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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-NEW"]
[" SUMMARY  OF  INFORMATION  COLLECTION",{"$nulls":7},"Date  Prepared"]
[{"$nulls":8},"Aug. 2015"]
[" 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,"Burden Approved under this Package"]
[1784.17]
["1784.18(a)","Application for Federal Assistance ","SF 424",25,1,25,1,25]
["1784.19(a)(1)",null,"(4040-0004)"]
[]
["1784.19(a)(2)","Preliminary Engineering Report","Written",25,1,25,4,100]
[]
["1784.21(b)(3)","Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions","AD-1047",25,1,25,0.25,6.25]
[]
["1784.21(b)(4)","Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Transaction.”  ","AD-1048",25,1,25,0.25,6.25]
[]
["1784.21(b)(5)","Certification Regarding Drug-Free Workplace","AD-1049",25,1,25,0.25,6.25]
[]
["1784.21(b)(8)","Certification for Contracts, Grants and Loans Regarding Lobbying","RD Instr. 1940-Q, Exhibit A-1",25,1,25,0.25,6.25]
[]
["1784.21(b)(1)","Equal Opportunity Agreement","RD 400-1",25,1,25,0.08,2]
[null,null,"(0575-0018)"]
[]
["1784.21(b)(9)","Certification Regarding Prohibited Tying Arrangements","Written",25,1,25,0.25,6.25]
[]
["1784.19(a)(5)","Business Plan","Written",15,1,15,4,60]
[]
[1784.19,"Land Surveyors Certification and Opinion of Right of Way","Written",15,1,15,1,15]
[]
["1784.27(a)","Grant Agreement - (The two grant agreements specific to RAVG program participants and the associated burden are included)..","RUS Bulletin 1780-12; RAVG (0572-0121)",15,1,15,1,15]
[]
[1784.28,"Audits ","Written",15,1,15,8,120]
[]
[]
["1784.21(b)(2)","Assurance Agreement","RD 400-4",25,1,25,0.25,6.25]
[null,null,"(0575-0018)"]
[]
["1784.(36)(b)","Approved Contract Documents","Written",15,1,15,4,60]
[]
[]
["1784.21(e)","Letter of Intent to Meet Conditions","RD 1942-46",15,1,15,1,15]
[null,null,"(0575-0015)"]
[]
[1784.19,"Opinion of Counsel Relative to Right-of-Way & Easements","RD 442-22",15,1,15,1,15]
[null,null,"(0575-0015)"]
[]
["1784.21(b)(6)","Civil Rights Compliance Assurance ","Written",15,1,15,0.25,4]
[]
[]
[null,"Burden hours associated with THIS package",null,null,null,345,null,468.5,null,null,"Page 1"]
[]
[null,"FORMS APPROVED UNDER OTHER OMB NUMBERS"]
[]
["1784.18(a)","Budget Information - Non-construction Programs","SF 424A",25,1,25,1,25]
[null,null,"(0348-0044)"]
[]
["1784.18(a)","Assurances - Non-construction Programs","SF 424B (0348-0040)",15,1,15,0.25,3.75]
[]
[]
["1784.19(a)(1)","Budget Information - Construction Programs","SF 424C",25,1,25,1,25]
[null,null,"(4040-0008)"]
[]
["1784.19(a)(1)","Assurances - Construction Programs","SF 424D",15,1,15,0.25,4]
[null,null,"(4040-0009)"]
[]
["1784.21(b)(7)","Disclosure of Lobbying Acitivities","SF LLL",15,1,15,0.25,3.75]
[]
["1784.21(b)(6)","Compliance Assurance","RUS Form 266 (0572-0032)",15,1,15,0.5,7.5]
[]
[]
[null,"Total burden associated with OTHER packages",null,null,null,110,null,69,null,null,"Page 2"]
[null,"Total burden hours associated with THIS package",null,null,null,345,null,468.5,null,null,"Page 1"]
[null,"COMBINED burden associated with this package ",null,null,null,455,null,537.5]
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