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{"sheet":"Sheet1","index":0,"n_rows":221,"n_cols":10,"rows_kept":221,"cut":false,"hidden":false,"merged":[[4,0,4,9],[66,0,66,9],[188,0,188,9],[203,0,203,9]],"flags":["formulas_cached_only"]}
[" ",null,null,null,"Reports","Total Annual","Est. No. of","Est. Total","Wages","Cost to the"]
[" ",null,"Form No.","Est. No. of","Filed","Responses"," Man hours","Man-hours","Class","Public"]
["Section of Regulation","Title","(if Any)","Respond-ents","Annually","(D) x (E)","Per Response","(F) x (G)","$/Hr.","(H) x (I)"]
["(A)","(B)","(C)","(D)","(E)","(F)","(G)","(H)","(I)","(J)"]
["REPORTING REQUIREMENTS - FORMS APPROVED WITH THIS DOCKET"]
[]
["1780.33(h)(1); 1942.5(b)(1)(ii)(C); 1951.222(c)(3); 3570.71(h)","Operating Budget","442-7"]
[null,"RHS",null,1120,1,1120,5,5600,73.67,412552]
["1780.41(a)(3); 1942.5(b)(1)(ii)(E); 1951.230(a)(9);1955.10(f)(3)(i); & 3570.82","Balance Sheet or Financial Statement","442-3"]
[null,"RHS",null,680,1,680,1,680,59.36,40364.8]
["1780.29(b)(1); 1942.17(l)(i)","Agreement for Engineering Services","1942-19"]
[null,"RHS",null,310,1,310,4,1240,59.36,73606.4]
["1780.39(f); Guide 16 of 1942-A; 3570.61(e)","Resolution of Members or Stockholders","1942-8"]
[null,"RHS",null,60,1,60,1,60,59.36,3561.6]
["1780.41(a)(6); 1942.5(a)(1)(ii); 1952.230(f)(2); 4274.350; 1942.315(b); 4284.638(c); 3570.71","Letter of Intent to Meet Conditions","1942-46"]
[null,"RHS",null,670,1,670,1,670,73.7,49379]
[null,"RBS (Small Socially Disadvantaged Producer Grant Program)",null,24,1,24,1,24,73.7,1768.8000000000002]
["1942.17(j)(4)(i)(A); 3570.76","Right-of-Way Easement","442-20",{"$nulls":5},59]
[null,"RHS",null,330,1,330,1,330,59,19470]
["1942.17(j)(4)(i); 3570.76","Right-of-Way Certificate","442-21"]
[null,"RHS",null,330,1,330,1,330,59,19470]
["1780.44(g)(1)(i), 1942.17(j)(4)(i); 3570.76","Opinion of Counsel Relative to Rights-of-Way","442-22"]
[null,"RHS",null,310,1,310,1,310,59,18290]
["1942.17(n)(2)","Loan Resolution (Public Bodies)","1942-47"]
[null,"RHS",null,180,1,180,1,180,59,10620]
["1942.17(n)(2)","Loan Resolution Security Agreement","1942-9"]
[null,"RHS",null,360,1,360,1,360,59,21240]
["1780.45(b)(1)(ii); 1942.17(p)(2)(ii); 1944.235(c)","Estimate of Funds Needed for 30-Day Period Commencing ____\"","440-11"]
[null,"RHS",null,910,3,2730,1,2730,73.7,201201]
[null,"Promissory Note","440-22"]
[null,"RHS",null,645,2,1290,0.25,322.5,59,19027.5]
["1780.37(f); 1942.17(q)(2)(i)(A);1951.223(b)(1), 1951.230(a)(9); 3570.82","Statement of Budget, Income, and Equity","442-2",null,null,0]
[null,"RHS",null,1108,1,1108,2.5,2770,59,163430]
["1942.8(d)","Bond Registration Book","442-28",null,null,0]
[null,"RHS",null,175,1,175,1,175,59,10325]
["1942.17(j)(3)(ii)(B)","Position Fidelity Schedule Bond Declarations","440-24"]
[null,"RHS",null,1062,1,1062,0.5,531,59,31329]
["1942.30(e )(1) ","Re-lender's Agreement","1942-55"]
[null,"RHS",null,27,1,27,1.5,40.5,88,3564]
["1942.30(e )(2)","Promissory Note","1942-56"]
[null,"RHS",null,27,1,27,1,27,88,2376]
["1942.30(e )(4)","Adequate collateral (Loan Resolution Security Agreement","1942-57"]
[null,"RHS",null,27,1,27,0.5,13.5,88,1188]
["1942.17(n)(2)(x)","Equal Opportunity Agreement","400-1"]
[null,"RHS",null,1940,1,1940,0.17,329.8,73.7,24306.260000000002]
["1942.17(n)(2)(x)","Assurance Agreement"," 400-4"]
[null,"RHS",null,1940,1,1940,0.25,485,73.7,35744.5]
[null,"Certification Regarding Debarment, Suspension & Other Responsibility Matters-Primary Covered Transactions","AD 1047"]
[null,"RHS",null,32,1,32,0.25,8,88,704]
["1942.17(j)(4)(i)(B)","Preliminary Title Opinion","1927-9"]
[null,"RHS",null,1905,2,3810,1.5,5715,59,337185]
["1942.17(j)(4)(i)(B)","Final Title Opinion","1927-10"]
[null,"RHS",null,1905,2,3810,0.33,1257.3,59,74180.7]
["1942.17(p)(5) & Guide 18","Partial Payment Estimate","1924-18"]
[null,"RHS",null,3310,2,6620,0.5,3310,59,195290]
["1942.18(o)(7)(ii) & Guide 18","Contract Change Order","1924-7"]
[null,"RHS",null,2575,1,2575,0.25,643.75,59,37981.25]
[null,"Deposit Agreement","402-1"]
[null,"RHS",null,16,1,16,0.25,4,73.7,294.8]
[null,"Representations Regarding Felony Convictions and Tax Deliquency Status for Corporate Applicants","AD 3030"]
[null,"RHS",null,32,1,32,0.25,8,88,704]
[null,"Assurances Regarding Felony Convictions and Tax Delinquency Status for Corporate Appliants","AD 3031"]
[null,"RHS",null,32,1,32,0.05,1.6,88,140.8]
["Subtotal",{"$nulls":4},31627,null,28155.949999999997,null,1809294.4100000001]
[]
[]
["REPORTING REQUIREMENTS - NO FORMS "]
["1942.17(c)(2)(vii)","Application to Obtain Additional Funding","Written"]
[null,"RHS",null,38,1,38,4,152,59,8968]
["1942.17(b)(3); 3570.61(c)","Statement on ability to obtain credit elsewhere","Written"]
[null,"RHS",null,966,1,966,1,966,59,56994]
["1942.17(e)","Notification of declination of service","Written"]
[null,"RHS",null,0,1,0,3,0,59,0]
["1942.17(g)(2)(iii)(A); 3570.80","Liens on real and chattel property","Written"]
[null,"RHS",null,25,1,25,1,25,59,1475]
["1942.17(g)(3)(i)(B)","Financing Statement","Written"]
[null,"RHS",null,338,1,338,1,338,59,19942]
["1942.17(j)(9); 3570.71","Public Information","Written"]
[null,"RHS",null,966,1,966,2,1932,59,113988]
["1942.5(b)(1)(ii)(D) and Guides 6-10; 3570.65","Preliminary Architectural or Engineering Report","Written"]
[null,"RHS",null,434,1,434,4,1736,59,102424]
["1942.17(l)(1); 3570.71","Agreement for professional services","Written"]
[null,"RHS",null,515,1,515,4,2060,59,121540]
["1942.17(h)(2)(iii)","Positive programs to encourage connections","Written"]
[null,"RHS",null,0,1,0,3,0,59,0]
["1942.17(n)(3)","Interim financing","Written"]
[null,"RHS",null,675,1,675,4,2700,59,159300]
["1942.17(j)(3)(iii)(A)","Property insurance","Written"]
[null,"RHS",null,595,1,595,1,595,59,35105]
["1942.17(j)(3)(iii)(B)","Liability and Property Damage Insurance","Written "]
[null,"RHS",null,560,1,560,1,560,59,33040]
["1942.17(j)(3)(iii)(D)","Flood Insurance","Written"]
[null,"RHS",null,58,1,58,1,58,59,3422]
["1942.17(j)(3)(iii)(E)","Workman's compensation insurance","Written"]
[null,"RHS",null,430,1,430,0.5,215,73.7,15845.5]
["1942.17(n)(6); 3570.80","Evidence of Disbursement of other funds","Written"]
[null,"RHS",null,275,1,275,1,275,59,16225]
["1942.17(j)(4)(ii)","Acquistion of Land, Easement, Water Rights & Existing Facilities","Written"]
[null,"RHS",null,418,1,418,3,1254,59,73986]
["1942.3; 3570.65","Appraisal Report","Written"]
[null,"RHS",null,665,1,665,2,1330,59,78470]
["1942.5(b)(1)(ii)(I); 3570.70","Lease/Management agreement","Written"]
[null,"RHS",null,96,1,96,5,480,59,28320]
["1942.17(g)(2)","Notes, bonds, warrants or other contractural obligations","Written"]
[null,"RHS",null,418,1,418,5,2090,59,123310]
["1942.18(e) & Guides 17 thru 19; 3570.76","Construction contract forms","Written"]
[null,"RHS",null,418,1,418,1,418,59,24662]
["1942.8(g); 3570.80","Certification by borrower's attorney","Written"]
[null,"RHS",null,418,1,418,15,6270,59,369930]
["1942.18(m); 3570.76","Contracts awarded prior to application","Written"]
[null,"RHS",null,24,1,24,2,48,59,2832]
["1942.18(o)(3); 3570.76","Resident Inspector resume","Written"]
[null,"RHS",null,305,1,305,0.5,152.5,59,8997.5]
["1942.18(o)(4); 3570.76","Daily inspection report","Written"]
[null,"RHS",null,1640,12,19680,0.5,9840,59,580560]
["1942.5(b)(1)(ii)(G)","Evidence that facility cannot be provided by a public body","Written"]
[null,"RHS",null,225,1,225,1,225,59,13275]
["1942.5(b)(1)(ii)(H); 3570.65","Financial feasibility report","Written"]
[null,"RHS",null,640,1,640,4,2560,59,151040]
["1942.17(b)(4); 3570.65","Organizational documents","Written"]
[null,"RHS",null,960,1,960,1,960,59,56640]
["1942.5(a)(1)(ii), 1942.17(f)(1)","Borrower request to choose interest rate","Written"]
[null,"RHS",null,960,1,960,0.167,160.32000000000002,59,9458.880000000001]
["1942.5(b)(1)(ii)(F)","Five Year Financial History","Written"]
[null,"RHS",null,675,1,675,1,675,59,39825]
["1942.17(g)(2)(iii)(A)(9)(ii)","Exceptional Community Support and Documentation","Written"]
[null,"RHS",null,595,1,595,4,2380,59,140420]
["1942.17(g)(3)(i)(D)","Other Security","Written"]
[null,"RHS",null,225,1,225,1,225,59,13275]
["1942.17(j)(3)(iii)(C)","Malpractice Insurance","Written"]
[null,"RHS",null,210,1,210,0.5,105,59,6195]
["1942.17(j)(4)(iii)","Land Purchase Contract","Written"]
[null,"RHS",null,80,1,80,2,160,59,9440]
["1942.17(j)(8)","Certificate of Need","Written"]
[null,"RHS",null,56,1,56,1,56,59,3304]
["1942.17(k); 3570.70","Certification of appropriate regulatory agencies","Written"]
[null,"RHS",null,201,1,201,4,804,59,47436]
["1942.17(r)(1)(ii)(B) & Guide 22","Positive Action Plan","Written"]
[null,"RHS",null,56,1,56,2,112,59,6608]
["1942.17(q)(4); 3570.83","Audits","Written"]
[null,"RHS",null,720,1,720,3,2160,59,127440]
["1942.17(q)(4)(ii)","Financial Statements - borrowers under $100,000 gross income","Written"]
[null,"RHS",null,720,1,720,4,2880,59,169920]
["1942.18(j)(5)(iv)","Utilization of small business & minority owned business","Written"]
[null,"RHS",null,112,1,112,0.5,56,59,3304]
["1942.18(k)(5); 3570.75","Procurement when other than bid or negotiation is used","Written"]
[null,"RHS",null,80,1,80,1,80,59,4720]
["1942.18(l); 3570.76","Unconventional contracting methods","Written"]
[null,"RHS",null,80,1,80,5,400,59,23600]
["1942.2(a)(1)(iii); 3570.65(a)(1)","State clearinghouse review","Written"]
[null,"RHS",null,595,1,595,1,595,59,35105]
["1942.17(q)(1)(ii)","Approval of Audit","Written"]
[null,"RHS",null,380,1,380,0.5,190,59,11210]
["1942.17(q)(2)(ii)(A); 3570.83","Governing body members and terms of office","Written"]
[null,"RHS",null,380,1,380,0.5,190,59,11210]
["1942.30(a) ","Documentation of Legal Powers","Written"]
[null,"RHS",null,20,1,20,0.5,10,83,830]
[null,"RHS",null,32,1,32,0.5,16,88,1408]
["1942.30(a) ","Certification of Compliance with Federal, State, and Local Requirements","Written"]
[null,"RHS",null,32,1,32,1,32,88,2816]
["1942.30(a) ","Documentation of Serving Persistent Poverty County(ies) or High Poverty Areas","Written"]
[null,"RHS",null,32,1,32,1,32,88,2816]
["1942.30(a) ","Documentation (\"Letter of Intent\") from a Financial Institution that an Irrevocable Letter of Credit or similar Performance Guarantee will be issued if re-lender is approved for funding","Written"]
[null,"RHS",null,32,1,32,5,160,88,14080]
["1942.30(a) ","Documentation Regulated and Supervised by a Federal or State Banking Regulatory Agency, Subject to Credit Examination, Not on a Watch List, and No Regulatory Actions Outstanding","Written"]
[null,"RHS",null,14,1,14,2,28,88,2464]
["1942.30(a) ","Documentation of strong Financial Strength and Performance rating","Written"]
[null,"RHS",null,6,1,6,5,30,88,2640]
["1942.30(a) ","Documentation of being a financially sound institution for Agency assessment","Written"]
[null,"RHS",null,11,1,11,64,704,88,61952]
["1942.30(a) ","Documentation of Legal, Non-governmental Status (except for Tribal governments)","Written"]
[null,"RHS",null,32,1,32,0.5,16,88,1408]
["1942.30(a) ","Documentation of Membership in a National Organization that provides training, technical assistance and credit evaluation or certified by a Government agency as having a primary mission of promoting development in low-income target markets and performs training and technical assistance as part of that mission.","Written"]
[null,"RHS",null,32,1,32,2,64,88,5632]
["1942.30(a) ","Certification to loan a majority of funds to applicants whose projects are located in or serve Persistent Poverty County(ies) or High Poverty Area(s)","Written"]
[null,"RHS",null,32,1,32,0.17,5.44,88,478.72]
["1942.30(a) ","Multi-tier Action Environmental Compliance Agreement","Written"]
[null,"RHS",null,32,1,32,0.08,2.56,88,225.28]
["1942.30(a) ","Documentation of Assitance Provided to RD Employees","Written"]
[null,"RHS",null,32,1,32,0.17,5.44,88,478.72]
["1942.30(a) ","Documentation of each evaluation factor","Written"]
[null,"RHS",null,32,1,32,2,64,88,5632]
["1942.30(e )(3)","Irrevocable Letter of Credit","Written"]
[null,"RHS",null,80,1,80,1,80,88,7040]
["1942.30(b) ","Loan Origination and Servicing - applicant eligibility","Written"]
[null,"RHS",null,80,1,80,1.5,120,88,10560]
["Subtotal",{"$nulls":4},36798,null,49837.26,null,2983222.6]
[]
["RECORDKEEPING REQUIREMENTS"]
[]
["1942.17(q)(1)(iv)","Borrower shall maintain accounting records for 3 years","Written",4458,1,4458,0.25,1114.5,88,98076]
[null,"Quarterly Financial Statements","Written",16,4,64,2,128,88,11264]
[null,"Quarterly Report of Re-rent Loans","Written",16,4,64,1,64,88,5632]
[null,"Annual Audits","Written",16,1,16,5,80,88,7040]
[null,"Financial Strength and Performance Rating","Written",16,1,16,5,80,88,7040]
[null,"Certification of 7CFR 3575.42 & 3575.43","Written",80,1,80,0.25,20,88,1760]
[null,"Civil Rights Data","Written",16,1,16,1,16,88,1408]
[null,"Documentation of providing funds to Persistent Poverty County(ies) and High Poverty Area(s)","Written",16,1,16,1,16,88,1408]
["Subtotal",{"$nulls":4},4730,null,1518.5,null,133628]
["TOTAL",{"$nulls":4},73155,null,79511.70999999999,null,4926145.01]
["Grand Total",{"$nulls":4},73155,null,79511.70999999999,null,4926145.01]
[]
[]
["REPORTING REQUIREMENTS - FORMS APPROVED UNDER OTHER OMB NUMBERS"]
["1942.2(c)(2)","Application for Federal Assistance (For Construction)","SF-424 (4040-0004)"]
[null,"RHS",null,1205]
[null,"Budget Information - Non Construction Programs","SF-424A (4040-0006)"]
[null,"RHS",null,20]
[null,"RHS",null,20]
[null,"Assurances - Non Construction Programs","SF-424B (4040-0007)"]
[null,"RHS",null,20]
[null,"RHS",null,20]
[null,"Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities","SF-LLL (4040-0013)"]
[null,"RHS",null,20]
[null,"RHS",null,20]
[null,"ACH Vendor/Miscellaneous Payment Enrollment Form","SF-3881 (1530-0069)"]
[null,"RHS",null,10]
[null,"RHS",null,20]
[null,"Environmental Policies and Procedures","Written (0575-0197)"]
[null,"RHS",null,20]
[null,"RHS",null,1185]

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