| OMB Nos. of Approved Packages | Title | Increase in Form Burden | Increase in Written Burden | Increase in Recordkeeping Hours | Total Burden Hours |
| 0572-0121 | Water and Waste Loan and Grant Program | 0 | 94,485 | 560 | 95,045 |
| 0570-0022 | Rural Business Enterprise Grant Program | 15,105 | 19,014 | 2,466 | 36,585 |
| 0575-0173 | Community Facilities Grant Program | 636 | 6,842 | 0 | 7,478 |
| 0575-0015 | Community Facilities Loans | 17,660 | 51,722 | 521 | 69,903 |
| 0575-0172 | Direct Single Family Housing Loan and Grant Programs * | 30,061 | 20,195 | 0 | 50,257 |
| 0575-0120 | Fire and Rescue Loans | 5,485 | 2,027 | 0 | 7,512 |
| 0575-0078 | Rural Housing Loans | 73,253 | 29,117 | 0 | 102,370 |
| 0 | |||||
| Grand Total | 142,200 | 223,402 | 3,547 | 369,150 | |
| *Due to rounding the numbers do not add correctly. This is the correct number. |
| USDA - RUS | Title of Information Document | OMB No. | ||||||||
| RD Consolidated Programs - ARRA Funding | 0575-New | |||||||||
| SUMMARY OF INFORMATION COLLECTION | Water and Waste Loan & Grant Program 7 CFR 1780 | Date Prepared | ||||||||
| 8/11/09 | ||||||||||
| INSTRUCTIONS: | > | (f) TOTAL | (h) TOTAL | (k) TOTAL | ||||||
| Use this form when a single information collection document involves multiple reporting and | > | - | = (e) Average | - | = (g) Average | - | = (j) Average | |||
| recordkeeping requirements. | > | (d) TOTAL | (f) TOTAL | (i) TOTAL | ||||||
| IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS | ANNUAL BURDEN | |||||||||
| FORM | REPORTS | RECORDS | ||||||||
| NO(s) | NO. OF | NO. OF | TOTAL | HOURS | TOTAL | NO. OF | ANNUAL | TOTAL | ||
| SECTION OF | (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 |
| RESPON- | (Col. d & e) | KEEPER | HOURS | |||||||
| DENT | (Col. i & j) | |||||||||
| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (i) | (j) | (k) |
| NON-FORM BURDEN | ||||||||||
| 1780.1(f) | Relationship or association with RUS employees | Written | 1,000 | 1 | 1,000 | 0.25 | 250 | |||
| 1780.7(d) | Statement on availability to obtain credit elsewhere | Written | 1,000 | 1 | 1,000 | 1.00 | 1,000 | |||
| 1780.11(a)(2) | Notification of service statement | Written | 250 | 1 | 250 | 2.00 | 500 | |||
| 1780.14(a)(3) & (b)(2) | Liens on real and chattel property | Written | 167 | 1 | 167 | 1.00 | 167 | |||
| 1780.14(b)(2) | Financing Statement | Written | 250 | 1 | 250 | 1.00 | 250 | |||
| 1780.19 | Public Information | Written | 1,000 | 1 | 1,000 | 2.00 | 2,000 | |||
| 1780.33(b) | Intergovernmental comments | Written | 1,500 | 1 | 1,500 | 1.00 | 1,500 | |||
| 1780.33(c) | Preliminary engineering report | Written | 1,500 | 1 | 1,500 | 4.00 | 6,000 | |||
| 1780.33(e) | Supporting documentation | Written | 1,500 | 1 | 1,500 | 6.00 | 9,000 | |||
| 1780.33(h)(5) | Certification Regarding Debarment | AD-1047 | 1,000 | 1 | 1,000 | 0.25 | 250 | |||
| 1780.33(h)(6) | Certification Regarding Drug-Free Workplace | AD-1049 | 1,000 | 1 | 1,000 | 0.25 | 250 | |||
| SUBTOTAL | 10,167 | 2.08 | 21,167 | |||||||
| TOTAL HOURS THIS COLLECTION | 47,147 | 2.00 | 94,485 | 7,000 | 0.08 | 560 | ||||
| 1780.39(b)(1) and (2) | Agreements for professional services | Written | 1,000 | 1 | 1,000 | 4.00 | 4,000 | |||
| 1780.39(b)(4) | Contracts for other services | Written | 501 | 1 | 501 | 2.00 | 1,002 | |||
| 1780.39(c)(5)(i) | Positive programs to encourage connections | Written | 167 | 1 | 167 | 3.00 | 501 | |||
| 1780.39(c)(3) | User agreement | Written | 89 | 1 | 89 | 4.00 | 356 | |||
| 1780.39(d) | Interim financing | Written | 900 | 1 | 900 | 4.00 | 3,600 | |||
| 1780.39(g)(3) | Fidelity or employee dishonesty Bond | Written | 751 | 1 | 751 | 4.00 | 3,004 | |||
| 1780.39(g)(4) | Property insurance | Written | 751 | 1 | 751 | 1.00 | 751 | |||
| 1780.39(g)(5) | General Liability Insurance | Written | 751 | 1 | 751 | 1.00 | 751 | |||
| 1780.39(g)(6) | Flood Insurance | Written | 89 | 1 | 89 | 1.00 | 89 | |||
| 1780.39(g)7) | Workman's compensation insurance | Written | 751 | 1 | 751 | 0.50 | 376 | |||
| 1780.44(f) | Evidence of other funds | Written | 250 | 1 | 250 | 1.00 | 250 | |||
| 1780.44(g)(3) | Water rights | Written | 100 | 1 | 100 | 3.00 | 300 | |||
| 1780.44(g) | Appraisal Report | Written | 42 | 1 | 42 | 2.00 | 84 | |||
| 1780.44(g)(1)(ii) | User Connections | Written | 25 | 1 | 25 | 3.00 | 75 | |||
| SUBTOTAL | 6,167 | 2.45 | 15,139 | |||||||
| 1780.44(g)(4) | Lease agreement | Written | 42 | 1 | 42 | 5.00 | 210 | |||
| 1780.45(a) | Notes, bonds, warrants or other contractural obligations | Written | 1,000 | 1 | 1,000 | 5.00 | 5,000 | |||
| 1780.45(a)(2) | Loan Resolution (Public Bodies) | Bulletin 1780-27 | 668 | 1 | 668 | 1.00 | 668 | |||
| 1780.45(a)(2) | Loan Resolution, Security Agreement | Bulletin 1780-28 | 167 | 1 | 167 | 1.00 | 167 | |||
| 1780.45( c ) | Water or Waste System Grant Agreement | Bulletin 1780-12 | 327 | 1 | 327 | 1.00 | 327 | |||
| 1780.47(d) | Audits | Written | 1,000 | 1 | 1,000 | 5.00 | 5,000 | |||
| 1780.47(f) | Management report | Written | 1,000 | 1 | 1,000 | 8.00 | 8,000 | |||
| 1780.61 | Construction contract forms | Written | 1,000 | 1 | 1,000 | 3.00 | 3,000 | |||
| 1780.61(b) | Borrower attorney's certification of construction contract | Written | 1,000 | 1 | 1,000 | 15.00 | 15,000 | |||
| 1780.63 | Sewage treatment and bulk water sales contracts | Written | 89 | 1 | 89 | 3.00 | 267 | |||
| 1780.74 | Contracts awarded prior to application | Written | 20 | 1 | 20 | 2.00 | 40 | |||
| 1780.76(b) | Monitoring construction | Written | 1,000 | 1 | 1,000 | 5.00 | 5,000 | |||
| 1780.76(c) | Resident Inspector resume | Written | 1,000 | 1 | 1,000 | 2.00 | 2,000 | |||
| 1780.76(d) | Daily inspection report | Written | 1,000 | 18 | 18,000 | 0.50 | 9,000 | |||
| ARRA Recipient Reporting | 4,500 | 1 | 4,500 | 1.00 | 4,500 | |||||
| 1780.37(b) | Borrower shall maintain accounting records for 3 years | 7,000 | 0.08 | 560 | ||||||
| SUBTOTAL | 30,813 | 1.89 | 58,179 | 7,000 | 0.08 | 560 | ||||
| FORMS APPROVED UNDER OTHER OMB NUMBERS | ||||||||||
| 1780.44(g)(2) | Preliminary Title Opinion | RD 1927-9 | 1,000 | 1 | 1,000 | 1.50 | 1,500 | |||
| (0575-0147) | ||||||||||
| 1780.44(g)(2) | Final Title Opinion | RD 1927-10 | 1,000 | 1 | 1,000 | 0.34 | 340 | |||
| (0575-0147) | ||||||||||
| 1780.76(e) | Partial Payment Estimate | RD 1924-18 | 1,000 | 1 | 1,000 | 0.50 | 500 | |||
| (0575-0042) | ||||||||||
| 1780.76(h)(2) | Contract Change Order | RD 1924-7 | 1,000 | 1 | 1,000 | 0.25 | 250 | |||
| (0575-0042) | ||||||||||
| 1780.33(h)(3) | Equal Opportunity Agreement | RD 400-1 | 1,000 | 1 | 1,000 | 0.08 | 80 | |||
| (0575-0018) | ||||||||||
| 1780.33(h)(4) | Assurance Agreement | RD 400-4 | 1,000 | 1 | 1,000 | 0.08 | 80 | |||
| (0575-0018) | ||||||||||
| 1780.33(a) | Application for Federal Assistance | SF 424 | 1,500 | 1 | 1,500 | 1.00 | 1,500 | |||
| (4040-0004) | ||||||||||
| 1780.33(h)(1) | Operating Budget | RD 442-7 | 1,000 | 1 | 1,000 | 5.00 | 5,000 | |||
| (0575-0015) | ||||||||||
| 1780.41(a)(3) | Balance Sheet or Financial Statement | RD 442-3 | 1,000 | 1 | 1,000 | 1.00 | 1,000 | |||
| (0575-0015) | ||||||||||
| 1780.29(b)(1) | Agreement for Engineering Services | 1942-19 | 1,000 | 1 | 1,000 | 4.00 | 4,000 | |||
| (0575-0015) | ||||||||||
| 1780.39(f) | Resolution of Members or Stockholders | RD 1942-8 | 167 | 1 | 167 | 1.00 | 167 | |||
| (0575-0015) | ||||||||||
| 1780.41(a)(6) | Letter of Intent to Meet Conditions | RD 1942-46 | 1,000 | 1 | 1,000 | 1.00 | 1,000 | |||
| (0575-0015) | ||||||||||
| 1780.44(g)(1)(i) | Opinion of Counsel Relative to Right-of-Way and Easements | RD 442-22 | 1,000 | 1 | 1,000 | 1.00 | 1,000 | |||
| (0575-0015) | ||||||||||
| 1780.45(b)(1)(ii) | Estimate of Funds Needed for 30-Day Period Commencing ____" | RD 440-11 | 751 | 1 | 751 | 1.00 | 751 | |||
| (0575-0015) | ||||||||||
| 1780.37(f) | Statement of Budget, Income, and Equity | RD 442-2 | 1,000 | 1 | 1,000 | 2.50 | 2,500 | |||
| (0575-0015) | ||||||||||
| 1780.62 | Water Purchase Contract | RD 442-30 | 167 | 1 | 167 | 1.00 | 167 | |||
| (0575-0015) | ||||||||||
| RUS Form 36 (07-91) | ||||||||||
| Section of Regulation | Title | Form Number | Estimated Number of Respondents | Reports Filed Annually | Total Annual Responses | Estimated Number of Man Hours per Response | Estimated Total Man Hours | Wage Class (per hour) | Cost to the Public |
| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (I) | (j) |
| REPORTING REQUIREMENTS | |||||||||
| 1942.305, (b)(3)(ii) | Evidence of Experience | written | 650 | on occasion | 650 | 1 | 650 | $25 | $16,250 |
| 1942.305 (b)(iv)(A) | Evidence of Commitment by Small Business | written | 650 | on occasion | 650 | 1 | 650 | $25 | $16,250 |
| 1942.305 (b)(iv)(B) | Evidence of Commitment by Other Funding Sources | written | 540 | on occasion | 540 | 0.5 | 270 | $25 | $6,750 |
| 1942.305 (b)(iv)(C) | Evidence Loans are Needed | written | 130 | on occasion | 130 | 0.5 | 65 | $25 | $1,625 |
| 1942.305 (b)(iv)(D) | Commitment by Business of Jobs Created/Saved | written | 650 | on occasion | 650 | 1 | 650 | $25 | $16,250 |
| 1942.305 (b)(iv)(E) | Evidence Project is Covered by a Plan | written | 650 | on occasion | 650 | 1 | 650 | $25 | $16,250 |
| 1942.311(a)(2) and Attachment 1 | Brief Narrative on Selection Priorities | written | 650 | on occasion | 650 | 4 | 2,600 | $25 | $65,000 |
| 1942.313 | Plan to Provide Financial Assistance to Third Parties | written | 130 | on occasion | 130 | 16 | 2,080 | $25 | $52,000 |
| 1942.314 Attachment 1 | Scope of Work | written | 130 | on occasion | 130 | 40 | 5,200 | $25 | $130,000 |
| 1942.314 (g) | Budget | written | 411 | on occasion | 411 | 2 | 822 | $25 | $20,550 |
| Attachment 1- Sec. A II E | Intergovernmental Consultations | written | 540 | on occasion | 540 | 2 | 1,080 | $25 | $27,000 |
| Attachment 1- Sec. A II E | Appraisal Report | written | 72 | on occasion | 72 | 4 | 288 | $25 | $7,200 |
| Attachment 1- Sec. A II H 5 | Request for Appeal | letter | 130 | on occasion | 130 | 0.5 | 65 | $25 | $1,625 |
| Attachment 1- Sec A II I 2 | Evidence of Fidelity Bond Insurance | policy | 411 | on occasion | 411 | 1 | 411 | $25 | $10,275 |
| Attachment 1- Sec A II J | Project Performance Report | written | 411 | 4 | 1,644 | 2 | 3,288 | $25 | $82,200 |
| Attachment 1- Sec A II K | Audit Report | written | 25 | on occasion | 25 | 6 | 150 | $25 | $3,750 |
| 1942.310 (d), Attachment 1 A II D (5) | Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - for Grantees other than individuals | AD - 1049 | 411 | on occasion | 411 | 0.25 | 103 | $25 | $2,569 |
| Attachment 1 Sec A II G (c) | Certification Regarding Debarment Suspension & Other Resp. Matters Primary Covered Trans. | AD - 1047 | 411 | on occasion | 411 | 0.25 | 103 | $25 | $2,569 |
| Attachment 1 Sec A II G (cc) | Certification Regarding Debarment, Suspension, Ineligibility and & Vol. Excl. | AD - 1048 | 411 | on occasion | 411 | 0.25 | 103 | $25 | $2,569 |
| Attachment 1- Sec A II J | Federal Cash Transaction Report | SF -272 (0348-0003) | 411 | 12 | 4,932 | 1.5 | 7,398 | $25 | $184,950 |
| Attachment 1- Sec A II I 1 | Request for Advance or Reimbursement | SF - 270 (0348-0003) | 411 | 12 | 4,932 | 1 | 4,932 | $25 | $123,300 |
| Attachment 1- Sec A II J | Financial Status Report | SF - 269 (0348-0039) | 411 | 4 | 1,644 | 1.5 | 2,466 | $25 | $61,650 |
| Reporting Requirements (ARRA) | written | 32 | on occasion | 32 | 3 | 96 | $25 | $2,400 | |
| Totals | 650 | 20,186 | 34,119 | 852,981 | |||||
| REPORTING REQUIREMENTS APPROVED UNDER OTHER OMB NUMBERS | |||||||||
| 1942.31 (b) (4) | Request for Environmental Information | RD 1940-20 (0575-0094) | 411 | on occasion | 411 | 0.5 | 206 | $25 | $5,138 |
| 1942-31 (c) (1) (ii) | Certificate of Non Relocation and Market Capacity Information Report | RD 449-22 (0570-0094) | 0 | on occasion | 0 | 0 | 0 | $25 | $- |
| 7 CFR 3018 | Disclosure of Lobbying Activities | SF-LLL (0348-0046) | 411 | on occasion | 411 | 0.16 | 66 | $25 | $1,644 |
| 1942.311 (a) | Application for Federal Assistance | SF - 424 (0348-0043) | 650 | on occasion | 650 | 2 | 1,300 | $25 | $32,500 |
| 1942.315 (b) | Letter of Intent to Meet Conditions | RD 1942-46 (0575-0015) | 411 | on occasion | 411 | 1 | 411 | $25 | $10,275 |
| Attachment 1. Sec A II D | Preapplication for Federal Assistance | SF - 424 (4040-0004) | 650 | on occasion | 650 | 1 | 650 | $25 | $16,250 |
| Attachment 1 Sec A II D 3(a) | Equal Opportunity Agreement | RD 400-1 (0575-0018) | 411 | on occasion | 411 | 0.25 | 103 | $25 | $2,569 |
| Attachment 1-Sec A II D 3(b) | Assurance Agreement | RD 400-4 (0575-0018) | 411 | on occasion | 411 | 0.25 | 103 | $25 | $2,569 |
| Attachment 1- Sec A II J | Reporting of IRP/RDLF Lending Activity | RD 1951-4 (0570-0015) | 75 | 4 | 300 | 1 | 300 | $25 | $7,500 |
| Totals | |||||||||
| RECORD KEEPING REQUIREMENTS | |||||||||
| Attachment 1- Sec B III I | Financial Records | Records | 411 | on occasion | 411 | 3 | 1,233 | $25 | $30,825 |
| Attachment 1- Sec B III A | Property Records | Records | 411 | on occasion | 411 | 3 | 1,233 | $25 | $30,825 |
| Total Recordkeeping | 822 | 2,466 | $61,650 | ||||||
| OTHER | |||||||||
| Buy America | 32 | 32 | 3 | 96 | $25 | $2,400 | |||
| Davis Bacon | 32 | 32 | 3 | 96 | $25 | $2,400 | |||
| Totals | 411 | 886 | 2,658 | 66,450 | |||||
| Reporting / Forms | 20,186 | 34,119 | $852,981 | ||||||
| Record Keeping | 822 | 2,466 | $66,450 | ||||||
| Docket Total | 21,008 | 36,585 | $919,431 | ||||||
| Estimated Federal Cost | |||||||||
| Activity | Number | No. of Hours | Rate | Total | |||||
| Review of pre-appliaction materials/eligibility determination | 650 | 2 | $35.00 | $45,500 | |||||
| Process appliaction/ detyermine funding priority | 411 | 6 | $35.00 | $86,310 | |||||
| Approve grant and obligate funds | 411 | 2 | $35.00 | $28,770 | |||||
| Grant closing and servicing | 411 | 16 | $35.00 | $230,160 | |||||
| National Office reviews | 650 | 1 | $40.00 | $26,000 | |||||
| TOTAL | 27 | $416,740 | |||||||
| NOTES TO FILE: Burden estimates based on funding $40 million in RBEG ARRA applications; even though $19.4 million was received in initial ARRA funding. Additional funding is anticipated from other ARRA Business Programs. Calculated total of 650 applications, calculating less than 5 percent of the grantees will need to comply with Buy America and or Davis Bacon. | |||||||||
| Section of Regulations | Title | Form No. (if any) | Estimated No. of Respondents | Reports Filed Annually | Total Annual Responses (D) X (E) | Estimated Number of Man Hours per Response | Estimated Total Man Hours (F) X (G) | Wage Class $/hr | Total Cost to the Public (H)x( (I) |
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) |
| Reporting Requirements - Forms Approved With This Docket | |||||||||
| 3570.80(a) | Community Facilities Grant Agreement | 3570-3 | 1272 | 1 | 1272 | 0.5 | 636 | $100 | $63,600 |
| Reporting Requirements - No Forms | |||||||||
| 3570.61(e) | Lease/Management Agreement | Written | 113 | 1 | 113 | 5 | 565 | $25 | $14,125 |
| 3570.62(d)(4)(v) | Interim Financing | Written | 177 | 1 | 177 | 4 | 708 | $25 | $17,700 |
| 3570.61(c) | Statement of Inability to Obtain Credit Elsewhere | Written | 177 | 1 | 177 | 1 | 177 | $25 | $4,425 |
| 3570.65(b)(2) | Financial Feasibility Report | Written | 1,343 | 1 | 1343 | 4 | 5,372 | $50 | $268,600 |
| 3570.80 (c) | Liens on real property | Written | 20 | 1 | 20 | 1 | 20 | $25 | $500 |
| Totals: | 1,343 | $3,102 | $7,478 | $368,950 | |||||
| Reporting Requirements - Forms Approved Under Other OMB | |||||||||
| 3570.65(a) | Application for Federal Assistance | SF 424 (4040-0004) | 1343 | 1 | 1343 | 0.75 | 1,007 | $25 | $25,181 |
| 3570.92 | Equal Opportunity Agreement | RD 400-1 (0575-0018) | 1343 | 1 | 1343 | 0.25 | 336 | $25 | $8,394 |
| 3570.92 | Assurance Agreement | RD 400-4 (0575-0018) | 720 | 2 | 1440 | 0.25 | 360 | $25 | $9,000 |
| 3570.80(a) | Financial Status Report | SF-269 (0348-0039) | 1256 | 1 | 1256 | 7.5 | 9,420 | $25 | $235,500 |
| $278,075 | |||||||||
| Section of Regulation | Title | Form No(s). (if "none" so state) | No. of Respon-dents | No. of Responses Per Respondent | Total Annual Responses | Hours per Response | Total Hours (f x g) | Wages Class $/Hr. | Cost to the Public (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 | 1,250 | 1 | 1,250 | 5 | 6,250 | 30 | $187,500 | ||
| 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 | 833 | 1 | 833 | 1 | 833 | 30 | $24,990 | ||
| 1780.29(b)(1), 1942.17(l)(i) | Agreement for Engineering Services | 1942-19 | |||||||
| RHS | 333 | 1 | 333 | 4 | 1,332 | 30 | $39,960 | ||
| 1780.29(f); Guide 16 of 1942-A; 3570.61(e) | Resolution of Members or Stockholders | 1942-8 | |||||||
| RHS | 125 | 1 | 125 | 1 | 125 | 30 | $3,750 | ||
| 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 | 750 | 1 | 750 | 1 | 750 | 30 | $22,500 | ||
| 1942.17(j)(4)(i)(A); 3570.76 | Right-of-Way Easement | 442-20 | |||||||
| RHS | 417 | 1 | 417 | 1 | 417 | 30 | $12,510 | ||
| 1942.17(j)(4)(i); 3570.76 | Right-of-Way Certificate | 442-21 | |||||||
| RHS | 417 | 1 | 417 | 1 | 417 | 30 | $12,510 | ||
| 1780.34(g)(1)(ii); 1942.17(j)(4)(i); 3570.76 | Opinion of Counsel Relative to Rights-of-Way | 442-22 | |||||||
| RHS | 333 | 1 | 333 | 1 | 333 | 30 | $9,990 | ||
| 1780.35(a)(2); 1942.17(n)(2) | Loan Resolution (Public Bodies) | 1942-47 | |||||||
| RHS | 250 | 1 | 250 | 1 | 250 | 30 | $7,500 | ||
| 1780.35(a)(2), 1942.17(n)(2) | Loan Resolution Security Agreement | 1942-9 | |||||||
| RHS | 500 | 1 | 500 | 1 | 500 | 30 | $15,000 | ||
| 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 | 916 | 3 | 2,748 | 1 | 2,748 | 30 | $82,440 | ||
| 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 | 1,083 | 1 | 1,083 | 2.5 | 2,708 | 30 | $81,225 | ||
| 1942.8(d) | Bond Registration Book | 442-28 | |||||||
| RHS | 217 | 1 | 217 | 1 | 217 | 30 | $6,510 | ||
| 1942.17(j)(3)(ii)(B) | Position Fidelity Schedule Bond Declarations | 440-24 | 1,226 | 1 | 1,226 | 0.5 | 613 | 30 | $18,390 |
| 1780-62 | Water Purchase contract | 442-30 | |||||||
| RUS | 167 | 1 | 167 | 1 | 167 | 30 | $5,010 | ||
| SUBTOTAL | 10,649 | 17,660 | 529,785 | ||||||
| REPORTING REQUIREMENTS - NO FORMS | |||||||||
| 1942.17(c)(2)(vii) | Application to Obtain Additional Funding | Written | |||||||
| RHS | 50 | 1 | 50 | 4 | 200 | 30 | $6,000 | ||
| 1942.17(b)(3); 3570.61(c) | Statement on ability to obtain credit elsewhere | Written | |||||||
| RHS | 1,000 | 1 | 1,000 | 1 | 1,000 | 30 | $30,000 | ||
| 1942.17(e) | Notification of declination of service | Written | |||||||
| RHS | 20 | 1 | 20 | 3 | 60 | 30 | $1,800 | ||
| 1942.17(g)(2)(iii)(A); 3570.80 | Liens on real and chattel property | Written | |||||||
| RHS | 92 | 1 | 92 | 1 | 92 | 30 | $2,760 | ||
| 1942.17(g)(3)(i)(B) | Financing Statement | Written | |||||||
| RHS | 433 | 1 | 433 | 1 | 433 | 30 | $12,990 | ||
| 1942.17(j)(9); 3570.71 | Public Information | Written | |||||||
| RHS | 1,083 | 1 | 1,083 | 2 | 2,166 | 30 | $64,980 | ||
| 1942.5(b)(1)(ii)(D) and Guides 6-10; 3570.65 | Preliminary Architectural or Engineering Report | Written | |||||||
| RHS | 583 | 1 | 583 | 4 | 2,332 | 30 | $69,960 | ||
| 1942.17(l)(1); 3570.71 | Agreement for professional services | Written | |||||||
| RHS | 666 | 1 | 666 | 4 | 2,664 | 30 | $79,920 | ||
| 1942.17(h)(2)(iii) | Positive programs to encourage connections | Written | |||||||
| RHS | 20 | 1 | 20 | 3 | 60 | 30 | $1,800 | ||
| 1942.17(n)(3) | Interim financing | Written | |||||||
| RHS | 2,083 | 1 | 2,083 | 4 | 8,332 | 30 | $249,960 | ||
| 1942.17(j)(3)(iii)(A) | Property insurance | Written | |||||||
| RHS | 750 | 1 | 750 | 1 | 750 | 30 | $22,500 | ||
| 1942.17(j)(3)(iii)(B) | Liability and Property Damage Insurance | Written | |||||||
| RHS | 700 | 1 | 700 | 1 | 700 | 30 | $21,000 | ||
| 1942.17(j)(3)(iii)(D) | Flood Insurance | Written | |||||||
| RHS | 75 | 1 | 75 | 1 | 75 | 30 | $2,250 | ||
| 1942.17(j)(3)(iii)(E) | Workman's compensation insurance | Written | |||||||
| RHS | 542 | 1 | 542 | 0.5 | 271 | 30 | $8,130 | ||
| 1942.17(n)(6); 3570.80 | Evidence of Disbursement of other funds | Written | |||||||
| RHS | 358 | 1 | 358 | 1 | 358 | 30 | $10,740 | ||
| 1942.17(j)(4)(ii) | Acquistion of Land, Easement, Water Rights & Existing Facilities | Written | |||||||
| RHS | 542 | 1 | 542 | 3 | 1,626 | 30 | $48,780 | ||
| 1942.3; 3570.65 | Appraisal Report | Written | |||||||
| RHS | 666 | 1 | 666 | 2 | 1,332 | 30 | $39,960 | ||
| 1942.5(b)(1)(ii)(I); 3570.70 | Lease/Management agreement | Written | |||||||
| RHS | 66 | 1 | 66 | 5 | 330 | 30 | $9,900 | ||
| 1942.17(g)(2) | Notes, bonds, warrants or other contractural obligations | Written | |||||||
| RHS | 558 | 1 | 558 | 5 | 2,790 | 30 | $83,700 | ||
| 1942.18(e) & Guides 17 thru 19; 3570.76 | Construction contract forms | Written | |||||||
| RHS | 558 | 1 | 558 | 1 | 558 | 30 | $16,740 | ||
| 1942.8(g); 3570.80 | Certification by borrower's attorney | Written | |||||||
| RHS | 558 | 1 | 558 | 15 | 8,370 | 30 | $251,100 | ||
| 1942.18(m); 3570.76 | Contracts awarded prior to application | Written | |||||||
| RHS | 33 | 1 | 33 | 2 | 66 | 30 | $1,980 | ||
| 1942.18(o)(3); 3570.76 | Resident Inspector resume | Written | |||||||
| RHS | 392 | 1 | 392 | 0.5 | 196 | 30 | $5,880 | ||
| 1942.18(o)(4); 3570.76 | Daily inspection report | Written | |||||||
| RHS | 183 | 12 | 2,196 | 0.5 | 1,098 | 30 | $32,940 | ||
| 1942.5(b)(1)(ii)(G) | Evidence that facility cannot be provided by a public body | Written | |||||||
| RHS | 252 | 1 | 252 | 1 | 252 | 30 | $7,560 | ||
| 1942.5(b)(1)(ii)(H); 3570.65 | Financial feasibility report | Written | |||||||
| RHS | 725 | 1 | 725 | 4 | 2,900 | 30 | $87,000 | ||
| 1942.17(b)(4); 3570.65 | Organizational documents | Written | |||||||
| RHS | 916 | 1 | 916 | 1 | 916 | 30 | $27,480 | ||
| 1942.5(a)(1)(ii), 1942.17(f)(1) | Borrower request to choose interest rate | Written | |||||||
| RHS | 758 | 1 | 758 | 0.167 | 127 | 30 | $3,798 | ||
| 1942.5(b)(1)(ii)(F) | Five Year Financial History | Written | |||||||
| RHS | 367 | 1 | 367 | 1 | 367 | 30 | $11,010 | ||
| 1942.17(g)(2)(iii)(A)(9)(ii) | Exceptional Community Support and Documentation | Written | |||||||
| RHS | 250 | 1 | 250 | 4 | 1,000 | 30 | $30,000 | ||
| 1942.17(g)(3)(i)(D) | Other Security | Written | |||||||
| RHS | 292 | 1 | 292 | 1 | 292 | 30 | $8,760 | ||
| 1942.17(j)(3)(iii)(C) | Malpractice Insurance | Written | |||||||
| RHS | 258 | 1 | 258 | 0.5 | 129 | 30 | $3,870 | ||
| 1942.17(j)(4)(iii) | Land Purchase Contract | Written | |||||||
| RHS | 108 | 1 | 108 | 2 | 216 | 30 | $6,480 | ||
| 1942.17(j)(8) | Certificate of Need | Written | |||||||
| RHS | 75 | 1 | 75 | 1 | 75 | 30 | $2,250 | ||
| 1942.17(k); 3570.70 | Certification of appropriate regulatory agencies | Written | |||||||
| RHS | 250 | 1 | 250 | 4 | 1,000 | 30 | $30,000 | ||
| 1942.17(r)(1)(ii)(B) & Guide 22 | Positive Action Plan | Written | |||||||
| RHS | 80 | 1 | 80 | 2 | 160 | 30 | $4,800 | ||
| 1942.17(q)(4); 3570.83 | Audits | Written | |||||||
| RHS | 916 | 1 | 916 | 3 | 2,748 | 30 | $82,440 | ||
| 1942.17(q)(4)(ii) | Financial Statements - borrowers under $100,000 gross income | Written | |||||||
| RHS | 933 | 1 | 933 | 4 | 3,732 | 30 | $111,960 | ||
| 1942.18(j)(5)(iv) | Utilization of small business & minority owned business | Written | |||||||
| RHS | 166 | 1 | 166 | 0.5 | 83 | 30 | $2,490 | ||
| 1942.18(k)(5); 3570.75 | Procurement when other than bid or negotiation is used | Written | |||||||
| RHS | 100 | 1 | 100 | 1 | 100 | 30 | $3,000 | ||
| 1942.18(l); 3570.76 | Unconventional contracting methods | Written | |||||||
| RHS | 100 | 1 | 100 | 5 | 500 | 30 | $15,000 | ||
| 1942.2(a)(1)(iii); 3570.65(a)(1) | State clearinghouse review | Written | |||||||
| RHS | 758 | 1 | 758 | 1 | 758 | 30 | $22,740 | ||
| 1942.17(q)(1)(ii) | Approval of Audit | Written | |||||||
| RHS | 508 | 1 | 508 | 0.5 | 254 | 30 | $7,620 | ||
| 1942.17(q)(2)(ii)(A); 3570.83 | Governing body members and terms of office | Written | |||||||
| 0 | 0 | $0 | |||||||
| RHS | 508 | 1 | 508 | 0.5 | 254 | 30 | $7,620 | ||
| Subtotal | 22,344 | 51,722 | 1,551,648 | ||||||
| 1942.17(q)(1)(iv) | Borrower shall maintain accounting records for 3 years | 2,083 | 0.25 | 521 | 30 | $15,623 | |||
| TOTAL | 32,993 | 69,902 | 2,097,055 | ||||||
| REPORTING REQUIREMENTS- FORMS | |||||||||
| Section of Regulation | Title | Form No. (If Any) |
Estimated No. of Respondent | Reports Filed Annually | Total Annual Reponses (D) X (E) | Estimated No. of Manhours per Reponse | Estimated Total Manhours (F) X (G) | Wage Class | Total Cost (H) X (I) |
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) |
| HB-1-3550, 8.6 | Notice of Right to Cancel | RD 1940-43 | 553 | 1 | 553 | 0.08 | 44.24 | $8.00 | $353.92 |
| HB-1-3550, 3.4 | Borrower's Certification & Authorization | RD 3550-1 | 7,900 | 1 | 7,900 | 0.08 | 632.00 | $8.00 | $5,056 |
| HB-1-3550, 7.19 | Request for Verification of Gift/Gift Letter | RD 3550-2 | 872 | 1 | 872 | 0.08 | 69.76 | $8.00 | $558 |
| HB-1-3550 & HB-2-3550, 4-E Attachment | Employment Certification/Payment Assistance | RD 3550-4 | 7,900 | 1 | 7,900 | 0.08 | 632.00 | $8.00 | $5,056 |
| HB-1-3550, 5.8 | Notice to Borrower of Special Flood Hazard and Federal Disaster Assistance | RD 3550-6 | 405 | 1 | 405 | 0.08 | 32.40 | $8.00 | $259 |
| HB-1-3550, 8.2 | Mortgage Loan Commitment | RD 3550-7 | 7,900 | 1 | 7,900 | 0.08 | 632.00 | $8.00 | $5,056 |
| HB-1-3550, 6.6 | Initial Escrow Account Disclosure Statement | RD 3550-9 | 7,900 | 1 | 7,900 | 0.08 | 632.00 | $8.00 | $5,056 |
| HB-1-3550, 9.13,15 | Planned Unit/Condominium Rider | RD 3550-10&11 | 47 | 1 | 47 | 0.08 | 3.76 | $8.00 | $30 |
| HB-1-3550, Attachment 8-A | Subsidy Repayment Agreement | RD 3550-12 | 5,767 | 1 | 5,767 | 0.08 | 461.36 | $11.00 | $5,075 |
| HB-1-3550, Attachment 8-A | Authorization Agreement for Preauthorized Payments | SF5510 | 47 | 1 | 47 | 0.08 | 3.76 | $8.00 | $30 |
| HB-1-3550, 8.6 | Rural Housing Applicant Interview | RD 3550-23 | 5,767 | 1 | 5,767 | 0.25 | 1441.75 | $11.00 | $15,859 |
| HB-1-3550, 12.9 | Grant Agreement (504 Grant) | RD 3550-24 | - | 1 | - | 0.08 | - | $6.55 | $- |
| HB-1-3550, 3.4, 7 CFR 3550.55 | Application for Rural Housing Assistance (Non-Farm Tract) w/attachment | 410-4 | 7,900 | 1 | 7,900 | 1.50 | 11850.00 | $8.00 | $94,800 |
| HB-1-3550, 7.18 | Option to Purchase Ral Property, or Other Standard Sales Contract, with directions and survey | 440-34 | 7 | 1 | 7 | 0.08 | 0.56 | $15.00 | $8 |
| HB-1-3550, HB-2-3550, Chapter 4, 7CFR 3550.53 & 3550.54 | Request for Verification of Employment/Income | 1910-5 plus oral reverification | 12,640 | 1 | 12,640 | 0.25 | 3160.00 | $8.00 | $25,280 |
| HB-1-3550. 12.4 & HB-2-3550, 5.5 | Budget and/or Financial Statement | 1944-3 | 1,580 | 1 | 1,580 | 0.50 | 790.00 | $6.55 | $50,000 |
| HB-1-3550 Chapter 4 | Certification of Disability or Handicap | 1944-4 | 30 | 1 | 30 | 0.25 | 7.50 | $37.00 | $278 |
| HB-1-3550, 3550.73 | RD Manufactured Housing Dealer- Contractor Application | 1944-5 | 9 | 1 | 9 | 0.25 | 2.25 | $20.00 | $45 |
| HB-1-3550, Attachment 3-A | Rural Housing Loan Application Package | 1944-12 | 956 | 1 | 956 | 0.25 | 239.00 | $20.00 | $4,780 |
| HB-1-3550, Attachment 8A, HB-2-3550, Chapter 4, , 7.5 | Payment Assistance/Deferred Mortgage Assistance Agreement or Interest Credit/Deferred Mortgage Agreement | 1944-14/1944-A14 1944-6/1944-A6 and 1944-B6 | 474 | 1 | 474 | 0.25 | 118.50 | $11.00 | $1,304 |
| HB-1-3550, 9.3 | Application for Conditional Commitment | 1944-36 | 36 | 1 | 36 | 0.50 | 18.00 | $28.00 | $504 |
| HB-1-3550, 4.13 | Landlord's Verification | 1944-60 | 3,713 | 1 | 3,713 | 0.08 | 297.04 | $11.00 | $3,267 |
| HB-1-3550, 4.6 | Request for Verification of Deposit | 1944-62 | 790 | 1 | 790 | 0.25 | 197.50 | $11.00 | $2,173 |
| HB-2-3550, 2.6 | Direct Payment Plan Change | 1951-34 or thru automation | 9 | 1 | 100 | 0.08 | 8.00 | $11.00 | $88 |
| HB-1-3550, 13.3 | Reamortization Agreement | 3550-18 | 237 | 1 | 237 | 0.08 | 18.96 | $14.00 | $265 |
| HB-1-3550, 6.4 | Offer to Convey Security with Deed, Lease | 1955-1 | 6 | 1 | 6 | 0.25 | 1.50 | $14.00 | $21 |
| HB-1,3550, 16.2 | Open Real Property Master Listing Agreement | 1955-42 | 9 | 1 | 9 | 0.50 | 4.50 | $20.00 | $90 |
| HB-1-3550, 16.8 | Invitation to Bid and Acceptance-Sale of Real Property by the U.S. Government | 1955-46 | 47 | 1 | 47 | 0.50 | 23.50 | $20.00 | $470 |
| HB-1-3550, 16.7 | Standard Sales Contract or Sale of Real Property by the U.S Government | 1955-45 | 276 | 1 | 276 | 0.50 | 138.00 | $20.00 | $2,760 |
| HB-1-3550, 3.5 | Truth in Lending Statement | 1940-41 | 7,900 | 1 | 7,900 | 0.08 | 632.00 | $8.00 | $5,056 |
| HB-1-3550, Attachment 8A | Promissory Note | 1940-16 | 7,900 | 1 | 7,900 | 0.25 | 1975.00 | $14.00 | $27,650 |
| HB-1-3550, Attachment 8A | Real Estate Mortgage or Deed of Trust | 3550-14 (State) | 7,900 | 1 | 7,900 | 0.25 | 1975.00 | $14.00 | $27,650 |
| HB-1-3550, Attachment 8A | Tax Information | 3550-15 | 7,900 | 1 | 7,900 | 0.25 | 1975.00 | $15.00 | $29,625 |
| HB-2-3550, 7.16 | Application for Debt Settlement | 3550-20 | 275 | 1 | 275 | 0.25 | 68.75 | $14.00 | $963 |
| HB-2-3550, Chapter 4 | Payment Subsidy Renewal Certification | 3550-21 | 7,900 | 1 | 7,900 | 0.25 | 1975.00 | $14.00 | $27,650 |
| HB-2-3550, Attachment 8A | Assumption Agreement- Single Family Housing | 3550-22 | 9 | 1 | 9 | 0.08 | 0.72 | $11.00 | $8 |
| SUBTOTAL | 113,652 | 30,061 | $347,124 | ||||||
| Reporting Requirements - Non Forms | |||||||||
| HB-1-3550,4.1 | Evidence of Citizenship | Various | 395 | 1 | 395 | 0.08 | 31.60 | $11.00 | 348 |
| HB-1-3550, 9.16 | Certified Financial Statement | N/A | 18 | 1 | 18 | 1.00 | 18.00 | $15.00 | 270 |
| HB-1-3550, 9.16 | Manufacturer's Certificate of Origin/Contractor's Release | N/A | 38 | 1 | 38 | 0.25 | 9.50 | $20.00 | 190 |
| HB-1-3550, 9.16 | Supplemental Information for Mobile/Manufactured Homes | N/A | 38 | 1 | 38 | 0.25 | 9.50 | $20.00 | 190 |
| HB-1-3550 & HB-2-3550, Attachment 4-E | Verification of Income- Applicant's Income Tax Return | N/A | 7,900 | 1 | 7,900 | 0.08 | 632.00 | $11.00 | 6,952 |
| HB-1-3550, 7.7 | Documentation pertaining to existing dwelling less than 1-year old | N/A | 85 | 1 | 85 | 1.00 | 85.00 | $15.00 | 1,275 |
| HB-1-3550, 4 | Request for Copy of Credit Report | N/A | 2,259 | 1 | 2259 | 0.08 | 180.72 | $8.00 | 1,446 |
| HB-1-3550, 3.13 | Notification of Continued Interest | none | - | 1 | - | 0.08 | - | $8.00 | $- |
| HB-1-3550, 3.6 | Request for Additional Information to Support Eligibility | none | 2,262 | 1 | 2,262 | 0.25 | 565.50 | $8.00 | $4,524 |
| HB-1-3550, 6.14 | Furnish Documentation of Hazard and Flood Insurance | none | 7,900 | 1 | 7,900 | 0.08 | 632.00 | $15.00 | $9,480 |
| HB-2-3550, 3.11 | Notification of Insurable Loss | none | 84 | 1 | 84 | 0.25 | 21.00 | $14.00 | $294 |
| HB-2-3550, 2.28 | Notification of Non-Active Military Duty | none | 7 | 1 | 7 | 0.08 | 0.56 | $14.00 | $8 |
| HB-1-3550, 13.11 | Authorization to Lease Mineral Rights | N/A | 7 | 1 | 7 | 0.50 | 3.50 | $14.00 | $49 |
| HB-1-3550, 13.10 | Request for Subordination | N/A | 87 | 1 | 87 | 0.25 | 21.75 | $14.00 | $305 |
| HB-1-3550, 13.12 | Partial Release | N/A | 6 | 1 | 6 | 0.25 | 1.50 | $14.00 | $21 |
| HB-1-3550, 13.13 | Authorization to Lease | N/A | 5 | 1 | 5 | 0.25 | 1.25 | $14.00 | $18 |
| HB-1-3550, 14.6 | Financial Data to Review for Refinancing | N/A | 553 | 1 | 553 | 0.75 | 414.75 | $14.00 | $5,807 |
| HB-1-3550, 14.8 | Refute Refinance Request | N/A | 147 | 1 | 147 | 0.50 | 73.50 | $14.00 | $1,029 |
| HB-1-3550, 14.8 | Documentation of Inability to Refinance | N/A | 37 | 1 | 37 | 1.00 | 37.00 | $14.00 | $518 |
| HB-2-3550, 7.4 | Refute Unauthorized Assistance | N/A | 235 | 1 | 235 | 0.50 | 117.50 | $14.00 | $1,645 |
| HB-2-3550, 5.5 | Request for Moratorium | N/A | 748 | 1 | 748 | 0.50 | 374.00 | $14.00 | $5,236 |
| HB-1-3550, Atth. 3-H | Credit Score Disclosure | N/A | 7,900 | 1 | 7,900 | 0.08 | 632.00 | $8.00 | $5,056 |
| HB-2-3550, 7.10 | Borrower's Request for review of decision to refer for IRS Offset | Letter | 316 | 1 | 316 | 1.00 | 316.00 | $14.00 | $4,424 |
| HB-2-3550, 4.6 | Notification to Agency if circumstances change | Phone call or written | 41 | 1 | 41 | 0.25 | 10.25 | $14.00 | $144 |
| HB-2-3550, 7.6 | Repayment Agreement | Written | 17 | 1 | 17 | 0.08 | 1.36 | $14.00 | $19 |
| HB-2-3550, 6.5 | Offer to cure default after acceleration or informal meeting | Written | 66 | 1 | 66 | 0.50 | 33.00 | $14.00 | $462 |
| HB-2-3550, 15.3 | Determination of Abandonment Borrower Location inquiries | Oral | 80 | 1 | 80 | 0.25 | 20.00 | $14.00 | $280 |
| HB-1-3550, 15.10 | Lease of custodial property-Lease financial and credit information | Written | 2 | 1 | 2 | 0.50 | 1.00 | $14.00 | $14 |
| HB-2-3550, 15.11 | Lease of inventory for transitional housing | Written | 1 | 1 | 1 | 1.00 | 1.00 | $15.00 | $15 |
| HB-1-3550, 14 | Survey of Lender Criteria & Policies | Written/Oral | 434 | 1 | 434 | 0.25 | 108.50 | $20.00 | $2,170 |
| HB-2-3550, 7.7 | Collection Efforts | N/A | 434 | 1 | 434 | 0.08 | 34.72 | $14.00 | $486 |
| HB-2-3550, 13.4 | Disappeared Debtors | None | 40 | 1 | 40 | 0.25 | 10.00 | $14.00 | $140 |
| HB-2-3550, 7.12 | Delinquent Adjustment Agreements | None | 20 | 1 | 20 | 0.25 | 5.00 | $14.00 | $70 |
| HB-1-3550, 3.7 | Withdrawn Application | N/A | - | 1 | - | 0.08 | - | $8.00 | $- |
| HB-1-3550 7 HB-2-3550, 4.9 | Third Party Verification of Income including other documentation (pay stubs, W-2, divorce decree, self-employment | N/A | 15,170 | 1 | 15,170 | 0.25 | 3792.50 | $8.00 | $30,340 |
| Chapters 4 of HB-1-3550 & HB-2-3550 | Verification of Child Care, Medical, or other applicable expenses | N/A | 7,900 | 1 | 7,900 | 0.25 | 1975.00 | $8.00 | $15,800 |
| HB-1-3550, 4.12 | CAIVRS- Applicant Contact Federal Agency Reporting Delinquent Debt | N/A | 7,900 | 1 | 7,900 | 0.08 | 632.00 | $8.00 | $5,056 |
| HB-1-3550, 5.11 | Evidence of Ownership with legal description, survey, directions | N/A | 7,900 | 1 | 7,900 | 0.25 | 1975.00 | $11.00 | $21,725 |
| HB-1-3550, 5.1 | Assurances of Road Completion | N/A | 45 | 1 | 45 | 0.25 | 11.25 | $15.00 | $169 |
| HB-1-3550, Attachment 7A | Termites, plumbing, sewage, HAC verifications | N/A | 7,900 | 1 | 7,900 | 0.50 | 3950.00 | $15.00 | $59,250 |
| HB-1-3550, 8.3 | Applicant cancels loan | N/A | - | 1 | - | 0.08 | 0.00 | $8.00 | $- |
| HB-1-3550, 9.8 | Conditional Commitment Change in Price, Plans, Specifications | N/A | 15 | 1 | 15 | 0.08 | 1.20 | $28.00 | $34 |
| HB-1-3550, 9.14 | Community Land Trust Documents | N/A | 4 | 1 | 4 | 0.50 | 2.00 | $20.00 | $40 |
| HB-1-3550, 10.10 | Firm Loan Commitment from Participating Lender | N/A | 192 | 1 | 192 | 0.25 | 48.00 | $20.00 | $960 |
| HB-1-3550, 10.10 | Copies of Security Agreements from Participating Lender | N/A | 1,896 | 1 | 1,896 | 0.25 | 474.00 | $20.00 | $9,480 |
| HB-1-3550, 16.6 | Release of DSS Restriction | N/A | 148 | 1 | 148 | 0.08 | 11.84 | $14.00 | $166 |
| HB-1-3550, 13.13 | Notification of Leased Property and adequate insurance coverage | N/A | 148 | 1 | 148 | 0.08 | 11.84 | $14.00 | $166 |
| HB-2-3550, 2.25 | Decision to Defer Recapture | N/A | 1,896 | 1 | 1,896 | 0.08 | 151.68 | $14.00 | $2,124 |
| HB-2-3550, 2.23 | Information to Determine Recapture amount, including appraisals | 2,923 | 1 | 2,923 | 0.50 | 1461.50 | $14.00 | $20,461 | |
| HB-2-3550, 2.31 | Request for Final Payoff | N/A | 2,923 | 1 | 2,923 | 0.08 | 233.84 | $14.00 | $3,274 |
| HB-2-3550, 2.10 | Request to Waive Late or Other Fees | N/A | 2,250 | 1 | 2,250 | 0.08 | 180.00 | $14.00 | $2,520 |
| HB-1-3550, 7.16 | Documentation regarding housing related costs in past 6 months or other compensating factors | N/A | 1,085 | 1 | 1,085 | 0.25 | 271.25 | $14.00 | $3,798 |
| HB-1-3550, 7.20 | Identification of responsibility for costs of inspections and certifications in sales | N/A | 1,810 | 1 | 1,810 | 0.25 | 452.50 | $20.00 | $9,050 |
| HB-1-3550, 5.19 and 6.5 | Decision regarding appraisal fee and tax service fee | N/A | 1,896 | 1 | 1,896 | 0.08 | 151.68 | $8.00 | $1,213 |
| HB-1-3550, 9.6 | Modification of Sales Agreements for Conditional Commitments | N/A | 9 | 1 | 9 | 0.25 | 2.25 | $28.00 | $63 |
| HB-2-3550, Chapter 9, 7.9 | Borrower's request for records | Letter | 5 | 1 | 5 | 0.25 | 1.25 | $14.00 | $18 |
| HB-2-3550, 7.9 | Borrower's offer to repay | Letter | 1 | 1 | 1 | 0.50 | 0.50 | $14.00 | $7 |
| HB-2-3550, 7.9 | Borrower's request for a review regarding administrative offset | Letter | 1 | 1 | 1 | 0.50 | 0.50 | $14.00 | $7 |
| HB-2-3550, 7.9 | Borrower's request for records | Letter | 1 | 1 | 1 | 0.25 | 0.25 | $14.00 | $4 |
| HB-2-3550, 7.9 | Employee's written agreement for a different repayment schedule | Letter | 1 | 1 | 1 | 0.50 | 0.50 | $14.00 | $7 |
| SUBTOTAL | 96,181 | 20,195 | 238,611 | ||||||
| GRAND TOTAL | 209,833 | 50,257 | 585,735 | ||||||
| REPORTING REQUIREMENTS- FORMS APPROVED UNDER OTHER OMB NUMBERS | |||||||||
| HB-1-3550, 7.12 | Application for Settlement of Indebtedness | RD 1956-1 (0575-0118) | 0 | 0 | 0 | ||||
| HB-1-3550, 5.22 | Construction Contract | RD 1924-6 (0575-0042) | 0 | 0 | 0 | ||||
| HB-1-3550, 5.24 | Release by Claimants | RD 1924-10 (0575-0042) | 0 | 0 | 0 | ||||
| HB-1-3550, 9.4 | Affirmative Fair Housing Marketing Plan | HUD 935-2 (2529-0013) | 0 | 0 | 0 | ||||
| HB-1-3550, 5.21 | Description of Materials | RD 1924-2 (0575-0042) | 0 | 0 | 0 | ||||
| HB-1-3550, Attachment 8A | Affidavit Regarding Work of Improvement | RD 1927-5 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, Attachment 8A | Agreement with Prior Lienholder w/narrative | RD 1927-8 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, Attachment 8A | Preliminary Title Opinion | RD 1927-9 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, Attachment 8A | Final Title Opinion | RD 1927-10 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, Attachment 8A | Warranty Deed (state) Joint Tenants | RD 1927-11 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, Attachment 8A | Warranty Deed (state) | RD 1927-12 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, Attachment 8A | Loan Closing Instructions | RD 1927-15 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, 8.6 | Notification of Loan Closing | RD 1927-16 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, 8.4 | Certification of Attorney | RD 1927-19 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, Attachment 8A | Certification of Tile Insurance | RD 1927-20 (0575-0147) | 0 | 0 | 0 | ||||
| HB-1-3550, 5.22 | Invitation for Bid (Construction Contract | (0575-0042) | 0 | 0 | 0 | ||||
| HB-1-3550 | Loan Closing Instructions | RD 3550-25 | 0 | 0 | 0 | ||||
| HB-1-3550, 5.25 | Documentation of Construction Complaint/Request for Compensation for Construction Defects | RD 1924-4 (0575-0082) | |||||||
| HB-1-3550, 5.22 | Equal Opportunity Agreement | RD 400-1 (0575-0018) | |||||||
| HB-1-3550, 5.22 | Compliance Statement | RD 400-6 (0575-0018) | |||||||
| HB-1-3550,5.23 | Contract Change Order | RD 1924-7 (0575-0042) | |||||||
| HB-1-3550,5.23 | Development Plan | RD 1924-1 (0575-0042) | |||||||
| HB-1-3550,5.24 | Certificate of Contractor's Release | RD 1924-9 (0575-0042) | |||||||
| HB-1-3550, 5.23 | Inspection Report | RD 1924-12 (0575-0042) | |||||||
| HB-1-3550, 5.24 | Builder's Warranty | RD 1924-19 (0575-0042) | |||||||
| HB-1-3550, 5.23 | Plan Certification | RD 1924-25 (0575-0042) | |||||||
| HB-1-3550, 13.5 | Transfer of Real Estate Security | RD 465-5 (0560-0158) | |||||||
| HB-1-3550, 4.13 | Application Reference Letter | RD 410-8 (0575) | |||||||
| HB-1-3550,13.11 | Assignment of Income from Real Estate Security | RD 443-16 (0575-0109) | |||||||
| HB-1-3550,5.8 | Standard Flood Hazard Determination | FEMA 81-93 (1660-0040) | |||||||
| HB-1-3550, 5.23 | Drawings/Specifications/Certification | (0575-0042) | |||||||
| HB-1-3550, 5.23 | Cost Estimates | (0575-0042) | |||||||
| HB-1-3550, 5.23 | Narrative Description of Work Items | (0575-0042) | |||||||
| HB-1-3550, 5.23 | Manufacturer's and Builder's Certification | (0575-0042) | |||||||
| HB-1-355O, 5.24 | Documents for 10-year Warranty | (0575-0042) | |||||||
| HB-1-3550, 5.25 | Complaints of Construction Defects | (0575-0042) | |||||||
| HB-1-3550, 5.22 | Owner-Builder Construction Proposal | (0575-0042) | |||||||
| HB-1-3550, 9.17 | Prerequisites for Modular/Panelized Housing Unit Mfrs. | (0575-0042) | |||||||
| HB-1-3550, 9.17 | Approval of Modular/Panelized Housing Units | (0575-0042) | |||||||
| HB-1-3550, , 7.15 | Credit elsewhere (borrower request to seek other credit) | Written (0575-0166) | |||||||
| HB-1-3550, 14.13 | Survey of Lender Criteria and Policies (means of gathering information from lenders). | Written/Oral (0575-0158) | |||||||
| Section of | Reports | Total Annual | Est. No. of | Est. Total | Total | ||||
| Regulation | Form No. | Est. No. of | Filed | Responses | Man hours | Man-hours | Wage | Cost | |
| Title | (if Any) | Respondents | Annually | (D) x (E) | Per Response | (F) x (G) | Class | (H) x (I) | |
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) |
| REPORTING REQUIREMENTS - FORMS APPROVED WITH THIS DOCKET | |||||||||
| 1942.108(c) | Cash Flow Projection | 1942-52 | 176 | 1 | 176 | 3.5 | 616 | 20 | $12,320 |
| 1942.116(b) | Applicant's Feasibility Report | 1942-54 | 139 | 1 | 139 | 3 | 417 | 20 | $8,340 |
| 1942.128(b) | Cash Flow Report (Quarterly) | 1942-53 | 413 | 4 | 1,652 | 2 | 3,304 | 20 | $66,080 |
| Cash Flow Report (Annually) | 574 | 1 | 574 | 2 | 1,148 | 20 | $22,960 | ||
| Forms Total | 2,541 | 5,485 | $109,700 | ||||||
| REPORTING REQUIREMENTS - NON FORMS | |||||||||
| 1942.106(b) | Intergovernmental Review Exemption | Written | 75 | 1 | 75 | 1 | 75 | 20 | $1,500 |
| 1942.108(e) | Organizational Documents | Written | 188 | 1 | 188 | 1 | 188 | 20 | $3,760 |
| 1942.126(b)(1) | Preliminary Arch./Engineering Report | Written | 79 | 1 | 79 | 4 | 316 | 50 | $15,800 |
| 1942.126(b)(2) | Final Plans and Specifications | Written | 79 | 1 | 79 | 4 | 316 | 50 | $15,800 |
| 1942.126(l)(2)(ii)&(iii) | Construction Reports on Overruns or Savings | Written | 57 | 1 | 57 | 6 | 342 | 20 | $6,840 |
| 1942.126(l)(3) | Project Inspector Resume | Written | 79 | 1 | 79 | 2 | 158 | 20 | $3,160 |
| 1942.126(l)(3) | Inspection Reports | Written | 79 | 4 | 316 | 1 | 316 | 20 | $6,320 |
| 1942.126(d) | Construction Contracts | Written | 79 | 1 | 79 | 4 | 316 | 25 | $7,900 |
| Non-Forms Total | 952 | 2,027 | $61,080 | ||||||
| Grand Total | 3,493 | 7,512 | $170,780 | ||||||
| REPORTING REQUIREMENTS - FORMS APPROVED UNDER OTHER OMB NUMBERS | |||||||||
| 1942.104(a) | Application for Federal Assistance (For Construction) (OMB 4040-0004) | SF 424.2 | 406 | 1 | 406 | 3.0 | 1,218 | 20 | $24,360 |
| TOTAL |
| Section of Regulation | Title | Form No. (if any) |
Estimated No. of Respondents |
Reports filed Annually |
Total Annual Responses (D) x (E) |
Estimated No. of Man-hours per response |
Estimated Total Man-hours (F) x (G) |
Wage Class |
Total Cost (H) x (I) |
|
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | |
| Written REQ. | ||||||||||
| Section 1980.334 | Uniform Residential Appraisal Report (Lender) | URAR | 1,783 | 17.72 | 31,595 | 0.17 | 5,371 | $21.39 | $114,888 | |
| Section 1980.341 | Inspections of Construction (Lender) | Written New Construction | 1,783 | 2.47 | 4,404 | 0.50 | 2,202 | $21.39 | $47,101 | |
| Existing Dwellings | 1,783 | 15.25 | 27,191 | 0.50 | 13,595 | $21.39 | $290,805 | |||
| Section 1980.366 | Transfer & Assumption (Lender) | Written | 10 | 1 | 10 | 0.50 | 5 | $21.39 | $107 | |
| Section 1980.370 (d)(2) | Guaranteed Rural Housing Loan Status Report | Electronically | 1,206 | 4 | 4,824 | 0.25 | 1,206 | $21.39 | $25,796 | |
| Section 1980.370 (d)(1) | Guaranteed Rural Housing Borrower Default Status | Electronically | 351 | 1 | 351 | 0.50 | 176 | $21.39 | $3,754 | |
| Section 1980.374(d) | Servicing Plan | Written | 2,892 | 1 | 2,892 | 1.00 | 2,892 | $21.39 | $61,860 | |
| Section 1980.376 | Property Disposition Plan (Lender) | Written | 3,638 | 1 | 3,638 | 1.00 | 3,638 | $21.39 | $77,817 | |
| Section 1980.390 | Overpayment Notification (Lender) | Written | 2 | 1 | 2 | 0.50 | 1 | $21.39 | $21 | |
| Section 1980.392 | Mortgage Credit Certificate (Applicant) | Written | 180 | 1 | 180 | 0.17 | 31 | $21.39 | $655 | |
| NO-FORM TOTAL: | 45.44 | 75,087 | 5.09 | 29,117 | $622,804 | |||||
| Section of Regulation | Title | Form No. (if any) |
Estimated No. of Respondents |
Reports filed Annually |
Total Annual Responses (D) x (E) |
Estimated No. of Man-hours per response |
Estimated Total Man-hours (F) x (G) |
Wage Class |
Total Cost (H) x (I) |
|
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | |
| Form REQ | ||||||||||
| Section 1980.309 (e) | Guaranteed Rural Housing Lender Record Change | Form 1980-11 Initial Loan Sale | 1,783 | 13.6 | 24,249 | 0.25 | 6,062 | $21.39 | $129,670 | |
| Transfer of Servicer | 20 | 1 | 20 | 0.25 | 5 | $21.39 | $107 | |||
| Forced Transfer | 4 | 1 | 4 | 0.25 | 1 | $21.39 | $21 | |||
| Section 1980.309 (d) | Agreement for Participation Guaranteed/Insured Loan Programs of the U.S. Government | Form 1980-16 | 135 | 1 | 135 | 4.00 | 540 | $21.39 | $11,551 | |
| Section 1980.309 (f)(3) | Rural Housing Guarantee Report of Loss | Form 1980-20 | 240 | 17.42 | 4,181 | 1.00 | 4,181 | $21.39 | $89,427 | |
| Section 1980.351 | Request for Reservation of Funds | Form 1980-86 | 1,783 | 19.49 | 34,751 | 0.50 | 17,375 | $21.39 | $371,658 | |
| Section 1980.353 (c) | Request for Single Family Housing Loan Guarantee | Form 1980-21 | 1,783 | 18.61 | 33,182 | 0.33 | 10,950 | $19.57 | $214,290 | |
| Section 1980.355 | Conditional Commitment for SFH Guarantee | Form 1980-18 | 1,783 | 17.72 | 31,595 | 1.00 | 31,595 | $21.39 | $675,812 | |
| Section 1980.361 | Loan Note Guarantee | Form 1980-17 | 1,783 | 17.72 | 31,595 | 0.08 | 2,528 | $21.39 | $54,065 | |
| Section 1980.390 (f)(2) | Master Interest Assistance and Shared Equity Agreement with Promissory Note | Form 1980-12 - No Activity at This Time | 0 | 0 | 0 | 0.00 | 0 | $0.00 | $0 | |
| Section 1980.390 (f)(2) | Annual Interest Assistance Agreement | Form 1980-13 Borrower | 25 | 1 | 25 | 0.17 | 4 | $19.57 | $83 | |
| Lender | 25 | 1 | 25 | 0.50 | 13 | $21.39 | $267 | |||
| FORM TOTAL: | 109.56 | 159,760 | 8.33 | 73,253 | $1,546,953 | |||||
| Section of Regulation | Title | Form No. (if any) |
Estimated No. of Respondents |
Reports filed Annually |
Total Annual Responses (D) x (E) |
Estimated No. of Man-hours per response |
Estimated Total Man-hours (F) x (G) |
Wage Class |
Total Cost (H) x (I) |
|
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | |
| OTHER OMB NOs | ||||||||||
| Section 1980.317 Section 1980.353 (c) | Equal Opportunity Agreement RD Form 400-1 | Form RD 400-1 (0575-0018) | 546 | 1 | 546 | 0.10 | 55 | $21.39 | $1,168 | |
| Section 1980.317 | Compliance Statement RD Form 400-6 | Form RD 400-6 (0575-0018) | 546 | 1 | 546 | 0.10 | 55 | $21.39 | $1,168 | |
| Section 1980.353 (e) Section 1980.390 (h) | Request for Verification of Employment RD Form 1910-5 | Form RD 1910-5 (0575-0172) | 1,783 | 2 | 3,566 | 0.25 | 892 | $21.39 | $19,069 | |
| Section 1980.361 (a) | Guaranteed Loan Closing Report RD Form 1980-19 | Form RD 1980-19 (0575-0137) | 1,783 | 1 | 1,783 | 0.25 | 446 | $21.39 | $9,535 | |
| 5 | 6,441 | 0.70 | 1,446 | $30,940 | ||||||
| SUMMARY | ||||||||||
| Section of Regulation | Title | Form No. (if any) |
Estimated No. of Respondents |
Reports filed Annually |
Total Annual Responses (D) x (E) |
Estimated No. of Man-hours per response |
Estimated Total Man-hours (F) x (G) |
Wage Class |
Total Cost (H) x (I) |
|
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | |
| NO-FORM TOTAL: | 45.44 | 75,087 | 5.09 | 29,117 | $622,804 | |||||
| FORM TOTAL: | 109.56 | 159,760 | 8.33 | 73,253 | $1,546,953 | |||||
| FORMS APPROVED UNDER OTHER OMB NUMBERS: | 5 | 0.70 | 0 | $30,940 | ||||||
| TOTAL BURDEN: | 160 | 234,847 | 14.12 | 102,370 | $2,169,757 | |||||
| File Type | application/vnd.ms-excel |
| Author | Dawn Wolfgang |
| Last Modified By | jeanne.jacobs |
| File Modified | 2009-08-20 |
| File Created | 1999-05-21 |