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["                                                                    USDA - RUS",null,"Title  of  Information  Document",{"$nulls":5},"OMB  No."]
[null,null," "," ",{"$nulls":5},"0572-0110"]
[" SUMMARY  OF  INFORMATION  COLLECTION",null,"7 CFR 1778 Emergency and Imminent Community Water   ",{"$nulls":5},"Date  Prepared"]
[null,null,null,"Assistance Grants",{"$nulls":5},"2018-11-19"]
[" 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",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS",null,null,null,"RECORDS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL","NO.  OF","ANNUAL","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS","RECORD-","HOURS  PER","RECORD-"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)","KEEPERS","RECORD-","KEEPING"]
[{"$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)"]
[]
["1778.1 (a)","Relationship or association with RUS employees ","FmHA 1900-D",52,1,52,0.25,13," "," "," "]
[]
["1778.6 (b)","Evidence that imminent threat is likely to occur within one year; or, documentaion that significant event occurred within 2 years","written",52,1,52,2,104]
[]
[1778.7,"Supporting Documentation (organizational, financial, insurance)","written",52,1,52,2,104]
[]
["1778.10 (a) (2)","Documentation of Income Survey","written",5,1,5,8,40]
[]
["1778.14 (b)","Environmental Report","written",52,1,52,24,1248]
[]
["1778.14 (f)","Intergovernmental comments","written",10,1,10,1,10]
[]
["1778.14 (g)","Cert. for Contracts, Grants, and Loans (Regarding Lobbying)","RD 1940-Q",52,1,52,0.25,13]
[]
["1778.21 (a)","Preliminary engineering report","written",52,1,52,24,1248]
[]
[1778.22,"Cert. from the State agency or the EPA confirming conformance with SWDA","written",52,1,52,2,104]
[]
["1778.23 (b)","Grant Agreement","RUS Bulletin 1780-12",40,1,40,1,40]
[]
[]
[null,"SUBTOTAL ",null,419,null,419,null,2924,0," ",0]
[null,"TOTAL OF ALL PAGES",null,419,null,419,null,2924,0,null,0]
[]
[]
[]
[null,"FORMS APPROVED UNDER OTHER OMB NUMBERS"]
[]
["1778.14 (a)","Initial Compliance Review","RD 400-8",41,1,41,8,328]
[null,null,"(0575-0018)"]
[]
["1778.14 (e )","Certification Regarding Debarment","AD-1047 &",41,1,41,0.25,10.25]
[null,null,"AD-1048"]
[null,null,"(0505-0027)"]
[]
["1778.14 (i)","Certification Regarding Drug-Free Workplace","AD-1049",41,1,41,0.25,10.25]
[null,null,"(0505-0027)"]
[]
[{"$nulls":5}," "]
[null,"SUBTOTAL",null,123,null,123,null,348.5]
[null,"Total of all Pages",null,123,null,123,null,348.5," "," "," "]
[" RUS  Form  36   (07-91)",{"$nulls":8},"Page __1__  of __1__"]

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