| INSTRUCTIONS:  Use this form when a single information collection document involves multiple reporting and recordkeeping requirements.  The totals of the figures in cols. should be entered in item 13 of OMB-83-I:                  cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b;         cols. H & K = 13c.                                                                                                                                                                                                                                                                                                       (F)Total/(D)Total = (E)Average     (H)Total/(F)Total = (G)Average     (K)Total/(I)Total = (J)Average NOTE:  The columns will calculate automatically.  If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
 
 | TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | 
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 | 0578-XXXX | 
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		| UAIP Planning and Implementation Grants | 
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		| DATE PREPARED | 
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		| March 8, 2022 | 
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		| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | 
 | ANNUAL BURDEN | 
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 | REPORTS | 
 | RECORDS | RESPONDENT COST | 
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 | TOTAL BURDEN HOURS | 
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 | TOTAL | 
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 | FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | (Col. F x G) | NO. OF | ANNUAL | RECORD- | COST | TOTAL | 
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		| SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | (H) | RECORD- | HOURS PER | KEEPING HOURS | PER | COST | Notes | 
	
		| REGS. | 
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 | so state) | 
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 | KEEPERS | RECORD- | (Col. I x J) | HOUR | (Col. H x L) | 
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 | RESPONDENT | 
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 | EXEMPT | NON-EXEMPT | 
 | KEEPER | 
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		| (A) | (B) | (C) | (D) | (E) | (F) | (G) | 
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 | (I) | (J) | (K) | (L) | (M) | 
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 | Progress Reports | None | 138 | 1 | 138 | 17.00 | 
 | 2,346 | 
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Comment:
    Revised number to reflect number provided in supporting document template.
		$53.71 | 126,004 | 
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 | Project Summary | None | 426 | 1 | 426 | 10.00 | 
 | 4,260 | 
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 | $53.71 | 228,805 | Changes made to this row: adjusted number respondents column to reflect total applicants rather than recipients | 
	
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 | Negotiaged Indirect Rate Cost Agreement -NICRA/De Minimus – an applicant with an existing NICRA would not need to negotiate a new one, merely submit their existing one.  An applicant claiming indirect costs who does not have a NICRA may need to sign a statement confirming they will use the de minimus rate (last I heard from GAD they were still considering waiving this and simply assuming the de minimus was in effect) | None | 195 | 1 | 195 | 0.50 | 
 | 98 | 
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 | $53.71 | 5,237 | 
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 | Notification of Award (signature only) | NRCS-ADS-093 | 138 | 1 | 138 | 0.50 | 
 | 69 | 
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 | $53.71 | 3,706 | The Notice of Award (NOA was not originally included in the previous submission. | 
	
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 | Request for Advance or Reimbursement (OMB # 4040-0012) * | SF-270 | 138 | 4 | 552 | 1.00 | 552 | 
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 | Application for Federal Assistance** (OMB #4040-0020) * | SF-424 | 426 | 1 | 426 | 16.00 | 6,816 | 
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 | Budget Information for Non-Construction*** (4040-0006) * | SF-424A | 426 | 1 | 426 | 1.00 | 426 | 
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 | Federal Financial Report*** (OMB # 4040-0014) * | SF-425/SF-425A | 138 | 1 | 138 | 4.00 | 552 | 
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 | Certificate Regarding Lobbying (OMB # 4040-0013) * | None | 426 | 1 | 426 | 0.50 | 213 | 
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 | Disclosure of Lobbying Activities  (OMB # 4040-0013) * | SF-LLL | 5 | 1 | 5 | 1.00 | 5 | 
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 | * RCF | 
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 | SUBTOTAL | 
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 | 2,870 | 
 | 8,564 | 6,773 | 
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 | 0.00 | 
 | $363,750.98 | 
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 | TOTAL OF ALL PAGES | 
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 | 2,870 | 
 | 8,564 | 6,773 | 
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 | 0.00 | 
 | $363,750.98 | 
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		| TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c | 
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 | 2,870 | 
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 | 6,773 | 
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 | Updated Subtotal and Total rows to reflect total of "Total Annual Responses" Column | 
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 | Changes made to rows 20-23, cost per hour column. Revised number to reflect number provided in supporting document hourly rate identified in item 12. | 
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