spreadsheet

				Reports	Total Annual	Est. No. of	Est. Total	Wages	Cost to the
		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
	RHS		750	1	750	5	3,750	30	$112,500
	RUS		1,000	1	1,000	5	5,000	30	$150,000
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
	RHS		500	1	500	1	500	30	$15,000
	RUS		1,000	0	0	1	0	30	$0
1780.29(b)(1), 1942.17(l)(i)	Agreement for Engineering Services	1942-19
	RHS		200	1	200	4	800	30	$24,000
	RUS		1,000	1	1,000	4	4,000	30	$120,000
1780.29(f); Guide 16 of 1942-A; 3570.61(e)	Resolution of Members or Stockholders	1942-8
	RHS		75	1	75	1	75	30	$2,250
	RUS		200	1	200	1	200	30	$6,000
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
	RHS		450	1	450	1	450	30	$13,500
	RUS		1,000	1	1,000	1	1,000	30	$30,000
1942.17(j)(4)(i)(A); 3570.76	Right-of-Way Easement	442-20
	RHS		250	1	250	1	250	30	$7,500
	RUS
1942.17(j)(4)(i); 3570.76	Right-of-Way Certificate	442-21
	RHS		250	1	250	1	250	30	$7,500
	RUS
1780.34(g)(1)(ii); 1942.17(j)(4)(i); 3570.76	Opinion of Counsel Relative to Rights-of-Way	442-22
	RHS		200	1	200	1	200	30	$6,000
	RUS		1,000	1	1,000	1	1,000	30	$30,000
1780.35(a)(2); 1942.17(n)(2)	Loan Resolution (Public Bodies)	1942-47
	RHS		150	1	150	1	150	30	$4,500
	RUS
1780.35(a)(2), 1942.17(n)(2)	Loan Resolution Security Agreement	1942-9
	RHS		300	1	300	1	300	30	$9,000
	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
	RHS		550	3	1,650	1	1,650	30	$49,500
	RUS		900	1	900	1	900	30	$27,000
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
	RHS		650	1	650	2.5	1,625	30	$48,750
	RUS		1,000	1	1,000	2.5	2,500	30	$75,000
1780.62; 1942.18(f)	Water Purchase Contract	442-30
	RHS
	RUS		200	1	200	1	200	30	$6,000
1942.8(d)	Bond Registration Book	442-28
	RHS		130	1	130	1	130	30	$3,900
	RUS
1942.17(j)(3)(ii)(B)	Position Fidelity Schedule Bond Declarations	440-24	736	1	736	0.5	368	30	$11,040
REPORTING REQUIREMENTS - NO FORMS
1942.17(c)(2)(vii)	Application to Obtain Additional Funding	Written
	RHS		30	1	30	4	120	30	$3,600
	RUS
1942.17(b)(3); 3570.61(c)	Statement on ability to obtain credit elsewhere	Written
	RHS		600	1	600	1	600	30	$18,000
	RUS
1942.17(e)	Notification of declination of service	Written
	RHS		12	1	12	3	36	30	$1,080
	RUS
1942.17(g)(2)(iii)(A); 3570.80	Liens on real and chattel property	Written
	RHS		55	1	55	1	55	30	$1,650
	RUS
1942.17(g)(3)(i)(B)	Financing Statement	Written
	RHS		260	1	260	1	260	30	$7,800
	RUS
1942.17(j)(9); 3570.71	Public Information	Written
	RHS		650	1	650	2	1,300	30	$39,000
	RUS
1942.5(b)(1)(ii)(D) and Guides 6-10; 3570.65	Preliminary Architectural or Engineering Report	Written
	RHS		350	1	350	4	1,400	30	$42,000
	RUS
1942.17(l)(1); 3570.71	Agreement for professional services	Written
	RHS		400	1	400	4	1,600	30	$48,000
	RUS
1942.17(h)(2)(iii)	Positive programs to encourage connections	Written
	RHS		12	1	12	3	36	30	$1,080
	RUS
1942.17(n)(3)	Interim financing	Written
	RHS		1,250	1	1,250	4	5,000	30	$150,000
	RUS
1942.17(j)(3)(iii)(A)	Property insurance	Written
	RHS		450	1	450	1	450	30	$13,500
	RUS
1942.17(j)(3)(iii)(B)	Liability and Property Damage Insurance	Written
	RHS		420	1	420	1	420	30	$12,600
	RUS
1942.17(j)(3)(iii)(D)	Flood Insurance	Written
	RHS		45	1	45	1	45	30	$1,350
	RUS
1942.17(j)(3)(iii)(E)	Workman's compensation insurance	Written
	RHS		325	1	325	0.5	163	30	$4,075
	RUS
1942.17(n)(6); 3570.80	Evidence of Disbursement of other funds	Written
	RHS		215	1	215	1	215	30	$6,450
	RUS
1942.17(j)(4)(ii)	Acquistion of Land, Easement, Water Rights & Existing Facilities	Written
	RHS		325	1	325	3	975	30	$29,250
	RUS
1942.3; 3570.65	Appraisal Report	Written
	RHS		400	1	400	2	800	30	$24,000
	RUS
1942.5(b)(1)(ii)(I); 3570.70	Lease/Management agreement	Written
	RHS		40	1	40	5	200	30	$6,000
	RUS
1942.17(g)(2)	Notes, bonds, warrants or other contractural obligations	Written
	RHS		335	1	335	5	1,675	30	$50,250
	RUS
1942.18(e) & Guides 17 thru 19; 3570.76	Construction contract forms	Written
	RHS		335	1	335	1	335	30	$10,050
	RUS
1942.8(g); 3570.80	Certification by borrower's attorney	Written
	RHS		335	1	335	15	5,025	30	$150,750
	RUS
1942.18(m); 3570.76	Contracts awarded prior to application	Written
	RHS		20	1	20	2	40	30	$1,200
	RUS
1942.18(o)(3); 3570.76	Resident Inspector resume	Written
	RHS		235	1	235	0.5	118	30	$2,950
	RUS
1942.18(o)(4); 3570.76	Daily inspection report	Written
	RHS		110	12	1,320	0.5	660	30	$19,800
	RUS
1942.5(b)(1)(ii)(G)	Evidence that facility cannot be provided by a public body	Written
	RHS		175	1	175	1	175	30	$5,250
	RUS
1942.5(b)(1)(ii)(H); 3570.65	Financial feasibility report	Written
	RHS		435	1	435	4	1,740	30	$52,200
	RUS
1942.17(b)(4); 3570.65	Organizational documents	Written
	RHS		550	1	550	1	550	30	$16,500
	RUS
1942.5(a)(1)(ii), 1942.17(f)(1)	Borrower request to choose interest rate	Written
	RHS		455	1	455	0.167	76	30	$2,280
	RUS
1942.5(b)(1)(ii)(F)	Five Year Financial History	Written
	RHS		220	1	220	1	220	30	$6,600
	RUS
1942.17(g)(2)(iii)(A)(9)(ii)	Exceptional Community Support and Documentation	Written
	RHS		150	1	150	4	600	30	$18,000
	RUS
1942.17(g)(3)(i)(D)	Other Security	Written
	RHS		175	1	175	1	175	30	$5,250
	RUS
1942.17(j)(3)(iii)(C)	Malpractice Insurance	Written
	RHS		155	1	155	0.5	78	30	$1,950
	RUS
1942.17(j)(4)(iii)	Land Purchase Contract	Written
	RHS		65	1	65	2	130	30	$3,900
	RUS
1942.17(j)(8)	Certificate of Need	Written
	RHS		45	1	45	1	45	30	$1,350
	RUS
1942.17(k); 3570.70	Certification of appropriate regulatory agencies	Written
	RHS		150	1	150	4	600	30	$18,000
	RUS
1942.17(r)(1)(ii)(B) & Guide 22	Positive Action Plan	Written
	RHS		48	1	48	2	96	30	$2,880
	RUS
1942.17(q)(4); 3570.83	Audits	Written
	RHS		550	1	550	3	1,650	30	$49,500
	RUS
1942.17(q)(4)(ii)	Financial Statements - borrowers under $100,000 gross income	Written
	RHS		560	1	560	4	2,240	30	$67,200
	RUS
1942.18(j)(5)(iv)	Utilization of small business & minority owned business	Written
	RHS		100	1	100	0.5	50	30	$1,500
	RUS
1942.18(k)(5); 3570.75	Procurement when other than bid or negotiation is used	Written
	RHS		60	1	60	1	60	30	$1,800
	RUS
1942.18(l); 3570.76	Unconventional contracting methods	Written
	RHS		60	1	60	5	300	30	$9,000
	RUS
1942.2(a)(1)(iii); 3570.65(a)(1)	State clearinghouse review	Written
	RHS		455	1	455	1	455	30	$13,650
	RUS
1942.17(q)(1)(ii)	Approval of Audit	Written
	RHS		305	1	305	0.5	153	30	$3,825
	RUS
1942.17(q)(2)(ii)(A); 3570.83	Governing body members and terms of office	Written
	RHS		305	1	305	0.5	153	30	$4,575
RECORDKEEPING REQUIREMENTS
1942.17(q)(1)(iv)	Borrower shall maintain accounting records for 3 years				3,231	0.25	808	30	$20,200
TOTAL					29,259		57,177		$1,708,785
REPORTING REQUIREMENTS - FORMS APPROVED UNDER OTHER OMB NUMBERS
1942.17(j)(4)(i)(B)	Preliminary Title Opinion	1927-9 (0575-0147)
	RHS		1,450	2	2,900	1.5	4,350	30	$130,500
1942.17(j)(4)(i)(B)	Final Title Opinion	1927-10 (0575-0147)
	RHS		1,450	2	2,900	0.33	957	30	$28,710
1942.17(p)(5) & Guide 18	Partial Payment Estimate	1924-18 (0575-0042)
	RHS		2,475	2	4,950	0.5	2,475	30	$74,250
1942.18(o)(7)(ii) & Guide 18	Contract Change Order	1924-7 (0575-0042)
	RHS		1,897	1	1,897	0.25	474	30	$19,525
1942.2(b)	Request for Environmental Information	1940-20 (0575-0094)
	RHS		1,450	1	1,450	0.25	363	30	$10,875
1942.17(n)(2)(x)	Equal Opportunity Agreement	400-1 (0575-0018)
	RHS		1,450	1	1,450	0.167	242	30	$4,125
1942.17(n)(2)(x)	Assurance Agreement	400-4 (0575-0018)
	RHS		1,450	1	1,450	0.25	363	30	$19,525
1942.2(c)(2)	Application for Federal Assistance (For Construction)	SF 424.2 (0348-0043)
	RHS		1,450	1	1,450	0.75	1,088	30	$3,275