	$5,700
	Evidence that as built plans have been delivered to Owner	Written	100%	255	1	255	1.00	255	$75.00	$19,125
	Domestic Preference De Minimis List	Written	50%	128	1	128	3.00	384	$75.00	$28,800
	Contractor's Certification of Compliance for AIS and/or BABAA	Written	100%	255	1	255	0.50	128	$75.00	$9,600
	Manufacturer's Certification of Compliance	Written	100%	255	1	255	0.50	128	$75.00	$9,600
	AIS and BABAA Requirements during/post construction	Written	100%	255	1	255	4.00	1,020	$75.00	$76,500
RECORDKEEPING
1780.47(c)	Borrower shall maintain accounting records for 3 years	Written	100%	255	1	255	1.00	255	$75.00	$19,125

Sheet 3: 12 Not Inc in BH WWLG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		525							Estimated No. of Total Awards (Awardees)	255
Average hours per response		0.849							Number of responses per respondent	26.43
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	13,877		11,784		$883,800
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.33(a)	Application for Federal Assistance	SF 424 (4040-0004)	100%	525	2	1,050	1.00	1,050	$75.00	$78,750
1780.33(a)	Budget Information--Construction Programs	SF-424C (4040-0008)	100%	525	2	1,050	1.00	1,050	$75.00	$78,750
1780.33(h)(1)	Operating Budget	RD 442-7 (0575-0015)	100%	525	1	525	5.00	2,625	$75.00	$196,875
1780.33(h)(2)	Application Certification, Federal Collection Policies for Consumer or Commercial Debts	RD 1910-11 (0570-0062)	85%	446	1	446	0.25	112	$75.00	$8,400
1780.33(h)(3)	Equal Opportunity Agreement	RD 400-1 (0575-0201)	100%	525	1	525	0.17	88	$75.00	$6,600
1780.33(h)(4)	Assurance Agreement	RD 400-4 (0575-0201)	100%	525	1	525	0.25	131	$75.00	$9,825
1780.39(f)	Resolution of Members or Stockholders	RD 1942-8 (0575-0015)	15%	79	1	79	1.00	79	$75.00	$5,925
APPROVAL ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(3)	Balance Sheet or Financial Statement	RD 442-3 (0572-0137; 0575-0015, 0200)	100%	255	1	255	1.00	255	$75.00	$19,125
1780.41(a)(6)	Letter of Intent to Meet Conditions	RD 1942-46 (0572-0137; 0575-0015; 0570-0021, 0061, 0062)	100%	255	1	255	1.00	255	$75.00	$19,125
1780.41(a)(7)	Request for Obligation of Funds	RD 1940-1 (0570-0062, 0067)	100%	255	1	255	0.25	64	$75.00	$4,800
1780.44(c)	Initial Compliance Review	RD 400-8 (0570-0062; 0575-0018, 0189)	100%	255	1	255	8.00	2,040	$75.00	$153,000
1780.44(g)(1)(i)	Opinion of Counsel Relative to Right-of-Way and Easements	RD 442-22 (0575-0015)	100%	255	1	255	1.00	255	$75.00	$19,125
1780.44(g)(2)	Preliminary Title Opinion	RD 1927-9 (0575-0147, 0189)	100%	255	1	255	1.50	383	$75.00	$28,725
1780.44(g)(2)	Final Title Opinion	RD 1927-10 (0575-0147, 0189)	100%	255	1	255	0.33	85	$75.00	$6,375
1780.47(f)(2)	Statement of Budget, Income, and Equity	RD 442-2 (0572-0137; 0575-0015, 0200)	100%	255	1	255	2.50	638	$75.00	$47,850
1780.62 & 63	Water Purchase Contract	RD 442-30 (0575-0015)	10%	26	1	26	1.00	26	$75.00	$1,950
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.61(a)	Compliance Statement	RD 400-6 (0575-0201)	100%	255	1	255	0.17	43	$75.00	$3,225
1780.75	Contractor's Final Release and Waiver of Lien	RD 1924-9 (0575-0042)	100%	255	1	255	0.25	64	$75.00	$4,800
1780.75	Release by Claimants	RD 1924-10 (0575-0189)	100%	255	1	255	0.25	64	$75.00	$4,800
1780.76(e)	Partial Payment Estimate	RD 1924-18 (0575-0042,0189)	100%	255	12	3,060	0.50	1,530	$75.00	$114,750
1780.76(f)	Inspection Report	RD 1924-12 (0575-0042,0189)	100%	255	12	3,060	0.25	765	$75.00	$57,375
1780.76(h)(2)	Contract Change Order	RD 1924-7 (0575-0042)	95%	242	3	726	0.25	182	$75.00	$13,650

Sheet 4: 12 BH Collection WWPPG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
PREDEVELOPMENT PLANNING GRANTS (PPG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		27							Estimated No. of Total Awards (Awardees)	24
Average hours per response		2.531							Number of responses per respondent	19.19
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	518		1,311		$98,325
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.1(d)	Documentation of Income Survey	Written	5%	1	1	1	8.00	8	$75.00	$600
1780.1(f)	Relationship or association ith RUS employees	Written	100%	27	1	27	0.25	7	$75.00	$525
1780.1(h)	Evidence proposed facility will be consistent with development plans	Written	100%	27	1	27	1.00	27	$75.00	$2,025
1780.7(d) & 1780.33(d)	Statement of availability to obtain credit elsewhere	Written	100%	27	1	27	1.00	27	$75.00	$2,025
1780.7(g)	Evidence No Outstanding Judgement Obtained	Written	100%	27	1	27	0.25	7	$75.00	$525
1780.11(a)(2)	Notification of service statement	Written	15%	4	1	4	1.00	4	$75.00	$300
1780.19	Evidence of Public Notice of Intent	Written	100%	27	1	27	2.00	54	$75.00	$4,050
1780.33(b)	Intergovernmental comments	Written	100%	27	1	27	1.00	27	$75.00	$2,025
1780.33(c)	Preliminary engineering report	Written	0%	0	1	0	40.00	0	$75.00	$0
1780.33(e)	Supporting documentation	Written	100%	27	1	27	4.00	108	$75.00	$8,100
1780.33(f)	Environmental Documentation - Categorical exclusion without report	Written	100%	27	1	27	1.00	27	$75.00	$2,025
1780.33(f)	Environmental Documentation - Categorical exclusion with report	Written	0%	0	1	0	20.00	0	$75.00	$0
1780.33(f)	Environmental Documentation - Environmental Assessment	Written	0%	0	1	0	50.00	0	$75.00	$0
1780.33(f)	Environmental Documentation - Environmental Impact Statement	Written	0%	0	1	0	150.00	0	$75.00	$0
1780.33(h)(7)	Certification for Contracts, Grants, and Loans (Regarding Lobbying)	Written	100%	27	1	27	0.25	7	$75.00	$525
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-500	Written	0%	0	1	0	8.00	0	$75.00	$0
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-520	Written	0%	0	1	0	6.00	0	$75.00	$0
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-525	Written	60%	16	1	16	6.00	96	$75.00	$7,200
1780.39(b)(1)	Agreement for Engineering and/or Architectural Services - Agency non-standard	Written	40%	11	1	11	6.00	66	$75.00	$4,950
	SAM Registration	Written	100%	27	1	27	2.00	54	$75.00	$4,050
APPROVAL/ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(5)	Letter of Conditions	Written	100%	24	1	24	1.00	24	$75.00	$1,800
1780.44(b)	Verification of Applicant Contribution	Written	100%	24	1	24	1.00	24	$75.00	$1,800
1780.44(f)	Evidence of other funds	Written	100%	24	1	24	1.00	24	$75.00	$1,800
1780.45(c)	Water and Waste System Grant Agreement	Written	100%	24	1	24	1.00	24	$75.00	$1,800
1780.47(d) & (e )	Audits and Year-End Financial Reports	Written	100%	24	3	72	8.00	576	$75.00	$43,200
1780.47(f)(1)	Management report- Quarterly Report	Written	25%	6	4	24	4.00	96	$75.00	$7,200
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
RECORDKEEPING
1780.47(c)	Borrower shall maintain accounting records for 3 years	Written	100%	24	1	24	1.00	24	$75.00	$1,800

Sheet 5: 12 Not Inc in BH WWPPG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
PREDEVELOPMENT PLANNING GRANTS (PPG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		27							Estimated No. of Total Awards (Awardees)	24
Average hours per response		1.805							Number of responses per respondent	11.59
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	313		565		$42,375
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.33(a)	Application for Federal Assistance- Initial Application	SF 424 (4040-0004)	100%	27	2	54	1.00	54	$75.00	$4,050
1780.33(a)	Budget Information--Non-Construction Programs	SF-424A (4040-0006)	100%	27	2	54	1.00	54	$75.00	$4,050
1780.33(h)(1)	Operating Budget	RD 442-7 (0575-0015)	100%	27	1	27	5.00	135	$75.00	$10,125
1780.33(h)(3)	Equal Opportunity Agreement	RD 400-1 (0575-0201)	100%	27	1	27	0.17	5	$75.00	$375
1780.33(h)(4)	Assurance Agreement	RD 400-4 (0575-0201)	100%	27	1	27	0.25	7	$75.00	$525
1780.39(f)	Resolution of Members or Stockholders	RD 1942-8 (0575-0015)	15%	4	1	4	1.00	4	$75.00	$300
APPROVAL ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(3)	Balance Sheet or Financial Statement	RD 442-3 (0572-0137; 0575-0015, 0200)	100%	24	1	24	1.00	24	$75.00	$1,800
1780.41(a)(6)	Letter of Intent to Meet Conditions	RD 1942-46 (0572-0137; 0575-0015; 0570-0021, 0061, 0062)	100%	24	1	24	1.00	24	$75.00	$1,800
1780.41(a)(7)	Request for Obligation of Funds	RD 1940-1 (0570-0062, 0067)	100%	24	1	24	0.25	6	$75.00	$450
1780.44(c)	Initial Compliance Review	RD 400-8 (0570-0062; 0575-0018, 0189)	100%	24	1	24	8.00	192	$75.00	$14,400
1780.47(f)(2)	Statement of Budget, Income, and Equity	RD 442-2 (0572-0137; 0575-0015, 0200)	100%	24	1	24	2.50	60	$75.00	$4,500
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)

Sheet 6: 12 BH Collection Colonias

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
ALLEVIATE HEALTH RISKS FOR COLONIAS
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		9							Estimated No. of Total Awards (Awardees)	9
Average hours per response		3.180							Number of responses per respondent	66.22
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	596		1,895		$142,125
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.1(d)	Documentation of Income Survey	Written	10%	1	1	1	8.00	8	$75.00	$600
1780.1(f)	Relationship or association ith RUS employees	Written	100%	9	1	9	0.25	2	$75.00	$150
1780.1(h)	Evidence proposed facility will be consistent with development plans	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.7(d) & 1780.33(d)	Statement of availability to obtain credit elsewhere	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.7(g)	Evidence No Outstanding Judgement Obtained	Written	100%	9	1	9	0.25	2	$75.00	$150
1780.9(g)(2)	Agreement between Applicant and Individual Users for Water or Sewer service provided through individual installations or small clusters of users within an Applicant's service area	Written	10%	1	1	1	1.00	1	$75.00	$75
1780.11(a)(2)	Notification of service statement	Written	15%	1	1	1	1.00	1	$75.00	$75
1780.19	Evidence of Public Notice of Intent	Written	100%	9	1	9	2.00	18	$75.00	$1,350
1780.33(b)	Intergovernmental comments	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.33(c)	Preliminary engineering report	Written	100%	9	1	9	40.00	360	$75.00	$27,000
1780.33(e)	Supporting documentation	Written	100%	9	1	9	4.00	36	$75.00	$2,700
1780.33(f)	Environmental Documentation - Categorical exclusion without report	Written	30%	3	1	3	1.00	3	$75.00	$225
1780.33(f)	Environmental Documentation - Categorical exclusion with report	Written	60%	5	1	5	20.00	100	$75.00	$7,500
1780.33(f)	Environmental Documentation - Environmental Assessment	Written	10%	1	1	1	50.00	50	$75.00	$3,750
1780.33(f)	Environmental Documentation - Environmental Impact Statement	Written	0%	0	1	0	150.00	0	$75.00	$0
1780.33(h)(7)	Certification for Contracts, Grants, and Loans (Regarding Lobbying)	Written	100%	9	1	9	0.25	2	$75.00	$150
1780.33(h)(8)	Certification on Tying Arrangements	Written	100%	9	1	9	0.25	2	$75.00	$150
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-500	Written	80%	7	1	7	8.00	56	$75.00	$4,200
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-520	Written	20%	2	1	2	6.00	12	$75.00	$900
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-525	Written	0%	0	1	0	6.00	0	$75.00	$0
1780.39(b)(1)	Agreement for Engineering and/or Architectural Services - Agency non-standard	Written	0%	0	1	0	6.00	0	$75.00	$0
1780.39(b)(2)	Agreements for Legal Services	Written	100%	9	1	9	6.00	54	$75.00	$4,050
1780.39(b)(2)	Agreements for Other Professional Services	Written	100%	9	1	9	6.00	54	$75.00	$4,050
1780.39(b)(4)	Contracts for other services	Written	25%	2	1	2	2.00	4	$75.00	$300
1780.39(c)(3)	User Agreement - Water	Written	10%	1	1	1	4.00	4	$75.00	$300
1780.39(c)(3)	User Agreement - Sewer	Written	10%	1	1	1	4.00	4	$75.00	$300
1780.39(c)(5)(i)	Positive programs to encourage connections	Written	20%	2	1	2	4.00	8	$75.00	$600
1780.39(g)(3)	Fidelity or employee dishonesty Bond	Written	100%	9	1	9	2.00	18	$75.00	$1,350
1780.39(g)(4)	Property insurance	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.39(g)(5)	General Liability Insurance	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.39(g)(6)	Flood Insurance	Written	20%	2	1	2	1.00	2	$75.00	$150
1780.39(g)(7)	Workman's compensation insurance	Written	100%	9	1	9	1.00	9	$75.00	$675
	SAM Registration	SAM.gov	100%	9	1	9	2.00	18	$75.00	$1,350
APPROVAL/ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(5)	Letter of Conditions	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.44(b)	Verification of Applicant Contribution	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.44(f)	Evidence of other funds	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.44(g)(1)(ii)	User Connections	Written	15%	1	1	1	4.00	4	$75.00	$300
1780.44(g)(3)	Water rights	Written	15%	1	1	1	4.00	4	$75.00	$300
1780.44(g)(4)	Lease agreement	Written	15%	1	1	1	4.00	4	$75.00	$300
1780.45(c)	Water and Waste System Grant Agreement	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.47(d) & (e )	Audits and Year-End Financial Reports	Written	100%	9	1	9	8.00	72	$75.00	$5,400
1780.47(f)(1)	Management report- Quarterly Report	Written	25%	2	4	8	4.00	32	$75.00	$2,400
1780.57 (g) and (h)	Evidence of Conformity with Drinking Water and Water Pollution Control Standards	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.57(m)	Exception for Metering Devices	Written	10%	1	1	1	2.00	2	$75.00	$150
1780.63	Sewage Treatment Contract(s)	Written	10%	1	1	1	8.00	8	$75.00	$600
	American Iron and Steel (AIS) Requirement Prior to Construction	Written	100%	9	1	9	8.00	72	$75.00	$5,400
	Build America, Buy America Act (BABAA) Requirement Prior to Construction	Written	100%	9	1	9	16.00	144	$75.00	$10,800
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.57	Final operating permit(s) for the entire project components	Written	100%	9	1	9	2.00	18	$75.00	$1,350
1780.61(a)	Construction contract documents - EJCDC C-Series	Written	65%	6	1	6	8.00	48	$75.00	$3,600
1780.61(a)	Construction contract document - EJCDC C-522 for small projects	Written	25%	2	1	2	6.00	12	$75.00	$900
1780.61(b)	Certificate of Owner's Engineers Certifications	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.61(b)	Certificate of Owner's Attorney Concurrence	Written	100%	9	1	9	8.00	72	$75.00	$5,400
1780.70	Owner's Solicitation and Review of Offers - Competitive Sealed Bids	Written	55%	5	1	5	10.00	50	$75.00	$3,750
1780.70	Owner's Solicitation and Review of Offers - Noncompetitive proposals	Written	10%	1	1	1	10.00	10	$75.00	$750
1780.70	Owner's Solicitation and Review of Offers - Alternative Delivery Methods	Written	0%	0	1	0	10.00	0	$75.00	$0
1780.70	Owner's Solicitation and Review of Offers - Small Projects	Written	25%	2	1	2	8.00	16	$75.00	$1,200
1780.70	Owner's Solicitation and Review of Offers - Micro Purchases	Written	10%	1	1	1	4.00	4	$75.00	$300
1780.74	Contracts awarded prior to application	Written	10%	1	1	1	2.00	2	$75.00	$150
1780.76(a)	Pre-Construction Conference	Written	100%	9	1	9	4.00	36	$75.00	$2,700
1780.76(b)	Monitoring Construction- Owner's Report	Written	100%	9	12	108	2.00	216	$75.00	$16,200
1780.76(c)	Resident inspector resume	Written	100%	9	1	9	1.00	9	$75.00	$675
1780.76(d)	Daily inspection report	Written	100%	9	12	108	0.50	54	$75.00	$4,050
	Evidence that as built plans have been delivered to Owner	Written	100%	9	1	9	1.00	9	$75.00	$675
	Domestic Preference De Minimis List	Written	50%	5	1	5	3.00	15	$75.00	$1,125
	Contractor's Certification of Compliance for AIS and/or BABAA	Written	100%	9	1	9	0.50	5	$75.00	$375
	Manufacturer's Certification of Compliance	Written	100%	9	1	9	0.50	5	$75.00	$375
	AIS and BABAA Requirements during/post construction	Written	100%	9	1	9	4.00	36	$75.00	$2,700
RECORDKEEPING
1780.47(c)	Borrower shall maintain accounting records for 3 years	Written	100%	9	1	9	1.00	9	$75.00	$675

Sheet 7: 12 Not Inc in BH Colonias

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
ALLEVIATE HEALTH RISKS FOR COLONIAS
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		9							Estimated No. of Total Awards (Awardees)	9
Average hours per response		0.791							Number of responses per respondent	45.22
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	407		322		$24,150
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.33(a)	Application for Federal Assistance- Initial Application	SF 424 (4040-0004)	100%	9	2	18	1.00	18	$75.00	$1,350
1780.33(a)	Budget Information--Construction Programs	SF-424C (4040-0008)	100%	9	2	18	1.00	18	$75.00	$1,350
1780.33(h)(1)	Operating Budget	RD 442-7 (0575-0015)	100%	9	1	9	5.00	45	$75.00	$3,375
1780.33(h)(3)	Equal Opportunity Agreement	RD 400-1 (0575-0201)	100%	9	1	9	0.17	2	$75.00	$150
1780.33(h)(4)	Assurance Agreement	RD 400-4 (0575-0201)	100%	9	1	9	0.25	2	$75.00	$150
1780.39(f)	Resolution of Members or Stockholders	RD 1942-8 (0575-0015)	10%	1	1	1	1.00	1	$75.00	$75
APPROVAL ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(3)	Balance Sheet or Financial Statement	RD 442-3 (0572-0137; 0575-0015, 0200)	100%	9	1	9	1.00	9	$75.00	$675
1780.41(a)(6)	Letter of Intent to Meet Conditions	RD 1942-46 (0572-0137; 0575-0015; 0570-0021, 0061, 0062)	100%	9	1	9	1.00	9	$75.00	$675
1780.41(a)(7)	Request for Obligation of Funds	RD 1940-1 (0570-0062, 0067)	100%	9	1	9	0.25	2	$75.00	$150
1780.44(c)	Initial Compliance Review	RD 400-8 (0570-0062; 0575-0018, 0189)	100%	9	1	9	8.00	72	$75.00	$5,400
1780.44(g)(1)(i)	Opinion of Counsel Relative to Right-of-Way and Easements	RD 442-22 (0575-0015)	100%	9	1	9	1.00	9	$75.00	$675
1780.44(g)(2)	Preliminary Title Opinion	RD 1927-9 (0575-0147, 0189)	100%	9	1	9	1.50	14	$75.00	$1,050
1780.44(g)(2)	Final Title Opinion	RD 1927-10 (0575-0147, 0189)	100%	9	1	9	0.33	3	$75.00	$225
1780.47(f)(2)	Statement of Budget, Income, and Equity	RD 442-2 (0572-0137; 0575-0015, 0200)	100%	9	1	9	2.50	23	$75.00	$1,725
1780.62 & 63	Water Purchase Contract	RD 442-30 (0575-0015)	10%	1	1	1	1.00	1	$75.00	$75
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.61(a)	Compliance Statement	RD 400-6 (0575-0201)	100%	9	1	9	0.17	2	$75.00	$150
1780.75	Contractor's Final Release and Waiver of Lien	RD 1924-9 (0575-0042)	100%	9	1	9	0.25	2	$75.00	$150
1780.75	Release by Claimants	RD 1924-10 (0575-0189)	100%	9	1	9	0.25	2	$75.00	$150
1780.76(e)	Partial Payment Estimate	RD 1924-18 (0575-0042,0189)	100%	9	12	108	0.50	54	$75.00	$4,050
1780.76(f)	Inspection Report	RD 1924-12 (0575-0042,0189)	100%	9	12	108	0.25	27	$75.00	$2,025
1780.76(h)(2)	Contract Change Order	RD 1924-7 (0575-0042)	95%	9	3	27	0.25	7	$75.00	$525

Sheet 8: 12 BH Collection Tribal Lands

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
ALLEVIATE HEALTH RISKS ON TRIBAL LANDS
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		11							Estimated No. of Total Awards (Awardees)	11
Average hours per response		3.228							Number of responses per respondent	65.73
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	723		2,334		$175,050
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.1(d)	Documentation of Income Survey	Written	10%	1	1	1	8.00	8	$75.00	$600
1780.1(f)	Relationship or association ith RUS employees	Written	100%	11	1	11	0.25	3	$75.00	$225
1780.1(h)	Evidence proposed facility will be consistent with development plans	Tribal	100%	11	1	11	1.00	11	$75.00	$825
1780.7(d) & 1780.33(d)	Statement of availability to obtain credit elsewhere	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.7(g)	Evidence No Outstanding Judgement Obtained	Written	100%	11	1	11	0.25	3	$75.00	$225
1780.9(g)(2)	Agreement between Applicant and Individual Users for Water or Sewer service provided through individual installations or small clusters of users within an Applicant's service area	Written	10%	1	1	1	1.00	1	$75.00	$75
1780.11(a)(2)	Notification of service statement	Written	15%	2	1	2	1.00	2	$75.00	$150
1780.19	Evidence of Public Notice of Intent	Written	100%	11	1	11	2.00	22	$75.00	$1,650
1780.33(b)	Intergovernmental comments	Written	Mathis, Katherine - RD, National Office: Required for non tribal applicants 15%	2	1	2	1.00	2	$75.00	$150
1780.33(c)	Preliminary engineering report	Written	100%	11	1	11	40.00	440	$75.00	$33,000
1780.33(e)	Supporting documentation	Written	100%	11	1	11	4.00	44	$75.00	$3,300
1780.33(f)	Environmental Documentation - Categorical exclusion without report	Written	30%	3	1	3	1.00	3	$75.00	$225
1780.33(f)	Environmental Documentation - Categorical exclusion with report	Written	60%	7	1	7	20.00	140	$75.00	$10,500
1780.33(f)	Environmental Documentation - Environmental Assessment	Written	10%	1	1	1	50.00	50	$75.00	$3,750
1780.33(f)	Environmental Documentation - Environmental Impact Statement	Written	0%	0	1	0	150.00	0	$75.00	$0
1780.33(h)(7)	Certification for Contracts, Grants, and Loans (Regarding Lobbying)	Written	100%	11	1	11	0.25	3	$75.00	$225
1780.33(h)(8)	Certification on Tying Arrangements	Written	100%	11	1	11	0.25	3	$75.00	$225
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-500	Written	80%	9	1	9	8.00	72	$75.00	$5,400
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-520	Written	20%	2	1	2	6.00	12	$75.00	$900
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-525	Written	0%	0	1	0	6.00	0	$75.00	$0
1780.39(b)(1)	Agreement for Engineering and/or Architectural Services - Agency non-standard	Written	0%	0	1	0	6.00	0	$75.00	$0
1780.39(b)(2)	Agreements for Legal Services	Written	100%	11	1	11	6.00	66	$75.00	$4,950
1780.39(b)(2)	Agreements for Other Professional Services	Written	100%	11	1	11	6.00	66	$75.00	$4,950
1780.39(b)(4)	Contracts for other services	Written	25%	3	1	3	2.00	6	$75.00	$450
1780.39(c)(3)	User Agreement - Water	Written	10%	1	1	1	4.00	4	$75.00	$300
1780.39(c)(3)	User Agreement - Sewer	Written	10%	1	1	1	4.00	4	$75.00	$300
1780.39(c)(5)(i)	Positive programs to encourage connections	Written	20%	2	1	2	4.00	8	$75.00	$600
1780.39(g)(3)	Fidelity or employee dishonesty Bond	Written	100%	11	1	11	2.00	22	$75.00	$1,650
1780.39(g)(4)	Property insurance	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.39(g)(5)	General Liability Insurance	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.39(g)(6)	Flood Insurance	Written	20%	2	1	2	1.00	2	$75.00	$150
1780.39(g)(7)	Workman's compensation insurance	Written	100%	11	1	11	1.00	11	$75.00	$825
	SAM Registration	Written	100%	11	1	11	2.00	22	$75.00	$1,650
APPROVAL/ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(5)	Letter of Conditions	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.44(b)	Verification of Applicant Contribution	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.44(f)	Evidence of other funds	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.44(g)(1)(ii)	User Connections	Written	15%	2	1	2	4.00	8	$75.00	$600
1780.44(g)(3)	Water rights	Written	15%	2	1	2	4.00	8	$75.00	$600
1780.44(g)(4)	Lease agreement	Written	15%	2	1	2	4.00	8	$75.00	$600
1780.45(c)	Water and Waste System Grant Agreement	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.47(d) & (e )	Audits and Year-End Financial Reports	Written	100%	11	1	11	8.00	88	$75.00	$6,600
1780.47(f)(1)	Management report- Quarterly Report	Written	25%	3	4	12	4.00	48	$75.00	$3,600
1780.57 (g) and (h)	Evidence of Conformity with Drinking Water and Water Pollution Control Standards	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.63	Sewage Treatment Contract(s)	Written	5%	1	1	1	2.00	2	$75.00	$150
	American Iron and Steel (AIS) Requirement Prior to Construction	Written	100%	11	1	11	8.00	88	$75.00	$6,600
	Build America, Buy America Act (BABAA) Requirement Prior to Construction	Written	100%	11	1	11	16.00	176	$75.00	$13,200
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.57	Final operating permit(s) for the entire project components	Written	100%	11	1	11	2.00	22	$75.00	$1,650
1780.61(a)	Construction contract documents - EJCDC C-Series	Written	80%	9	1	9	8.00	72	$75.00	$5,400
1780.61(a)	Construction contract document - EJCDC C-522 for small projects	Written	10%	1	1	1	6.00	6	$75.00	$450
1780.61(b)	Certificate of Owner's Engineers Certifications	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.61(b)	Certificate of Owner's Attorney Concurrence	Written	100%	11	1	11	8.00	88	$75.00	$6,600
1780.70	Owner's Solicitation and Review of Offers - Competitive Sealed Bids	Written	65%	7	1	7	10.00	70	$75.00	$5,250
1780.70	Owner's Solicitation and Review of Offers - Noncompetitive proposals	Written	5%	1	1	1	10.00	10	$75.00	$750
1780.70	Owner's Solicitation and Review of Offers - Alternative Delivery Methods	Written	0%	0	1	0	10.00	0	$75.00	$0
1780.70	Owner's Solicitation and Review of Offers - Small Projects	Written	25%	3	1	3	8.00	24	$75.00	$1,800
1780.70	Owner's Solicitation and Review of Offers - Micro Purchases	Written	5%	1	1	1	4.00	4	$75.00	$300
1780.74	Contracts awarded prior to application	Written	10%	1	1	1	2.00	2	$75.00	$150
1780.76 (a)	Pre-Construction Conference	Written	100%	11	1	11	4.00	44	$75.00	$3,300
1780.76(b)	Monitoring Construction- Owner's Report	Written	100%	11	12	132	2.00	264	$75.00	$19,800
1780.76(c)	Resident inspector resume	Written	100%	11	1	11	1.00	11	$75.00	$825
1780.76(d)	Daily inspection report	Written	100%	11	12	132	0.50	66	$75.00	$4,950
	Evidence that as built plans have been delivered to Owner	Written	100%	11	1	11	1.00	11	$75.00	$825
	Domestic Preference De Minimis List	Written	50%	6	1	6	3.00	18	$75.00	$1,350
	Contractor's Certification of Compliance for AIS and/or BABAA	Written	100%	11	1	11	0.50	6	$75.00	$450
	Manufacturer's Certification of Compliance	Written	100%	11	1	11	0.50	6	$75.00	$450
	AIS and BABAA Requirements during/post construction	Written	100%	11	1	11	4.00	44	$75.00	$3,300
RECORDKEEPING
1780.47(c)	Borrower shall maintain accounting records for 3 years	Written	100%	11	1	11	1.00	11	$75.00	$825

Sheet 9: 12 Not Inc in BH Tribal Lands

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
ALLEVIATE HEALTH RISKS ON TRIBAL LANDS
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		11							Estimated No. of Total Awards (Awardees)	11
Average hours per response		0.798							Number of responses per respondent	44.91
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	494		394		$29,550
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.33(a)	Application for Federal Assistance- Initial Application	SF 424 (4040-0004)	100%	11	2	22	1.00	22	$75.00	$1,650
1780.33(a)	Budget Information--Construction Programs	SF-424C (4040-0008)	100%	11	2	22	1.00	22	$75.00	$1,650
1780.33(h)(1)	Operating Budget	RD 442-7 (0575-0015)	100%	11	1	11	5.00	55	$75.00	$4,125
1780.33(h)(3)	Equal Opportunity Agreement	RD 400-1 (0575-0201)	100%	11	1	11	0.17	2	$75.00	$150
1780.33(h)(4)	Assurance Agreement	RD 400-4 (0575-0201)	100%	11	1	11	0.25	3	$75.00	$225
1780.39(f)	Resolution of Members or Stockholders	RD 1942-8 (0575-0015)	10%	1	1	1	1.00	1	$75.00	$75
APPROVAL ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(3)	Balance Sheet or Financial Statement	RD 442-3 (0572-0137; 0575-0015, 0200)	100%	11	1	11	1.00	11	$75.00	$825
1780.41(a)(6)	Letter of Intent to Meet Conditions	RD 1942-46 (0572-0137; 0575-0015; 0570-0021, 0061, 0062)	100%	11	1	11	1.00	11	$75.00	$825
1780.41(a)(7)	Request for Obligation of Funds	RD 1940-1 (0570-0062, 0067)	100%	11	1	11	0.25	3	$75.00	$225
1780.44(c)	Initial Compliance Review	RD 400-8 (0570-0062; 0575-0018, 0189)	100%	11	1	11	8.00	88	$75.00	$6,600
1780.44(g)(1)(i)	Opinion of Counsel Relative to Right-of-Way and Easements	RD 442-22 (0575-0015)	100%	11	1	11	1.00	11	$75.00	$825
1780.44(g)(2)	Preliminary Title Opinion	RD 1927-9 (0575-0147, 0189)	100%	11	1	11	1.50	17	$75.00	$1,275
1780.44(g)(2)	Final Title Opinion	RD 1927-10 (0575-0147, 0189)	100%	11	1	11	0.33	4	$75.00	$300
1780.47(f)(2)	Statement of Budget, Income, and Equity	RD 442-2 (0572-0137; 0575-0015, 0200)	100%	11	1	11	2.50	28	$75.00	$2,100
1780.62 & 63	Water Purchase Contract	RD 442-30 (0575-0015)	10%	1	1	1	1.00	1	$75.00	$75
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.61(a)	Compliance Statement	RD 400-6 (0575-0201)	100%	11	1	11	0.17	2	$75.00	$150
1780.75	Contractor's Final Release and Waiver of Lien	RD 1924-9 (0575-0042)	100%	11	1	11	0.25	3	$75.00	$225
1780.75	Release by Claimants	RD 1924-10 (0575-0189)	100%	11	1	11	0.25	3	$75.00	$225
1780.76(e)	Partial Payment Estimate	RD 1924-18 (0575-0042,0189)	100%	11	12	132	0.50	66	$75.00	$4,950
1780.76(f)	Inspection Report	RD 1924-12 (0575-0042,0189)	100%	11	12	132	0.25	33	$75.00	$2,475
1780.76(h)(2)	Contract Change Order	RD 1924-7 (0575-0042)	95%	10	3	30	0.25	8	$75.00	$600

Sheet 10: 12 BH Collection ECWAG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
EMERGENCY COMMUNITY WATER ASSISTANCE GRANTS (ECWAG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		Mathis, Katherine - RD, National Office: 52 applicants covered by 0572-0110. Used 41 since the 52 is covered in another PRA package. 41							Estimated No. of Total Awards (Awardees)	41
Average hours per response		2.713							Number of responses per respondent	47.98
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	1,967		5,336		$400,200
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
APPROVAL/ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(5)	Letter of Conditions	Written	100%	41	1	41	1.00	41	$75.00	$3,075
1780.44(b)	Verification of Applicant Contribution	Written	100%	41	1	41	1.00	41	$75.00	$3,075
1780.44(f)	Evidence of other funds	Written	100%	41	1	41	1.00	41	$75.00	$3,075
1780.44(g)(1)(ii)	User Connections	Written	15%	6	1	6	4.00	24	$75.00	$1,800
1780.44(g)(3)	Water rights	Written	15%	6	1	6	4.00	24	$75.00	$1,800
1780.44(g)(4)	Lease agreement	Written	15%	6	1	6	4.00	24	$75.00	$1,800
1780.45(c)	ECWAG Grant Agreement	Written	100%	41	1	41	1.00	41	$75.00	$3,075
1780.47(d) & (e )	Audits and Year-End Financial Reports	Written	100%	41	3	123	8.00	984	$75.00	$73,800
1780.47(f)(1)	Management report- Quarterly Report	Written	25%	10	4	40	4.00	160	$75.00	$12,000
1780.57 (g) and (h)	Evidence of Conformity with Drinking Water and Water Pollution Control Standards	Written	100%	41	1	41	1.00	41	$75.00	$3,075
1780.63	Sewage Treatment Contract(s)	Written	5%	2	1	2	8.00	16	$75.00	$1,200
	American Iron and Steel (AIS) Requirement Prior to Construction	Written	100%	41	1	41	8.00	328	$75.00	$24,600
	Build America, Buy America Act (BABAA) Requirement Prior to Construction	Written	100%	41	1	41	16.00	656	$75.00	$49,200
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.57	Final operating permit(s) for the entire project components	Written	100%	41	1	41	2.00	82	$75.00	$6,150
1780.61(a)	Construction contract documents - EJCDC C-Series	Written	75%	31	1	31	8.00	248	$75.00	$18,600
1780.61(a)	Construction contract document - EJCDC C-522 for small projects	Written	20%	8	1	8	6.00	48	$75.00	$3,600
1780.61(b)	Certificate of Owner's Engineers Certifications	Written	100%	41	1	41	1.00	41	$75.00	$3,075
1780.61(b)	Certificate of Owner's Attorney Concurrence	Written	100%	41	1	41	8.00	328	$75.00	$24,600
1780.70	Owner's Solicitation and Review of Offers - Competitive Sealed Bids	Written	65%	27	1	27	10.00	270	$75.00	$20,250
1780.70	Owner's Solicitation and Review of Offers - Noncompetitive proposals	Written	5%	2	1	2	10.00	20	$75.00	$1,500
1780.70	Owner's Solicitation and Review of Offers - Alternative Delivery Methods	Written	0%	0	1	0	10.00	0	$75.00	$0
1780.70	Owner's Solicitation and Review of Offers - Small Projects	Written	25%	10	1	10	8.00	80	$75.00	$6,000
1780.70	Owner's Solicitation and Review of Offers - Micro Purchases	Written	5%	2	1	2	4.00	8	$75.00	$600
1780.74	Contracts awarded prior to application	Written	5%	2	1	2	2.00	4	$75.00	$300
1780.76 (a)	Pre-Construction Conference	Written	100%	41	1	41	4.00	164	$75.00	$12,300
1780.76(b)	Monitoring Construction- Owner's Report	Written	100%	41	12	492	2.00	984	$75.00	$73,800
1780.76(c)	Resident inspector resume	Written	100%	41	1	41	1.00	41	$75.00	$3,075
1780.76(d)	Daily inspection report	Written	100%	41	12	492	0.50	246	$75.00	$18,450
	Evidence that as built plans have been delivered to Owner	Written	100%	41	1	41	1.00	41	$75.00	$3,075
	Domestic Preference De Minimis List	Written	50%	21	1	21	3.00	63	$75.00	$4,725
	Contractor's Certification of Compliance for AIS and/or BABAA	Written	100%	41	1	41	0.50	21	$75.00	$1,575
	Manufacturer's Certification of Compliance	Written	100%	41	1	41	0.50	21	$75.00	$1,575
	AIS and BABAA Requirements during/post construction	Written	100%	41	1	41	4.00	164	$75.00	$12,300
RECORDKEEPING
1780.47(c)	Borrower shall maintain accounting records for 3 years	Written	100%	41	1	41	1.00	41	$75.00	$3,075

Sheet 11: 12 Not Inc in BH ECWAG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
EMERGENCY COMMUNITY WATER ASSISTANCE GRANTS (ECWAG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		41							Estimated No. of Total Awards (Awardees)	41
Average hours per response		0.687							Number of responses per respondent	37.95
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	1,556		1,069		$80,175
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
APPROVAL ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(3)	Balance Sheet or Financial Statement	RD 442-3 (0572-0137; 0575-0015, 0200)	100%	41	1	41	1.00	41	$75.00	$3,075
1780.41(a)(6)	Letter of Intent to Meet Conditions	RD 1942-46 (0572-0137; 0575-0015; 0570-0021, 0061, 0062)	100%	41	1	41	1.00	41	$75.00	$3,075
1780.41(a)(7)	Request for Obligation of Funds	RD 1940-1 (0570-0062, 0067)	100%	41	1	41	0.25	10	$75.00	$750
1780.44(c)	Initial Compliance Review	RD 400-8 (0570-0062; 0575-0018, 0189)	100%	41	1	41	8.00	328	$75.00	$24,600
1780.44(g)(1)(i)	Opinion of Counsel Relative to Right-of-Way and Easements	RD 442-22 (0575-0015)	100%	41	1	41	1.00	41	$75.00	$3,075
1780.44(g)(2)	Preliminary Title Opinion	RD 1927-9 (0575-0147, 0189)	100%	41	1	41	1.50	62	$75.00	$4,650
1780.44(g)(2)	Final Title Opinion	RD 1927-10 (0575-0147, 0189)	100%	41	1	41	0.33	14	$75.00	$1,050
1780.47(f)(2)	Statement of Budget, Income, and Equity	RD 442-2 (0572-0137; 0575-0015, 0200)	100%	41	1	41	2.50	103	$75.00	$7,725
1780.62 & 63	Water Purchase Contract	RD 442-30 (0575-0015)	10%	4	1	4	1.00	4	$75.00	$300
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.61(a)	Compliance Statement	RD 400-6 (0575-0201)	100%	41	1	41	0.17	7	$75.00	$525
1780.75	Contractor's Final Release and Waiver of Lien	RD 1924-9 (0575-0042)	100%	41	1	41	0.25	10	$75.00	$750
1780.75	Release by Claimants	RD 1924-10 (0575-0189)	100%	41	1	41	0.25	10	$75.00	$750
1780.76(e)	Partial Payment Estimate	RD 1924-18 (0575-0042,0189)	100%	41	12	492	0.50	246	$75.00	$18,450
1780.76(f)	Inspection Report	RD 1924-12 (0575-0042,0189)	100%	41	12	492	0.25	123	$75.00	$9,225
1780.76(h)(2)	Contract Change Order	RD 1924-7 (0575-0042)	95%	39	3	117	0.25	29	$75.00	$2,175

Sheet 12: 12 BH Collection RAVG-Reg

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
RURAL AND NATIVE ALASKAN VILLAGES GRANTS (RAVG-REGULAR)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		23							Estimated No. of Total Awards (Awardees)	14
Average hours per response		3.557							Number of responses per respondent	49.48
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	1,138		4,048		$303,600
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.1(d)	Documentation of Income Survey	Written	10%	2	1	2	8.00	16	$75.00	$1,200
1780.1(f)	Relationship or association ith RUS employees	Written	100%	23	1	23	0.25	6	$75.00	$450
1780.1(h)	Evidence proposed facility will be consistent with development plans	Written	100%	23	1	23	1.00	23	$75.00	$1,725
1780.7(d) & 1780.33(d)	Statement of availability to obtain credit elsewhere	Written	100%	23	1	23	1.00	23	$75.00	$1,725
1780.7(g)	Evidence No Outstanding Judgement Obtained	Written	100%	23	1	23	0.25	6	$75.00	$450
1780.9(g)(2)	Agreement between Applicant and Individual Users for Water or Sewer service provided through individual installations or small clusters of users within an Applicant's service area	Written	10%	2	1	2	1.00	2	$75.00	$150
1780.11(a)(2)	Notification of service statement	Written	15%	3	1	3	1.00	3	$75.00	$225
1780.19	Evidence of Public Notice of Intent	Written	100%	23	1	23	2.00	46	$75.00	$3,450
1780.33(b)	Intergovernmental comments	Written	100%	23	1	23	1.00	23	$75.00	$1,725
1780.33(c)	Preliminary engineering report	Written	100%	23	1	23	40.00	920	$75.00	$69,000
1780.33(e)	Supporting documentation	Written	100%	23	1	23	4.00	92	$75.00	$6,900
1780.33(f)	Environmental Documentation - Categorical exclusion without report	Written	30%	7	1	7	1.00	7	$75.00	$525
1780.33(f)	Environmental Documentation - Categorical exclusion with report	Written	60%	14	1	14	20.00	280	$75.00	$21,000
1780.33(f)	Environmental Documentation - Environmental Assessment	Written	10%	2	1	2	50.00	100	$75.00	$7,500
1780.33(f)	Environmental Documentation - Environmental Impact Statement	Written	0%	0	1	0	150.00	0	$75.00	$0
1780.33(h)(7)	Certification for Contracts, Grants, and Loans (Regarding Lobbying)	Written	100%	23	1	23	0.25	6	$75.00	$450
1780.33(h)(8)	Certification on Tying Arrangements	Written	100%	23	1	23	0.25	6	$75.00	$450
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-500	Written	80%	18	1	18	8.00	144	$75.00	$10,800
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-520	Written	20%	5	1	5	6.00	30	$75.00	$2,250
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-525	Written	0%	0	1	0	6.00	0	$75.00	$0
1780.39(b)(1)	Agreement for Engineering and/or Architectural Services - Agency non-standard	Written	0%	0	1	0	6.00	0	$75.00	$0
1780.39(b)(2)	Agreements for Legal Services	Written	100%	23	1	23	6.00	138	$75.00	$10,350
1780.39(b)(2)	Agreements for Other Professional Services	Written	100%	23	1	23	6.00	138	$75.00	$10,350
1780.39(b)(4)	Contracts for other services	Written	25%	6	1	6	2.00	12	$75.00	$900
1780.39(c)(3)	User Agreement - Water	Written	10%	2	1	2	4.00	8	$75.00	$600
1780.39(c)(3)	User Agreement - Sewer	Written	10%	2	1	2	4.00	8	$75.00	$600
1780.39(c)(5)(i)	Positive programs to encourage connections	Written	20%	5	1	5	4.00	20	$75.00	$1,500
1780.39(g)(3)	Fidelity or employee dishonesty Bond	Written	100%	23	1	23	2.00	46	$75.00	$3,450
1780.39(g)(4)	Property insurance	Written	100%	23	1	23	1.00	23	$75.00	$1,725
1780.39(g)(5)	General Liability Insurance	Written	100%	23	1	23	1.00	23	$75.00	$1,725
1780.39(g)(6)	Flood Insurance	Written	20%	5	1	5	1.00	5	$75.00	$375
1780.39(g)(7)	Workman's compensation insurance	Written	100%	23	1	23	1.00	23	$75.00	$1,725
	SAM Registration	Written	100%	23	1	23	2.00	46	$75.00	$3,450
APPROVAL/ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(5)	Letter of Conditions	Written	100%	14	1	14	1.00	14	$75.00	$1,050
1780.44(b)	Verification of Applicant Contribution	Written	100%	14	1	14	1.00	14	$75.00	$1,050
1780.44(f)	Evidence of other funds	Written	100%	14	1	14	1.00	14	$75.00	$1,050
1780.44(g)(1)(ii)	User Connections	Written	15%	2	1	2	4.00	8	$75.00	$600
1780.44(g)(3)	Water rights	Written	15%	2	1	2	4.00	8	$75.00	$600
1780.44(g)(4)	Lease agreement	Written	15%	2	1	2	4.00	8	$75.00	$600
1780.45(c)	Water and Waste System Grant Agreement	Written	100%	14	1	14	1.00	14	$75.00	$1,050
1780.47(d) & (e )	Audits and Year-End Financial Reports	Written	100%	14	3	42	8.00	336	$75.00	$25,200
1780.47(f)(1)	Management report- Quarterly Report	Written	25%	4	4	16	4.00	64	$75.00	$4,800
1780.57 (g) and (h)	Evidence of Conformity with Drinking Water and Water Pollution Control Standards	Written	100%	14	1	14	1.00	14	$75.00	$1,050
1780.63	Sewage Treatment Contract(s)	Written	5%	1	1	1	2.00	2	$75.00	$150
	American Iron and Steel (AIS) Requirement Prior to Construction	Written	100%	14	1	14	8.00	112	$75.00	$8,400
	Build America, Buy America Act (BABAA) Requirement Prior to Construction	Written	100%	14	1	14	16.00	224	$75.00	$16,800
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.57	Final operating permit(s) for the entire project components	Written	100%	14	1	14	2.00	28	$75.00	$2,100
1780.61(a)	Construction contract documents - EJCDC C-Series	Written	84%	12	1	12	8.00	96	$75.00	$7,200
1780.61(a)	Construction contract document - EJCDC C-522 for small projects	Written	8%	1	1	1	6.00	6	$75.00	$450
1780.61(b)	Certificate of Owner's Engineers Certifications	Written	100%	14	1	14	1.00	14	$75.00	$1,050
1780.61(b)	Certificate of Owner's Attorney Concurrence	Written	100%	14	1	14	8.00	112	$75.00	$8,400
1780.70	Owner's Solicitation and Review of Offers - Competitive Sealed Bids	Written	54%	8	1	8	10.00	80	$75.00	$6,000
1780.70	Owner's Solicitation and Review of Offers - Noncompetitive proposals	Written	8%	1	1	1	10.00	10	$75.00	$750
1780.70	Owner's Solicitation and Review of Offers - Alternative Delivery Methods	Written	0%	0	1	0	10.00	0	$75.00	$0
1780.70	Owner's Solicitation and Review of Offers - Small Projects	Written	30%	4	1	4	8.00	32	$75.00	$2,400
1780.70	Owner's Solicitation and Review of Offers - Micro Purchases	Written	8%	1	1	1	4.00	4	$75.00	$300
1780.74	Contracts awarded prior to application	Written	8%	1	1	1	2.00	2	$75.00	$150
1780.76 (a)	Pre-Construction Conference	Written	100%	14	1	14	4.00	56	$75.00	$4,200
1780.76(b)	Monitoring Construction- Owner's Report	Written	100%	14	12	168	2.00	336	$75.00	$25,200
1780.76(c)	Resident inspector resume	Written	100%	14	1	14	1.00	14	$75.00	$1,050
1780.76(d)	Daily inspection report	Written	100%	14	12	168	0.50	84	$75.00	$6,300
	Evidence that as built plans have been delivered to Owner	Written	100%	14	1	14	1.00	14	$75.00	$1,050
	Domestic Preference De Minimis List	Written	50%	7	1	7	3.00	21	$75.00	$1,575
	Contractor's Certification of Compliance for AIS and/or BABAA	Written	100%	14	1	14	0.50	7	$75.00	$525
	Manufacturer's Certification of Compliance	Written	100%	14	1	14	0.50	7	$75.00	$525
	AIS and BABAA Requirements during/post construction	Written	100%	14	1	14	4.00	56	$75.00	$4,200
RECORDKEEPING
1780.47(c)	Borrower shall maintain accounting records for 3 years	Written	100%	14	1	14	1.00	14	$75.00	$1,050

Sheet 13: 12 Not Inc in BH RAVG-Reg

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
RURAL AND NATIVE ALASKAN VILLAGES GRANTS (RAVG-REGULAR)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		23							Estimated No. of Total Awards (Awardees)	14
Average hours per response		0.844							Number of responses per respondent	30.13
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	693		585		$43,875
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.33(a)	Application for Federal Assistance- Initial Application	SF 424 (4040-0004)	100%	23	2	46	1.00	46	$75.00	$3,450
1780.33(a)	Budget Information--Construction Programs	SF-424C (4040-0008)	100%	23	2	46	1.00	46	$75.00	$3,450
1780.33(h)(1)	Operating Budget	RD 442-7 (0575-0015)	100%	23	1	23	5.00	115	$75.00	$8,625
1780.33(h)(3)	Equal Opportunity Agreement	RD 400-1 (0575-0201)	100%	23	1	23	0.17	4	$75.00	$300
1780.33(h)(4)	Assurance Agreement	RD 400-4 (0575-0201)	100%	23	1	23	0.25	6	$75.00	$450
1780.39(f)	Resolution of Members or Stockholders	RD 1942-8 (0575-0015)	10%	2	1	2	1.00	2	$75.00	$150
APPROVAL ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(3)	Balance Sheet or Financial Statement	RD 442-3 (0572-0137; 0575-0015, 0200)	100%	14	1	14	1.00	14	$75.00	$1,050
1780.41(a)(6)	Letter of Intent to Meet Conditions	RD 1942-46 (0572-0137; 0575-0015; 0570-0021, 0061, 0062)	100%	14	1	14	1.00	14	$75.00	$1,050
1780.41(a)(7)	Request for Obligation of Funds	RD 1940-1 (0570-0062, 0067)	100%	14	1	14	0.25	4	$75.00	$300
1780.44(c)	Initial Compliance Review	RD 400-8 (0570-0062; 0575-0018, 0189)	100%	14	1	14	8.00	112	$75.00	$8,400
1780.44(g)(1)(i)	Opinion of Counsel Relative to Right-of-Way and Easements	RD 442-22 (0575-0015)	100%	14	1	14	1.00	14	$75.00	$1,050
1780.44(g)(2)	Preliminary Title Opinion	RD 1927-9 (0575-0147, 0189)	100%	14	1	14	1.50	21	$75.00	$1,575
1780.44(g)(2)	Final Title Opinion	RD 1927-10 (0575-0147, 0189)	100%	14	1	14	0.33	5	$75.00	$375
1780.47(f)(2)	Statement of Budget, Income, and Equity	RD 442-2 (0572-0137; 0575-0015, 0200)	100%	14	1	14	2.50	35	$75.00	$2,625
1780.62 & 63	Water Purchase Contract	RD 442-30 (0575-0015)	10%	1	1	1	1.00	1	$75.00	$75
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
1780.61(a)	Compliance Statement	RD 400-6 (0575-0201)	100%	14	1	14	0.17	2	$75.00	$150
1780.75	Contractor's Final Release and Waiver of Lien	RD 1924-9 (0575-0042)	100%	14	1	14	0.25	4	$75.00	$300
1780.75	Release by Claimants	RD 1924-10 (0575-0189)	100%	14	1	14	0.25	4	$75.00	$300
1780.76(e)	Partial Payment Estimate	RD 1924-18 (0575-0042,0189)	100%	14	12	168	0.50	84	$75.00	$6,300
1780.76(f)	Inspection Report	RD 1924-12 (0575-0042,0189)	100%	14	12	168	0.25	42	$75.00	$3,150
1780.76(h)(2)	Contract Change Order	RD 1924-7 (0575-0042)	95%	13	3	39	0.25	10	$75.00	$750

Sheet 14: 12 BH Collection RAVG PPG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
RURAL AND NATIVE ALASKAN VILLAGES GRANTS - PREDEVELOPMENT PLANNING GRANTS (RAVG PPG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		20							Estimated No. of Total Awards (Awardees)	20
Average hours per response		1.995							Number of responses per respondent	18.20
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	364		726		$54,450
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.1(d)	Documentation of Income Survey	Written	5%	1	1	1	8.00	8	$75.00	$600
1780.1(f)	Relationship or association ith RUS employees	Written	100%	20	1	20	0.25	5	$75.00	$375
1780.1(h)	Evidence proposed facility will be consistent with development plans	Written	100%	20	1	20	1.00	20	$75.00	$1,500
1780.7(d) & 1780.33(d)	Statement of availability to obtain credit elsewhere	Written	100%	20	1	20	1.00	20	$75.00	$1,500
1780.7(g)	Evidence No Outstanding Judgement Obtained	Written	100%	20	1	20	0.25	5	$75.00	$375
1780.11(a)(2)	Notification of service statement	Written	15%	3	1	3	1.00	3	$75.00	$225
1780.19	Evidence of Public Notice of Intent	Written	100%	20	1	20	2.00	40	$75.00	$3,000
1780.33(b)	Intergovernmental comments	Written	100%	20	1	20	1.00	20	$75.00	$1,500
1780.33(c)	Preliminary engineering report	Written	0%	0	1	0	40.00	0	$75.00	$0
1780.33(e)	Supporting documentation	Written	100%	20	1	20	4.00	80	$75.00	$6,000
1780.33(f)	Environmental Documentation - Categorical exclusion without report	Written	100%	20	1	20	1.00	20	$75.00	$1,500
1780.33(f)	Environmental Documentation - Categorical exclusion with report	Written	0%	0	1	0	20.00	0	$75.00	$0
1780.33(f)	Environmental Documentation - Environmental Assessment	Written	0%	0	1	0	50.00	0	$75.00	$0
1780.33(f)	Environmental Documentation - Environmental Impact Statement	Written	0%	0	1	0	150.00	0	$75.00	$0
1780.33(h)(7)	Certification for Contracts, Grants, and Loans (Regarding Lobbying)	Written	100%	20	1	20	0.25	5	$75.00	$375
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-500	Written	0%	0	1	0	8.00	0	$75.00	$0
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-520	Written	0%	0	1	0	6.00	0	$75.00	$0
1780.39(b)(1)	Agreement for Engineering Services - Agency standard - EJCDC E-525	Written	100%	20	1	20	6.00	120	$75.00	$9,000
1780.39(b)(1)	Agreement for Engineering and/or Architectural Services - Agency non-standard	Written	0%	0	1	0	6.00	0	$75.00	$0
	SAM Registration	Written	100%	20	1	20	2.00	40	$75.00	$3,000
APPROVAL/ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(5)	Letter of Conditions	Written	100%	20	1	20	1.00	20	$75.00	$1,500
1780.44(b)	Verification of Applicant Contribution	Written	100%	20	1	20	1.00	20	$75.00	$1,500
1780.44(f)	Evidence of other funds	Written	100%	20	1	20	1.00	20	$75.00	$1,500
1780.45(c)	Water and Waste System Grant Agreement	Written	100%	20	1	20	1.00	20	$75.00	$1,500
1780.47(d) & (e )	Audits and Year-End Financial Reports	Written	100%	20	1	20	8.00	160	$75.00	$12,000
1780.47(f)(1)	Management report- Quarterly Report	Written	25%	5	4	20	4.00	80	$75.00	$6,000
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)
RECORDKEEPING
1780.47(c)	Borrower shall maintain accounting records for 3 years	Written	100%	20	1	20	1.00	20	$75.00	$1,500

Sheet 15: 12 Not Inc in BH RAVG PPG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
RURAL AND NATIVE ALASKAN VILLAGES GRANTS - PREDEVELOPMENT PLANNING GRANTS (RAVG PPG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Estimated No. of Total Respondents (Applicants)		20							Estimated No. of Total Awards (Awardees)	20
Average hours per response		2.005							Number of responses per respondent	10.10
Gray Columns have automatic formulas. DO NOT input numbers in these columns.					TOTAL	202		405		$30,375
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
Regulation Reference	Title	Form No. (If Any)	% of Respondents Line Item is Applicable To	Estimated # of Respondents	Reports Filed Annually	Total Responses (E) x (F)	Estimated # of Hours Per Response	Estimated Total Hours (G) x (H)	Prof. Wage Rate	Total Cost (I) x (J)
APPLICATION/ELGIBILITY
1780.33(a)	Application for Federal Assistance- Initial Application	SF 424 (4040-0004)	100%	20	1	20	1.00	20	$75.00	$1,500
1780.33(a)	Budget Information--Non-Construction Programs	SF-424A (4040-0006)	100%	20	1	20	1.00	20	$75.00	$1,500
1780.33(h)(1)	Operating Budget	RD 442-7 (0575-0015)	100%	20	1	20	5.00	100	$75.00	$7,500
1780.33(h)(3)	Equal Opportunity Agreement	RD 400-1 (0575-0201)	100%	20	1	20	0.17	3	$75.00	$225
1780.33(h)(4)	Assurance Agreement	RD 400-4 (0575-0201)	100%	20	1	20	0.25	5	$75.00	$375
1780.39(f)	Resolution of Members or Stockholders	RD 1942-8 (0575-0015)	10%	2	1	2	1.00	2	$75.00	$150
APPROVAL ACTIONS FOLLOWING OBLIGATION (USES OBLIGATION DATA)
1780.41(a)(3)	Balance Sheet or Financial Statement	RD 442-3 (0572-0137; 0575-0015, 0200)	100%	20	1	20	1.00	20	$75.00	$1,500
1780.41(a)(6)	Letter of Intent to Meet Conditions	RD 1942-46 (0572-0137; 0575-0015; 0570-0021, 0061, 0062)	100%	20	1	20	1.00	20	$75.00	$1,500
1780.41(a)(7)	Request for Obligation of Funds	RD 1940-1 (0570-0062, 0067)	100%	20	1	20	0.25	5	$75.00	$375
1780.44(c)	Initial Compliance Review	RD 400-8 (0570-0062; 0575-0018, 0189)	100%	20	1	20	8.00	160	$75.00	$12,000
1780.47(f)(2)	Statement of Budget, Income, and Equity	RD 442-2 (0572-0137; 0575-0015, 0200)	100%	20	1	20	2.50	50	$75.00	$3,750
ACTIONS DURING CONSTRUCTION (USES CONSTRUCTION DATA)

Sheet 16: 12 Est Prof Wage Rate

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

Instructions:
1. Use the U.S. Bureau of Labor Statistics Occupational Emplyment and Wage Statistics Link below to complete Columns A, B, C for the table below.
a. Click the link:	[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: How to navigate to obtain Prof. Wage Rate: 1) Click the website 2) Under the latest Month Year choose Occupation Profiles 3) Select 11-0000 Management Occupations 4) Select 11-1021 General Operations Managers 5) Use the Mean Hourly Wage https://www.bls.gov/oes/tables.htm
b. Under the latest Month Year (May 2023) click Occupation Profiles
c. Use the Occupational Titles to choose which professions (A) need to be added to the table below. You can more than one occupation or just one.
d. The code in front of each Occupational Title is the Occupation Code that goes in (B) for the table below.
e. When you click on each Occupational Titles, choose the Mean Hourly Wage to input in (C) for the table below.
2. Use the U.S. Bureau of Labor Economic News Release, Employer Costs for Employee Compension to complete Column D for the table below.
a. Click the link:	[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: How to obtain the Benefits %: 1) Click the website 2) Choose "The PDF version of the news release" 3) The current release is dated March 2023 and the reported % is in the 3rd paragraph on page 1 and it is 29.5% https://www.bls.gov/news.release/ecec.toc.htm
b. Choose "The PDF verison of the news release" link
c. The latest (June 18, 2024) News Release for Employer Costs for Employee Compensation - March 2024 opens in separate tab.
d. On first page, second paragraph use the benefit costs % of:			29.70%
3. For each profession fill in the % for (F). The total for the column should be 100%.
a. Note that if there is only one profession then (F) would be 100%.

Gray Columns have automatic formulas. DO NOT input numbers in these columns.
(A)	(B)	(C)	(D)	(E)	(F)	(G)
Profession	Bureau of Labor Occupation Code 1.d	Mean Wage 1.e	Benefits 2 (C) * (2.d)	Total Hourly Wage (C ) + (D)	% Time Spent on Burden	Weighted Hourly Salary (E) * (F)
General and Operations Manager	11-1021	$62.18	$18.47	$80.65	60%	$48.40
Civil Engineers	17-2051	$48.64	$14.45	$63.09	20%	$12.60
Lawyers	23-1011	$84.84	$25.20	$110.04	10%	$11.00
Court, Municipal, and License Clerks	43-4031	$23.44	$6.96	$30.40	10%	$3.00






TOTAL					100%	$75.00

Sheet 17: 14 Ann Cost to Fed Gov Est WWLG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

1. OPM GS & SES Pay Tables:
Click Link	Pay & Leave (opm.gov)
Click "pay tables" from first paragraph
Click current Year at top under Salaries & Wages

a. OPM GS Pay Tables: Under "General Schedule (GS) & Locality Pay Tables" click 20## GS Pay Tables (ex. 2024 GS Pay Tables)
Then choose Annual Rate Table for St. Louis - St. Charles - Farmington, MO-IL

b. OPM SES Schedules: Under "Executive & Senior Level Employee Pay Tables" click "Rates of Pay for the Executive Schedule"
Then choose Annual Rate Table for Basic Rates of Pay for Members of the Senior Executive Service.

2. Benefit % (OMB Memo M-08 13)	https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/memoranda/2008/m08-13.pdf									36.25%

Gray & Blue Columns have automatic formulas. DO NOT input numbers in these columns.						Total	686	$45,728		$16,517,259
Staff Position	GS Grade	GS Step	GS Salary	Hourly Rate Calc	Benefits Calc	Total Salary Rate Calc	Hours Required	Cost Subtotals	# of Responses	Total Costs
Application/Elgibility							268.00	$17,987	525	$9,443,371
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Environmental Coordinator - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Approval Actions Following Obligation							188.00	$12,573	255	$3,206,217
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	10.00	$661.11
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	10.00	$786.18
Actions During Construction							230.00	$15,167	255	$3,867,671
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	10.00	$372.71
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	20.00	$1,322.23
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	80.00	$5,288.91

Sheet 18: 14 Ann Cost toFedGovEst WWPPG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
PREDEVELOPMENT PLANNING GRANTS (PPG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

1. OPM GS & SES Pay Tables:
Click Link	Pay & Leave (opm.gov)
Click "pay tables" from first paragraph
Click current Year at top under Salaries & Wages

a. OPM GS Pay Tables: Under "General Schedule (GS) & Locality Pay Tables" click 20## GS Pay Tables (ex. 2024 GS Pay Tables)
Then choose Annual Rate Table for St. Louis - St. Charles - Farmington, MO-IL

b. OPM SES Schedules: Under "Executive & Senior Level Employee Pay Tables" click "Rates of Pay for the Executive Schedule"
Then choose Annual Rate Table for Basic Rates of Pay for Members of the Senior Executive Service.

2. Benefit % (OMB Memo M-08 13)	https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/memoranda/2008/m08-13.pdf									36.25%

Gray & Blue Columns have automatic formulas. DO NOT input numbers in these columns.						Total	456	$30,561		$787,421
Staff Position	GS Grade	GS Step	GS Salary	Hourly Rate Calc	Benefits Calc	Total Salary Rate Calc	Hours Required	Cost Subtotals	# of Responses	Total Costs
Application/Elgibility							268	$17,987	27	$485,659
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Environmental Coordinator - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Approval Actions Following Obligation							188	$12,573	24	$301,762
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	10.00	$661.11
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	10.00	$786.18
Actions During Construction							$0	$0		$0

Sheet 19: 14 AnnCost toFedGovEst Colonias

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
ALLEVIATE HEALTH RISKS FOR COLONIAS
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

1. OPM GS & SES Pay Tables:
Click Link	Pay & Leave (opm.gov)
Click "pay tables" from first paragraph
Click current Year at top under Salaries & Wages

a. OPM GS Pay Tables: Under "General Schedule (GS) & Locality Pay Tables" click 20## GS Pay Tables (ex. 2024 GS Pay Tables)
Then choose Annual Rate Table for St. Louis - St. Charles - Farmington, MO-IL

b. OPM SES Schedules: Under "Executive & Senior Level Employee Pay Tables" click "Rates of Pay for the Executive Schedule"
Then choose Annual Rate Table for Basic Rates of Pay for Members of the Senior Executive Service.

2. Benefit % (OMB Memo M-08 13)	https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/memoranda/2008/m08-13.pdf									36.25%

Gray & Blue Columns have automatic formulas. DO NOT input numbers in these columns.						Total	686	$45,728		$411,553
Staff Position	GS Grade	GS Step	GS Salary	Hourly Rate Calc	Benefits Calc	Total Salary Rate Calc	Hours Required	Cost Subtotals	# of Responses	Total Costs
Application/Elgibility							268	$17,987	9	$161,886
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Environmental Coordinator - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Approval Actions Following Obligation							188	$12,573	9	$113,161
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	10.00	$661.11
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	10.00	$786.18
Actions During Construction							230.00	$15,167	9	$136,506
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	10.00	$372.71
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	20.00	$1,322.23
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	80.00	$5,288.91

Sheet 20: 14 AnnCost toFedGovEst Tribal

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
ALLEVIATE HEALTH RISKS ON TRIBAL LANDS
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

1. OPM GS & SES Pay Tables:
Click Link	Pay & Leave (opm.gov)
Click "pay tables" from first paragraph
Click current Year at top under Salaries & Wages

a. OPM GS Pay Tables: Under "General Schedule (GS) & Locality Pay Tables" click 20## GS Pay Tables (ex. 2024 GS Pay Tables)
Then choose Annual Rate Table for St. Louis - St. Charles - Farmington, MO-IL

b. OPM SES Schedules: Under "Executive & Senior Level Employee Pay Tables" click "Rates of Pay for the Executive Schedule"
Then choose Annual Rate Table for Basic Rates of Pay for Members of the Senior Executive Service.

2. Benefit % (OMB Memo M-08 13)	https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/memoranda/2008/m08-13.pdf									36.25%

Gray & Blue Columns have automatic formulas. DO NOT input numbers in these columns.						Total	686	$45,728		$503,009
Staff Position	GS Grade	GS Step	GS Salary	Hourly Rate Calc	Benefits Calc	Total Salary Rate Calc	Hours Required	Cost Subtotals	# of Responses	Total Costs
Application/Elgibility							268	$17,987	11	$197,861
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Environmental Coordinator - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Approval Actions Following Obligation							188	$12,573	11	$138,307
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	10.00	$661.11
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	10.00	$786.18
Actions During Construction							230	$15,167	11	$166,841
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	10.00	$372.71
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	20.00	$1,322.23
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	80.00	$5,288.91

Sheet 21: 14 AnnCost toFedGovEst ECWAG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
EMERGENCY COMMUNITY WATER ASSISTANCE GRANTS (ECWAG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

1. OPM GS & SES Pay Tables:
Click Link	Pay & Leave (opm.gov)
Click "pay tables" from first paragraph
Click current Year at top under Salaries & Wages

a. OPM GS Pay Tables: Under "General Schedule (GS) & Locality Pay Tables" click 20## GS Pay Tables (ex. 2024 GS Pay Tables)
Then choose Annual Rate Table for St. Louis - St. Charles - Farmington, MO-IL

b. OPM SES Schedules: Under "Executive & Senior Level Employee Pay Tables" click "Rates of Pay for the Executive Schedule"
Then choose Annual Rate Table for Basic Rates of Pay for Members of the Senior Executive Service.

2. Benefit % (OMB Memo M-08 13)	https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/memoranda/2008/m08-13.pdf									36.25%

Gray & Blue Columns have automatic formulas. DO NOT input numbers in these columns.						Total	418	$27,741		$1,137,370
Staff Position	GS Grade	GS Step	GS Salary	Hourly Rate Calc	Benefits Calc	Total Salary Rate Calc	Hours Required	Cost Subtotals	# of Responses	Total Costs
Application/Elgibility							0	$0	41	$0
Approval Actions Following Obligation							188	$12,573	41	$515,509
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	10.00	$661.11
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	10.00	$786.18
Actions During Construction							230	$15,167	41	$621,861
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	10.00	$372.71
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	20.00	$1,322.23
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	80.00	$5,288.91

Sheet 22: 14 AnnCost toFedGovEst RAVGReg

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
RURAL AND NATIVE ALASKAN VILLAGES GRANTS (RAVG-REGULAR)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

1. OPM GS & SES Pay Tables:
Click Link	Pay & Leave (opm.gov)
Click "pay tables" from first paragraph
Click current Year at top under Salaries & Wages

a. OPM GS Pay Tables: Under "General Schedule (GS) & Locality Pay Tables" click 20## GS Pay Tables (ex. 2024 GS Pay Tables)
Then choose Annual Rate Table for St. Louis - St. Charles - Farmington, MO-IL

b. OPM SES Schedules: Under "Executive & Senior Level Employee Pay Tables" click "Rates of Pay for the Executive Schedule"
Then choose Annual Rate Table for Basic Rates of Pay for Members of the Senior Executive Service.

2. Benefit % (OMB Memo M-08 13)	https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/memoranda/2008/m08-13.pdf									36.25%

Gray & Blue Columns have automatic formulas. DO NOT input numbers in these columns.						Total	686	$45,728		$802,081
Staff Position	GS Grade	GS Step	GS Salary	Hourly Rate Calc	Benefits Calc	Total Salary Rate Calc	Hours Required	Cost Subtotals	# of Responses	Total Costs
Application/Elgibility							$268	$17,987	23	$413,710
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Environmental Coordinator - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Approval Actions Following Obligation							$188	$12,573	14	$176,028
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	10.00	$661.11
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	10.00	$786.18
Actions During Construction							$230	$15,167	14	$212,343
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	10.00	$372.71
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	20.00	$1,322.23
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	80.00	$5,288.91

Sheet 23: 14 Ann Cost toFedGovEst RAVGPPG

RURAL UTILITIES SERVICE
WATER AND WASTE LOAN AND GRANT PROGRAM
RURAL AND NATIVE ALASKAN VILLAGES GRANTS - PREDEVELOPMENT PLANNING GRANTS (RAVG PPG)
INFORMATION COLLECTION BURDEN HOURS
OMB # 0572 - 0121
November 18, 2024

1. OPM GS & SES Pay Tables:
Click Link	Pay & Leave (opm.gov)
Click "pay tables" from first paragraph
Click current Year at top under Salaries & Wages

a. OPM GS Pay Tables: Under "General Schedule (GS) & Locality Pay Tables" click 20## GS Pay Tables (ex. 2024 GS Pay Tables)
Then choose Annual Rate Table for St. Louis - St. Charles - Farmington, MO-IL

b. OPM SES Schedules: Under "Executive & Senior Level Employee Pay Tables" click "Rates of Pay for the Executive Schedule"
Then choose Annual Rate Table for Basic Rates of Pay for Members of the Senior Executive Service.

2. Benefit % (OMB Memo M-08 13)	https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/memoranda/2008/m08-13.pdf									36.25%

Gray & Blue Columns have automatic formulas. DO NOT input numbers in these columns.						Total	456	$30,561		$611,215
Staff Position	GS Grade	GS Step	GS Salary	Hourly Rate Calc	Benefits Calc	Total Salary Rate Calc	Hours Required	Cost Subtotals	# of Responses	Total Costs
Application/Elgibility							$268	$17,987	20	$359,747
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Environmental Coordinator - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Approval Actions Following Obligation							$188	$12,573	20	$251,468
Loan Technician - Field Office	7	5	$56,898	$27.35	$9.92	$37.27	8.00	$298.17
Loan Specialist - Field Office	12	5	$100,926	$48.52	$17.59	$66.11	100.00	$6,611.14
Program Director - State Office	13	5	$120,018	$57.70	$20.92	$78.62	20.00	$1,572.35
Loan Specialist - State Office	12	5	$100,926	$48.52	$17.59	$66.11	40.00	$2,644.46
State Engineer - State Office	12	5	$100,926	$48.52	$17.59	$66.11	10.00	$661.11
Loan Specialist - National Office	13	5	$120,018	$57.70	$20.92	$78.62	10.00	$786.18
Actions During Construction							$0	$0	20	$0

File Type	application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified	0000-00-00
File Created	0000-00-00