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
1780.33(h)(1); 1942.5(b)(1)(ii)(C); 1951.222(c)(3); 3570.71(h)	Operating Budget	442-7
	RHS		700	1	700	5	3,500	51	$178,500
	RUS		1,000	1	1,000	5	5,000	51	$255,000
1780.41(a)(3); 1942.5(b)(1)(ii)(E); 1951.230(a)(9);1955.10(f)(3)(i); & 3570.82	Balance Sheet or Financial Statement	442-3							$0
	RHS		450	1	450	1	450	51	$22,950
	RUS		1,000	1	1,000	1	1,000	51	$51,000
1780.29(b)(1); 1942.17(l)(i)	Agreement for Engineering Services	1942-19							$0
	RHS		185	1	185	4	740	51	$37,740
	RUS		1,000	1	1,000	4	4,000	51	$204,000
1780.39(f); Guide 16 of 1942-A; 3570.61(e)	Resolution of Members or Stockholders	1942-8							$0
	RHS		67	1	67	1	67	51	$3,417
	RUS		200	1	200	1	200	51	$10,200
1780.41(a)(6); 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							$0
	RHS		430	1	430	1	430	51	$21,930
	RBS (Small Socially Disadvantaged Producer Grant Program)		10	1	10	1	10	51	$510
	RUS		1,000	1	1,000	1	1,000	51	$51,000
1942.17(j)(4)(i)(A); 3570.76	Right-of-Way Easement	442-20							$0
	RHS		225	1	225	1	225	51	$11,475
1942.17(j)(4)(i); 3570.76	Right-of-Way Certificate	442-21
	RHS		225	1	225	1	225	51	$11,475
1780.44(g)(1)(i), 1942.17(j)(4)(i); 3570.76	Opinion of Counsel Relative to Rights-of-Way	442-22
	RHS		185	1	185	1	185	51	$9,435
	RUS		1,000	1	1,000	1	1,000	51	$51,000
1942.17(n)(2)	Loan Resolution (Public Bodies)	1942-47
	RHS		140	1	140	1	140	51	$7,140
1942.17(n)(2)	Loan Resolution Security Agreement	1942-9
	RHS		285	1	285	1	285	51	$14,535
1780.45(b)(1)(ii); 1942.17(p)(2)(ii); 1944.235(c)	Estimate of Funds Needed for 30-Day Period Commencing ____"	440-11
	RHS		540	3	1,620	1	1,620	51	$82,620
	RUS		900	1	900	1	900	51	$45,900
	Promissory Note	440-22
	RHS		475	2	950	0.25	238	51	$12,113
	RUS		1,000	1	1,000	0.25	250	51	$12,750
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		605	1	605	2.5	1,513	51	$77,138
	RUS		1,000	1	1,000	2.5	2,500	51	$127,500
1942.18(f)	Water Purchase Contract	442-30
	RUS		200	1	200	1	200	51	$10,200
1942.8(d)	Bond Registration Book	442-28
	RHS		130	1	130	1	130	51	$6,630
1942.17(j)(3)(ii)(B)	Position Fidelity Schedule Bond Declarations	440-24	720	1	720	0.5	360	51	$18,360
REPORTING REQUIREMENTS - NO FORMS
1942.17(c)(2)(vii)	Application to Obtain Additional Funding	Written
	RHS		26	1	26	4	104	51	$5,304
1942.17(b)(3); 3570.61(c)	Statement on ability to obtain credit elsewhere	Written
	RHS		575	1	575	1	575	51	$29,325
1942.17(e)	Notification of declination of service	Written
	RHS		8	1	8	3	24	51	$1,224
1942.17(g)(2)(iii)(A); 3570.80	Liens on real and chattel property	Written
	RHS		45	1	45	1	45	51	$2,295
1942.17(g)(3)(i)(B)	Financing Statement	Written
	RHS		245	1	245	1	245	51	$12,495
1942.17(j)(9); 3570.71	Public Information	Written
	RHS		615	1	615	2	1,230	51	$62,730
1942.5(b)(1)(ii)(D) and Guides 6-10; 3570.65	Preliminary Architectural or Engineering Report	Written
	RHS		315	1	315	4	1,260	51	$64,260
1942.17(l)(1); 3570.71	Agreement for professional services	Written
	RHS		375	1	375	4	1,500	51	$76,500
1942.17(h)(2)(iii)	Positive programs to encourage connections	Written
	RHS		8	1	8	3	24	51	$1,224
1942.17(n)(3)	Interim financing	Written
	RHS		1,175	1	1,175	4	4,700	51	$239,700
1942.17(j)(3)(iii)(A)	Property insurance	Written
	RHS		430	1	430	1	430	51	$21,930
1942.17(j)(3)(iii)(B)	Liability and Property Damage Insurance	Written
	RHS		405	1	405	1	405	51	$20,655
1942.17(j)(3)(iii)(D)	Flood Insurance	Written
	RHS		42	1	42	1	42	51	$2,142
1942.17(j)(3)(iii)(E)	Workman's compensation insurance	Written
	RHS		300	1	300	0.5	150	51	$7,650
1942.17(n)(6); 3570.80	Evidence of Disbursement of other funds	Written
	RHS		200	1	200	1	200	51	$10,200
1942.17(j)(4)(ii)	Acquistion of Land, Easement, Water Rights & Existing Facilities	Written
	RHS		300	1	300	3	900	51	$45,900
1942.3; 3570.65	Appraisal Report	Written
	RHS		375	1	375	2	750	51	$38,250
1942.5(b)(1)(ii)(I); 3570.70	Lease/Management agreement	Written
	RHS		37	1	37	5	185	51	$9,435
1942.17(g)(2)	Notes, bonds, warrants or other contractural obligations	Written
	RHS		305	1	305	5	1,525	51	$77,775
1942.18(e) & Guides 17 thru 19; 3570.76	Construction contract forms	Written
	RHS		305	1	305	1	305	51	$15,555
1942.8(g); 3570.80	Certification by borrower's attorney	Written
	RHS		305	1	305	15	4,575	51	$233,325
1942.18(m); 3570.76	Contracts awarded prior to application	Written
	RHS		18	1	18	2	36	51	$1,836
1942.18(o)(3); 3570.76	Resident Inspector resume	Written
	RHS		225	1	225	0.5	113	51	$5,738
1942.18(o)(4); 3570.76	Daily inspection report	Written
	RHS		100	12	1,200	0.5	600	51	$30,600
1942.5(b)(1)(ii)(G)	Evidence that facility cannot be provided by a public body	Written
	RHS		165	1	165	1	165	51	$8,415
1942.5(b)(1)(ii)(H); 3570.65	Financial feasibility report	Written
	RHS		410	1	410	4	1,640	51	$83,640
1942.17(b)(4); 3570.65	Organizational documents	Written
	RHS		520	1	520	1	520	51	$26,520
1942.5(a)(1)(ii), 1942.17(f)(1)	Borrower request to choose interest rate	Written
	RHS		425	1	425	0.167	71	51	$3,620
1942.5(b)(1)(ii)(F)	Five Year Financial History	Written
	RHS		200	1	200	1	200	51	$10,200
1942.17(g)(2)(iii)(A)(9)(ii)	Exceptional Community Support and Documentation	Written
	RHS		145	1	145	4	580	51	$29,580
1942.17(g)(3)(i)(D)	Other Security	Written
	RHS		165	1	165	1	165	51	$8,415
1942.17(j)(3)(iii)(C)	Malpractice Insurance	Written
	RHS		152	1	152	0.5	76	51	$3,876
1942.17(j)(4)(iii)	Land Purchase Contract	Written
	RHS		60	1	60	2	120	51	$6,120
1942.17(j)(8)	Certificate of Need	Written
	RHS		40	1	40	1	40	51	$2,040
1942.17(k); 3570.70	Certification of appropriate regulatory agencies	Written
	RHS		145	1	145	4	580	51	$29,580
1942.17(r)(1)(ii)(B) & Guide 22	Positive Action Plan	Written
	RHS		40	1	40	2	80	51	$4,080
1942.17(q)(4); 3570.83	Audits	Written
	RHS		520	1	520	3	1,560	51	$79,560
1942.17(q)(4)(ii)	Financial Statements - borrowers under $100,000 gross income	Written
	RHS		525	1	525	4	2,100	51	$107,100
1942.18(j)(5)(iv)	Utilization of small business & minority owned business	Written
	RHS		85	1	85	0.5	43	51	$2,168
1942.18(k)(5); 3570.75	Procurement when other than bid or negotiation is used	Written
	RHS		58	1	58	1	58	51	$2,958
1942.18(l); 3570.76	Unconventional contracting methods	Written
	RHS		58	1	58	5	290	51	$14,790
1942.2(a)(1)(iii); 3570.65(a)(1)	State clearinghouse review	Written
	RHS		435	1	435	1	435	51	$22,185
1942.17(q)(1)(ii)	Approval of Audit	Written
	RHS		285	1	285	0.5	143	51	$7,268
1942.17(q)(2)(ii)(A); 3570.83	Governing body members and terms of office	Written
	RHS		285	1	285	0.5	143	51	$7,268
RECORDKEEPING REQUIREMENTS
1942.17(q)(1)(iv)	Borrower shall maintain accounting records for 3 years		3,231			0.25	808	51	$41,195
TOTAL					27,779		55,905		$2,851,141
REPORTING REQUIREMENTS - FORMS APPROVED UNDER OTHER OMB NUMBERS
1942.17(j)(4)(i)(B)	Preliminary Title Opinion	1927-9 (0575-0147)
	RHS		1,385	2	2,770	1.5	4,155	51	$211,905
1942.17(j)(4)(i)(B)	Final Title Opinion	1927-10 (0575-0147)
	RHS		1,385	2	11,000	0.33	3,630	51	$185,130
1942.17(p)(5) & Guide 18	Partial Payment Estimate	1924-18 (0575-0042)
	RHS		2,400	2	4,800	0.5	2,400	51	$122,400
1942.18(o)(7)(ii) & Guide 18	Contract Change Order	1924-7 (0575-0042)
	RHS		1,875	1	1,875	0.25	469	51	$23,906
1942.2(b)	Request for Environmental Information	1940-20 (0575-0094)
	RHS		1,385	1	1,385	0.25	346	51	$17,659
1942.17(n)(2)(x)	Equal Opportunity Agreement	400-1 (0575-0018)
	RHS		1,385	1	1,385	0.167	231	51	$11,796
1942.17(n)(2)(x)	Assurance Agreement	400-4 (0575-0018)
	RHS		1,385	1	1,385	0.25	346	51	$17,659
1942.2(c)(2)	Application for Federal Assistance (For Construction)	SF 424.2 (4040-0004)
	RHS		1,385	1	1,385	0.75	1,039	51	$52,976