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["                                                                    USDA - RUS",null,"Title  of  Information  Document",{"$nulls":5},"OMB  No."]
[null,null,"Rural Alaska Village Grant Program (RAVG)  -    (Associated with a final rule)",{"$nulls":5},"0572-0150"]
[" SUMMARY  OF  INFORMATION  COLLECTION",{"$nulls":7},"Date  Prepared"]
[{"$nulls":8},"2021-03-18"]
[" INSTRUCTIONS:"," ",null,null,">","(f)  TOTAL",null,"(h)  TOTAL",null,"(k)  TOTAL"]
["Use this form when a single information collection document involves multiple reporting and                  ",null,null,null,">","-","= (e)  Average","-","= (g)  Average","-","= (j)  Average"]
["  recordkeeping requirements.  ",null,null,null,">","(d)  TOTAL",null,"(f)  TOTAL",null,"(i)  TOTAL"]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS",null,null,null,"RECORDS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL","NO.  OF","ANNUAL","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS","RECORD-","HOURS  PER","RECORD-"]
["NOFA","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)","KEEPERS","RECORD-","KEEPING"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)",null,null,null,"KEEPER","HOURS"]
[{"$nulls":4},"DENT",{"$nulls":5},"(Col.  i  &  j)"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)","(i)","(j)","(k)"]
[null,"Application Submission Forms Approved under this Package"]
[]
["1784.21(b)(3)","Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions","AD-1047",36,1,36,0.25,9]
[]
["1784.21(b)(4)","Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction.”  ","AD-1048",36,1,36,0.25,9]
[]
["1784.21(b)(5)","Certification Regarding Drug-Free Workplace","AD-1049",36,1,36,0.25,9]
[]
[null,"                                             Subtotal:",null,36,null,108,null,27]
[]
[null,"Writen Non-Forms - Burden Approved under this Package"]
[]
["1784.21(b)(8)","Certification for Contracts, Grants and Loans Regarding Lobbying","RD Instr. 1940-Q, Exhibit A-1",36,1,36,0.25,9]
[]
["1784.19(a)(2)","Preliminary Engineering Report","Written",36,1,36,4,144]
[]
["1784.21(b)(9)","Certification Regarding Prohibited Tying Arrangements","Written",36,1,36,0.25,9]
[]
["1784.19(a)(5)","Business Plan","Written",24,1,24,4,96]
[]
[1784.19,"Land Surveyors Certification and Opinion of Right of Way","Written",24,1,15,1,15]
[]
["1784.27(a)","Grant Agreement - (The two grant agreements specific to RAVG program participants and the associated burden are included)..","RUS Bulletin 1780-12",19,1,19,1,19]
[]
[1784.28,"Audits ","Written",19,1,19,8,152]
[]
["1784.(36)(b)","Approved Contract Documents","Written",12,1,12,4,48]
[]
["1784.21(b)(6)","Civil Rights Compliance Assurance ","Written",19,1,19,0.25,4]
[]
[null,"                                         Subtotal:",null,null,null,216,null,496]
[]
[null,"ESTIMATED TOTAL FOR THIS COLLECTION    ",null,36,null,324,null,523,null,null,"Page 1"]
[]
[null,"FORMS APPROVED UNDER OTHER OMB NUMBERS"]
[]
["1784.21(b)(1)","Equal Opportunity Agreement","RD 400-1 (OMB#: 0575-0018)",36,1,36,0.08,2.88]
[]
[1784.19,"Opinion of Counsel Relative to Right-of-Way & Easements","RD 442-22 (OMB#: 0575-0015)",12,1,12,1,12]
[]
[1784.17]
["1784.18(a)","Application for Federal Assistance ","SF 424",36,1,36,1,36]
["1784.19(a)(1)",null,"(4040-0004)"]
[]
["1784.21(b)(2)","Assurance Agreement","RD 400-4 (OMB#: 0575-0018) (OMB#: 0570-0062)",19,1,19,0.25,4.75]
[]
["1784.21(e)","Letter of Intent to Meet Conditions","RD 1942-46 (OMB#: 0575-0015); (OMB#: 0570-0021); (OMB#: 0570-0061); (OMB#: 0570-0062); (OMB#: 0572-0137)",19,1,19,1,19]
[]
[]
["1784.18(a)","Budget Information - Non-construction Programs","SF 424A",19,1,19,1,19]
[null,null,"(4040-0006)"]
[]
["1784.18(a)","Assurances - Non-construction Programs","SF 424B (4040-0007)",12,1,12,0.25,3]
[]
[]
["1784.19(a)(1)","Budget Information - Construction Programs","SF 424C",19,1,19,1,19]
[null,null,"(4040-0008)"]
[]
["1784.19(a)(1)","Assurances - Construction Programs","SF 424D",19,1,15,0.25,4]
[null,null,"(4040-0009)"]
[]
["1784.21(b)(7)","Disclosure of Lobbying Acitivities","SF LLL   (4040-0013)",12,1,12,0.25,3]
[]
["1784.21(b)(6)","Compliance Assurance","RUS Form 266 (0572-0032)",19,1,19,0.5,9.5]
[]
[]
[null,"Total burden associated with OTHER packages",null,null,null,218,1.3078260869565217,132.13,null,null,"Page 2"]
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