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		620	1	620	5	3,100	69.5	$215,450
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
	RHS		380	1	380	1	380	56	$21,280
1780.29(b)(1); 1942.17(l)(i)	Agreement for Engineering Services	1942-19
	RHS		160	1	160	4	640	56	$35,840
1780.39(f); Guide 16 of 1942-A; 3570.61(e)	Resolution of Members or Stockholders	1942-8
	RHS		57	1	57	1	57	56	$3,192
1780.41(a)(6); 1942.5(a)(1)(ii); 1952.230(f)(2); 4274.350; 1942.315(b); 4284.638(c); 3570.71	Letter of Intent to Meet Conditions	1942-46
	RHS		375	1	375	1	375	69.5	$26,063
	RBS (Small Socially Disadvantaged Producer Grant Program)		15	1	15	1	15	69.5	$1,043
1942.17(j)(4)(i)(A); 3570.76	Right-of-Way Easement	442-20
	RHS		190	1	190	1	190	56	$10,640
1942.17(j)(4)(i); 3570.76	Right-of-Way Certificate	442-21
	RHS		190	1	190	1	190	56	$10,640
1780.44(g)(1)(i), 1942.17(j)(4)(i); 3570.76	Opinion of Counsel Relative to Rights-of-Way	442-22
	RHS		160	1	160	1	160	56	$8,960
1942.17(n)(2)	Loan Resolution (Public Bodies)	1942-47
	RHS		120	1	120	1	120	56	$6,720
1942.17(n)(2)	Loan Resolution Security Agreement	1942-9
	RHS		240	1	240	1	240	56	$13,440
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		510	3	1,530	1	1,530	83	$126,990
	Promissory Note	440-22
	RHS		405	2	810	0.25	203	56	$11,340
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			0
	RHS		514	1	514	2.5	1,285	56	$71,960
1942.8(d)	Bond Registration Book	442-28			0
	RHS		110	1	110	1	110	56	$6,160
1942.17(j)(3)(ii)(B)	Position Fidelity Schedule Bond Declarations	440-24
	RHS		660	1	660	0.5	330	69.5	$22,935
1942.30(e )(1)	Re-lender's Agreement	1942-55
	RHS		10	1	10	1.5	15	83	$1,245
1942.30(e )(2)	Promissory Note	1942-56
	RHS		10	1	10	1	10	83	$830
1942.30(e )(4)	Adequate collateral (Loan Resolution Security Agreement	1942-57
	RHS		10	1	10	0.5	5	83	$415
1942.17(n)(2)(x)	Equal Opportunity Agreement	400-1
	RHS		1,205	1	1,205	0.17	205	69.5	$14,237
1942.17(n)(2)(x)	Assurance Agreement	400-4
	RHS		1,205	1	1,205	0.25	301	69.5	$20,937
	Certification Regarding Debarment, Suspension & Other Responsibility Matters-Primary Covered Transactions	AD 1047
	RHS		20	1	20	0.25	5	83	$415
1942.17(j)(4)(i)(B)	Preliminary Title Opinion	1927-9
	RHS		1,185	2	2,370	1.5	3,555	56	$199,080
1942.17(j)(4)(i)(B)	Final Title Opinion	1927-10
	RHS		1,185	2	2,370	0.33	782	56	$43,798
1942.17(p)(5) & Guide 18	Partial Payment Estimate	1924-18
	RHS		2,060	2	4,120	0.5	2,060	56	$115,360
1942.18(o)(7)(ii) & Guide 18	Contract Change Order	1924-7
	RHS		1,605	1	1,605	0.25	401	56	$22,470
	Deposit Agreement	402-1
	RHS		10	1	10	0.25	3	69.5	$174
	Representations Regarding Felony Convictions and Tax Deliquency Status for Corporate Applicants	AD 3030
	RHS		20	1	20	0.25	5	83	$415
	Assurances Regarding Felony Convictions and Tax Delinquency Status for Corporate Appliants	AD 3031
	RHS		20	1	20	0.05	1	83	$83
Subtotal					19,106		16,272		1,012,110
REPORTING REQUIREMENTS - NO FORMS
1942.17(c)(2)(vii)	Application to Obtain Additional Funding	Written
	RHS		24	1	24	4	96	56	$5,376
1942.17(b)(3); 3570.61(c)	Statement on ability to obtain credit elsewhere	Written
	RHS		600	1	600	1	600	56	$33,600
1942.17(e)	Notification of declination of service	Written
	RHS		0	1	0	3	0	56	$0
1942.17(g)(2)(iii)(A); 3570.80	Liens on real and chattel property	Written
	RHS		15	1	15	1	15	56	$840
1942.17(g)(3)(i)(B)	Financing Statement	Written
	RHS		210	1	210	1	210	56	$11,760
1942.17(j)(9); 3570.71	Public Information	Written
	RHS		600	1	600	2	1,200	56	$67,200
1942.5(b)(1)(ii)(D) and Guides 6-10; 3570.65	Preliminary Architectural or Engineering Report	Written
	RHS		270	1	270	4	1,080	56	$60,480
1942.17(l)(1); 3570.71	Agreement for professional services	Written
	RHS		320	1	320	4	1,280	56	$71,680
1942.17(h)(2)(iii)	Positive programs to encourage connections	Written
	RHS		0	1	0	3	0	56	$0
1942.17(n)(3)	Interim financing	Written
	RHS		425	1	425	4	1,700	56	$95,200
1942.17(j)(3)(iii)(A)	Property insurance	Written
	RHS		370	1	370	1	370	56	$20,720
1942.17(j)(3)(iii)(B)	Liability and Property Damage Insurance	Written
	RHS		350	1	350	1	350	56	$19,600
1942.17(j)(3)(iii)(D)	Flood Insurance	Written
	RHS		36	1	36	1	36	56	$2,016
1942.17(j)(3)(iii)(E)	Workman's compensation insurance	Written
	RHS		270	1	270	0.5	135	69.5	$9,383
1942.17(n)(6); 3570.80	Evidence of Disbursement of other funds	Written
	RHS		170	1	170	1	170	56	$9,520
1942.17(j)(4)(ii)	Acquistion of Land, Easement, Water Rights & Existing Facilities	Written
	RHS		260	1	260	3	780	56	$43,680
1942.3; 3570.65	Appraisal Report	Written
	RHS		415	1	415	2	830	56	$46,480
1942.5(b)(1)(ii)(I); 3570.70	Lease/Management agreement	Written
	RHS		60	1	60	5	300	56	$16,800
1942.17(g)(2)	Notes, bonds, warrants or other contractural obligations	Written
	RHS		260	1	260	5	1,300	56	$72,800
1942.18(e) & Guides 17 thru 19; 3570.76	Construction contract forms	Written
	RHS		260	1	260	1	260	56	$14,560
1942.8(g); 3570.80	Certification by borrower's attorney	Written
	RHS		260	1	260	15	3,900	56	$218,400
1942.18(m); 3570.76	Contracts awarded prior to application	Written
	RHS		15	1	15	2	30	56	$1,680
1942.18(o)(3); 3570.76	Resident Inspector resume	Written
	RHS		190	1	190	0.5	95	56	$5,320
1942.18(o)(4); 3570.76	Daily inspection report	Written
	RHS		1,020	12	12,240	0.5	6,120	56	$342,720
1942.5(b)(1)(ii)(G)	Evidence that facility cannot be provided by a public body	Written
	RHS		140	1	140	1	140	56	$7,840
1942.5(b)(1)(ii)(H); 3570.65	Financial feasibility report	Written
	RHS		400	1	400	4	1,600	56	$89,600
1942.17(b)(4); 3570.65	Organizational documents	Written
	RHS		600	1	600	1	600	56	$33,600
1942.5(a)(1)(ii), 1942.17(f)(1)	Borrower request to choose interest rate	Written
	RHS		600	1	600	0.167	100	56	$5,611
1942.5(b)(1)(ii)(F)	Five Year Financial History	Written
	RHS		425	1	425	1	425	56	$23,800
1942.17(g)(2)(iii)(A)(9)(ii)	Exceptional Community Support and Documentation	Written
	RHS		375	1	375	4	1,500	56	$84,000
1942.17(g)(3)(i)(D)	Other Security	Written
	RHS		140	1	140	1	140	56	$7,840
1942.17(j)(3)(iii)(C)	Malpractice Insurance	Written
	RHS		130	1	130	0.5	65	56	$3,640
1942.17(j)(4)(iii)	Land Purchase Contract	Written
	RHS		50	1	50	2	100	56	$5,600
1942.17(j)(8)	Certificate of Need	Written
	RHS		35	1	35	1	35	56	$1,960
1942.17(k); 3570.70	Certification of appropriate regulatory agencies	Written
	RHS		125	1	125	4	500	56	$28,000
1942.17(r)(1)(ii)(B) & Guide 22	Positive Action Plan	Written
	RHS		35	1	35	2	70	56	$3,920
1942.17(q)(4); 3570.83	Audits	Written
	RHS		450	1	450	3	1,350	56	$75,600
1942.17(q)(4)(ii)	Financial Statements - borrowers under $100,000 gross income	Written
	RHS		450	1	450	4	1,800	56	$100,800
1942.18(j)(5)(iv)	Utilization of small business & minority owned business	Written
	RHS		70	1	70	0.5	35	56	$1,960
1942.18(k)(5); 3570.75	Procurement when other than bid or negotiation is used	Written
	RHS		50	1	50	1	50	56	$2,800
1942.18(l); 3570.76	Unconventional contracting methods	Written
	RHS		50	1	50	5	250	56	$14,000
1942.2(a)(1)(iii); 3570.65(a)(1)	State clearinghouse review	Written
	RHS		370	1	370	1	370	56	$20,720
1942.17(q)(1)(ii)	Approval of Audit	Written
	RHS		245	1	245	0.5	123	56	$6,860
1942.17(q)(2)(ii)(A); 3570.83	Governing body members and terms of office	Written
	RHS		245	1	245	0.5	123	56	$6,860
1942.30(a)	Documentation of Legal Powers	Written
	RHS		20	1	20	0.5	10	83	830
1942.30(a)	Certification of Compliance with Federal, State, and Local Requirements	Written
	RHS		20	1	20	1	20	83	1,660
1942.30(a)	Documentation of Serving Persistent Poverty County(ies) or High Poverty Areas	Written
	RHS		20	1	20	1	20	83	1,660
1942.30(a)	Documentation ("Letter of Intent") from a Financial Institution that an Irrevocable Letter of Credit or similar Performance Guarantee will be issued if re-lender is approved for funding	Written
	RHS		20	1	20	5	100	83	8,300
1942.30(a)	Documentation Regulated and Supervised by a Federal or State Banking Regulatory Agency, Subject to Credit Examination, Not on a Watch List, and No Regulatory Actions Outstanding	Written
	RHS		9	1	9	2	18	83	1,494
1942.30(a)	Documentation of strong Financial Strength and Performance rating	Written
	RHS		4	1	4	5	20	83	1,660
1942.30(a)	Documentation of being a financially sound institution for Agency assessment	Written
	RHS		7	1	7	64	448	83	37,184
1942.30(a)	Documentation of Legal, Non-governmental Status (except for Tribal governments)	Written
	RHS		20	1	20	0.5	10	83	830
1942.30(a)	Documentation of Membership in a National Organization that provides training, technical assistance and credit evaluation or certified by a Government agency as having a primary mission of promoting development in low-income target markets and performs training and technical assistance as part of that mission.	Written
	RHS		20	1	20	2	40	83	3,320
1942.30(a)	Certification to loan a majority of funds to applicants whose projects are located in or serve Persistent Poverty County(ies) or High Poverty Area(s)	Written
	RHS		20	1	20	0.17	3	83	282
1942.30(a)	Multi-tier Action Environmental Compliance Agreement	Writtn
	RHS		20	1	20	0.08	2	83	133
1942.30(a)	Documentation of Assitance Provided to RD Employees	Written
	RHS		20	1	20	0.17	3	83	282
1942.30(a)	Documentation of each evaluation factor	Written
	RHS		20	1	20	2	40	83	3,320
1942.30(e )(3)	Irrevocable Letter of Credit	Written
	RHS		50	1	50	1	50	83	4,150
1942.30(b)	Loan Origination and Servicing - applicant eligibility	Written
	RHS		50	1	50	1.5	75	83	6,225
Subtotal					22,945		31,102		$1,766,986
RECORDKEEPING REQUIREMENTS
1942.17(q)(1)(iv)	Borrower shall maintain accounting records for 3 years	Written	2,769	1	2,769	0.25	692	83	$57,457
	Quarterly Financial Statements	Written	10	4	40	2	80	83	$6,640
	Quarterly Report of Re-rent Loans	Written	10	4	40	1	40	83	$3,320
	Annual Audits	Written	10	1	10	5	50	83	$4,150
	Financial Strength and Performance Rating	Written	10	1	10	5	50	83	$4,150
	Certification of 7CFR 3575.42 & 3575.43	Written	50	1	50	0.25	13	83	$1,038
	Civil Rights Data	Written	10	1	10	1	10	83	$830
	Documentation of providing funds to Persistent Poverty County(ies) and High Poverty Area(s)	Written	10	1	10	1	10	83	$830
Subtotal					2,939		945		78,414
Grand Total					44,990		48,319		$2,857,510.45
REPORTING REQUIREMENTS - FORMS APPROVED UNDER OTHER OMB NUMBERS
1942.2(c)(2)	Application for Federal Assistance (For Construction)	SF-424 (4040-0004)
	RHS		1,205
	Budget Information - Non Construction Programs	SF-424A (4040-0006)
	RHS		20
	Assurances - Non Construction Programs	SF-424B (4040-0007)
	RHS		20
	Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities	SF-LLL (4040-0013)
	RHS		20
	ACH Vendor/Miscellaneous Payment Enrollment Form	SF-3881 (1510-0056)
	RHS		20
	Environmental Policies and Procedures	Written (0575-0197)
	RHS		1185