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[" ",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"]
[]
["1780.23(h)(1); 1942.5(b)(1)(ii)(C); 1951.222(c)(3); 3570.71(h)","Operating Budget","442-7"]
[null,"RHS",null,750,1,750,5,3750,30,112500]
[null,"RUS",null,1000,1,1000,5,5000,30,150000]
["1780.23(h)(2); 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,500,1,500,1,500,30,15000]
[null,"RUS",null,1000,0,0,1,0,30,0]
["1780.29(b)(1), 1942.17(l)(i)","Agreement for Engineering Services","1942-19"]
[null,"RHS",null,200,1,200,4,800,30,24000]
[null,"RUS",null,1000,1,1000,4,4000,30,120000]
["1780.29(f); Guide 16 of 1942-A; 3570.61(e)","Resolution of Members or Stockholders","1942-8"]
[null,"RHS",null,75,1,75,1,75,30,2250]
[null,"RUS",null,200,1,200,1,200,30,6000]
["1780.31(a)(5); 1942.5(a)(1)(ii); 1951.230(f)(2); 4274.350; 1942.315(b); 4284.638(c); 3570.71","Letter of Intent to Meet Conditions","1942-46"]
[null,"RHS",null,450,1,450,1,450,30,13500]
[null,"RUS",null,1000,1,1000,1,1000,30,30000]
["1942.17(j)(4)(i)(A); 3570.76","Right-of-Way Easement","442-20"]
[null,"RHS",null,250,1,250,1,250,30,7500]
[null,"RUS"]
["1942.17(j)(4)(i); 3570.76","Right-of-Way Certificate","442-21"]
[null,"RHS",null,250,1,250,1,250,30,7500]
[null,"RUS"]
["1780.34(g)(1)(ii); 1942.17(j)(4)(i); 3570.76","Opinion of Counsel Relative to Rights-of-Way","442-22"]
[null,"RHS",null,200,1,200,1,200,30,6000]
[null,"RUS",null,1000,1,1000,1,1000,30,30000]
["1780.35(a)(2); 1942.17(n)(2)","Loan Resolution (Public Bodies)","1942-47"]
[null,"RHS",null,150,1,150,1,150,30,4500]
[null,"RUS"]
["1780.35(a)(2), 1942.17(n)(2)","Loan Resolution Security Agreement","1942-9"]
[null,"RHS",null,300,1,300,1,300,30,9000]
[null,"RUS"]
["1780.35(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,550,3,1650,1,1650,30,49500]
[null,"RUS",null,900,1,900,1,900,30,27000]
["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,"RHS",null,650,1,650,2.5,1625,30,48750]
[null,"RUS",null,1000,1,1000,2.5,2500,30,75000]
["1780.62; 1942.18(f)","Water Purchase Contract","442-30"]
[null,"RHS"]
[null,"RUS",null,200,1,200,1,200,30,6000]
["1942.8(d)","Bond Registration Book","442-28"]
[null,"RHS",null,130,1,130,1,130,30,3900]
[null,"RUS"]
["1942.17(j)(3)(ii)(B)","Position Fidelity Schedule Bond Declarations","440-24",736,1,736,0.5,368,30,11040]
[]
[]
["REPORTING REQUIREMENTS - NO FORMS "]
["1942.17(c)(2)(vii)","Application to Obtain Additional Funding","Written"]
[null,"RHS",null,30,1,30,4,120,30,3600]
[null,"RUS"]
["1942.17(b)(3); 3570.61(c)","Statement on ability to obtain credit elsewhere","Written"]
[null,"RHS",null,600,1,600,1,600,30,18000]
[null,"RUS"]
["1942.17(e)","Notification of declination of service","Written"]
[null,"RHS",null,12,1,12,3,36,30,1080]
[null,"RUS"]
["1942.17(g)(2)(iii)(A); 3570.80","Liens on real and chattel property","Written"]
[null,"RHS",null,55,1,55,1,55,30,1650]
[null,"RUS"]
["1942.17(g)(3)(i)(B)","Financing Statement","Written"]
[null,"RHS",null,260,1,260,1,260,30,7800]
[null,"RUS"]
["1942.17(j)(9); 3570.71","Public Information","Written"]
[null,"RHS",null,650,1,650,2,1300,30,39000]
[null,"RUS"]
["1942.5(b)(1)(ii)(D) and Guides 6-10; 3570.65","Preliminary Architectural or Engineering Report","Written"]
[null,"RHS",null,350,1,350,4,1400,30,42000]
[null,"RUS"]
["1942.17(l)(1); 3570.71","Agreement for professional services","Written"]
[null,"RHS",null,400,1,400,4,1600,30,48000]
[null,"RUS"]
["1942.17(h)(2)(iii)","Positive programs to encourage connections","Written"]
[null,"RHS",null,12,1,12,3,36,30,1080]
[null,"RUS"]
["1942.17(n)(3)","Interim financing","Written"]
[null,"RHS",null,1250,1,1250,4,5000,30,150000]
[null,"RUS"]
["1942.17(j)(3)(iii)(A)","Property insurance","Written"]
[null,"RHS",null,450,1,450,1,450,30,13500]
[null,"RUS"]
["1942.17(j)(3)(iii)(B)","Liability and Property Damage Insurance","Written "]
[null,"RHS",null,420,1,420,1,420,30,12600]
[null,"RUS"]
["1942.17(j)(3)(iii)(D)","Flood Insurance","Written"]
[null,"RHS",null,45,1,45,1,45,30,1350]
[null,"RUS"]
["1942.17(j)(3)(iii)(E)","Workman's compensation insurance","Written"]
[null,"RHS",null,325,1,325,0.5,162.5,30,4075]
[null,"RUS"]
["1942.17(n)(6); 3570.80","Evidence of Disbursement of other funds","Written"]
[null,"RHS",null,215,1,215,1,215,30,6450]
[null,"RUS"]
["1942.17(j)(4)(ii)","Acquistion of Land, Easement, Water Rights & Existing Facilities","Written"]
[null,"RHS",null,325,1,325,3,975,30,29250]
[null,"RUS"]
["1942.3; 3570.65","Appraisal Report","Written"]
[null,"RHS",null,400,1,400,2,800,30,24000]
[null,"RUS"]
["1942.5(b)(1)(ii)(I); 3570.70","Lease/Management agreement","Written"]
[null,"RHS",null,40,1,40,5,200,30,6000]
[null,"RUS"]
["1942.17(g)(2)","Notes, bonds, warrants or other contractural obligations","Written"]
[null,"RHS",null,335,1,335,5,1675,30,50250]
[null,"RUS"]
["1942.18(e) & Guides 17 thru 19; 3570.76","Construction contract forms","Written"]
[null,"RHS",null,335,1,335,1,335,30,10050]
[null,"RUS"]
["1942.8(g); 3570.80","Certification by borrower's attorney","Written"]
[null,"RHS",null,335,1,335,15,5025,30,150750]
[null,"RUS"]
["1942.18(m); 3570.76","Contracts awarded prior to application","Written"]
[null,"RHS",null,20,1,20,2,40,30,1200]
[null,"RUS"]
["1942.18(o)(3); 3570.76","Resident Inspector resume","Written"]
[null,"RHS",null,235,1,235,0.5,117.5,30,2950]
[null,"RUS"]
["1942.18(o)(4); 3570.76","Daily inspection report","Written"]
[null,"RHS",null,110,12,1320,0.5,660,30,19800]
[null,"RUS"]
["1942.5(b)(1)(ii)(G)","Evidence that facility cannot be provided by a public body","Written"]
[null,"RHS",null,175,1,175,1,175,30,5250]
[null,"RUS"]
["1942.5(b)(1)(ii)(H); 3570.65","Financial feasibility report","Written"]
[null,"RHS",null,435,1,435,4,1740,30,52200]
[null,"RUS"]
["1942.17(b)(4); 3570.65","Organizational documents","Written"]
[null,"RHS",null,550,1,550,1,550,30,16500]
[null,"RUS"]
["1942.5(a)(1)(ii), 1942.17(f)(1)","Borrower request to choose interest rate","Written"]
[null,"RHS",null,455,1,455,0.167,75.985,30,2279.55]
[null,"RUS"]
["1942.5(b)(1)(ii)(F)","Five Year Financial History","Written"]
[null,"RHS",null,220,1,220,1,220,30,6600]
[null,"RUS"]
["1942.17(g)(2)(iii)(A)(9)(ii)","Exceptional Community Support and Documentation","Written"]
[null,"RHS",null,150,1,150,4,600,30,18000]
[null,"RUS"]
["1942.17(g)(3)(i)(D)","Other Security","Written"]
[null,"RHS",null,175,1,175,1,175,30,5250]
[null,"RUS"]
["1942.17(j)(3)(iii)(C)","Malpractice Insurance","Written"]
[null,"RHS",null,155,1,155,0.5,77.5,30,1950]
[null,"RUS"]
["1942.17(j)(4)(iii)","Land Purchase Contract","Written"]
[null,"RHS",null,65,1,65,2,130,30,3900]
[null,"RUS"]
["1942.17(j)(8)","Certificate of Need","Written"]
[null,"RHS",null,45,1,45,1,45,30,1350]
[null,"RUS"]
["1942.17(k); 3570.70","Certification of appropriate regulatory agencies","Written"]
[null,"RHS",null,150,1,150,4,600,30,18000]
[null,"RUS"]
["1942.17(r)(1)(ii)(B) & Guide 22","Positive Action Plan","Written"]
[null,"RHS",null,48,1,48,2,96,30,2880]
[null,"RUS"]
["1942.17(q)(4); 3570.83","Audits","Written"]
[null,"RHS",null,550,1,550,3,1650,30,49500]
[null,"RUS"]
["1942.17(q)(4)(ii)","Financial Statements - borrowers under $100,000 gross income","Written"]
[null,"RHS",null,560,1,560,4,2240,30,67200]
[null,"RUS"]
["1942.18(j)(5)(iv)","Utilization of small business & minority owned business","Written"]
[null,"RHS",null,100,1,100,0.5,50,30,1500]
[null,"RUS"]
["1942.18(k)(5); 3570.75","Procurement when other than bid or negotiation is used","Written"]
[null,"RHS",null,60,1,60,1,60,30,1800]
[null,"RUS"]
["1942.18(l); 3570.76","Unconventional contracting methods","Written"]
[null,"RHS",null,60,1,60,5,300,30,9000]
[null,"RUS"]
["1942.2(a)(1)(iii); 3570.65(a)(1)","State clearinghouse review","Written"]
[null,"RHS",null,455,1,455,1,455,30,13650]
[null,"RUS"]
["1942.17(q)(1)(ii)","Approval of Audit","Written"]
[null,"RHS",null,305,1,305,0.5,152.5,30,3825]
[null,"RUS"]
["1942.17(q)(2)(ii)(A); 3570.83","Governing body members and terms of office","Written"]
[{"$nulls":5},0,null,0,null,0]
[null,"RHS",null,305,1,305,0.5,152.5,30,4575]
[]
["RECORDKEEPING REQUIREMENTS"]
[]
["1942.17(q)(1)(iv)","Borrower shall maintain accounting records for 3 years",null,null,null,3231,0.25,808,30,20200]
[]
[" "]
["TOTAL",{"$nulls":4},29259,null,57177.485,null,1708784.55]
[]
["REPORTING REQUIREMENTS - FORMS APPROVED UNDER OTHER OMB NUMBERS"]
[]
["1942.17(j)(4)(i)(B)","Preliminary Title Opinion","1927-9 (0575-0147)"]
[null,"Cleared under docket","(0575-0147)",null,null,0,null,0,null,0]
[null,"RHS",null,1450,2,2900,1.5,4350,30,130500]
["1942.17(j)(4)(i)(B)","Final Title Opinion","1927-10 (0575-0147)"]
[null,"Cleared under docket","(0575-0147)",null,null,0,null,0,25,0]
[null,"RHS",null,1450,2,2900,0.33,957,30,28710]
["1942.17(p)(5) & Guide 18","Partial Payment Estimate","1924-18 (0575-0042)"]
[null,"Cleared under docket",null,null,null,0,null,0,25,0]
[null,"RHS",null,2475,2,4950,0.5,2475,30,74250]
["1942.18(o)(7)(ii) & Guide 18","Contract Change Order","1924-7 (0575-0042)"]
[null,"Cleared under docket",null,null,null,0,null,0,25,0]
[null,"RHS",null,1897,1,1897,0.25,474.25,30,19525]
["1942.2(b)","Request for Environmental Information","1940-20 (0575-0094)"]
[null,"Cleared under docket",null,null,null,0,null,0,25,0]
[null,"RHS",null,1450,1,1450,0.25,362.5,30,10875]
["1942.17(n)(2)(x)","Equal Opportunity Agreement","400-1 (0575-0018)"]
[null,"Cleared under docket",null,null,null,0,null,0,25,0]
[null,"RHS",null,1450,1,1450,0.167,242.15,30,4125]
["1942.17(n)(2)(x)","Assurance Agreement"," 400-4 (0575-0018)"]
[null,"Cleared under docket",null,null,null,0,null,0,25,0]
[null,"RHS",null,1450,1,1450,0.25,362.5,30,19525]
["1942.2(c)(2)","Application for Federal Assistance (For Construction)","SF 424.2 (0348-0043)"]
[null,"Cleared under docket",null,null,null,0,null,0,25,0]
[{"$nulls":5},0,null,0,25,0]
[null,"RHS",null,1450,1,1450,0.75,1087.5,30,3275]

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