7 CFR 1944-N “Housing Preservation Grant”
OMB No. 0575-0115
Reports Filed: Annually/Semi-Annually/Quarterly Date Prepared: November 30, 2018
|
||||||||||
Section of Regulation
(A) |
Title
(B) |
Form Number
(C) |
Estimated No. of Respondents
(D) |
Reports Filed Annually
(E) |
Total Annual Responses (D) x (E) (F) |
Hours Per Response
(G) |
Total Annual Hours (F) x (G) (H) |
Wage Class (per hour)
(I) |
Cost to the Public (H) x (I)
(J) |
|
REPORTING REQUIREMENTS – NO FORMS |
||||||||||
1944.651(d) |
Applicants must inform Agency if there is any known relationship of association with a RHS employee.
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Narrative
|
2
3 |
1
1 |
2
3 |
0.16
0.16 |
1
1 |
$16.00
$16.00 |
$16.00
$16.00 |
|
1944.658(a)(3) 1944.666(b)(7) 1944.666(e) 1944.670(a) 1944.676(b)(1)(x) 1944.688(e) 1944.689(a)(3) |
7 CFR 3015, 7 CFR 3016, and OMB Circular A-122
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Narrative
|
43
58 |
1
1 |
43
58 |
8
8 |
344
464 |
$16.00
$16.00 |
$5,504
$7,424 |
|
1944.661(a) 1944.661(b) |
HPG recipient (individual Homeowners) evidence of income and ownership
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Grantee form documentation
|
460
633 |
2
2 |
920
1,266 |
1
1 |
920
1,266 |
$16.00
$16.00 |
$14,720
$20,256 |
|
1944.662(a)
|
HPG recipient (rental property owner or Co-op) requirements of evidence of ownership
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Grantee form documentation
|
43
58 |
1
1 |
43
58 |
0.5
0.5 |
22
29 |
$16.00
$16.00 |
$352
$464 |
|
7 CFR 1944-N “Housing Preservation Grant”
OMB No. 0575-0115
Reports Filed: Annually/Semi-Annually/Quarterly Date Prepared: November 30, 2018
|
||||||||||
Section of Regulation
(A) |
Title
(B) |
Form Number
(C) |
Estimated No. of Respondents
(D) |
Reports Filed Annually
(E) |
Total Annual Responses (D) x (E) (F) |
Hours Per Response
(G) |
Total Annual Hours (F) x (G) (H) |
Wage Class (per hour)
(I) |
Cost to the Public (H) x (I)
(J) |
|
REPORTING REQUIREMENTS – NO FORMS |
||||||||||
1944.662(b) |
HPG recipient (tenant in rental property or co-op owner) of income eligibility
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Grantee from and/or documentation
|
460
633 |
1
1 |
460
633 |
0.5
0.5 |
230
317 |
$16.00
$16.00 |
$3,680
$5,072 |
|
1944.663
|
Ownership agreement between HPG Grantee and Rental Property Owner or Co-op
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Non-standard form by grantee
|
22
31 |
1
1 |
22
31 |
1
1 |
22
31 |
$16.00
$16.00 |
$352
$496 |
|
1944.665
|
Final Inspection Report
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Non-standard
|
460
633 |
1
1 |
460
633 |
0.5
0.5 |
230
317 |
$16.00
$16.00 |
$3,680
$5,072 |
|
1944.667
|
Relocation and displacement
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Narrative in statement of activities
|
43
58 |
1
1 |
43
58 |
0.33
0.33 |
14
19 |
$16.00
$16.00 |
$224
$304 |
|
7 CFR 1944-N “Housing Preservation Grant”
OMB No. 0575-0115
Reports Filed: Annually/Semi-Annually/Quarterly Date Prepared: November 30, 2018
|
||||||||||
Section of Regulation
(A) |
Title
(B) |
Form Number
(C) |
Estimated No. of Respondents
(D) |
Reports Filed Annually
(E) |
Total Annual Responses (D) x (E) (F) |
Hours Per Response
(G) |
Total Annual Hours (F) x (G) (H) |
Wage Class (per hour)
(I) |
Cost to the Public (H) x (I)
(J) |
|
REPORTING REQUIREMENTS – NO FORMS |
||||||||||
1944.672(e) 1944.673 1944.676(d)(e) |
Documentation of historic preservation process, determination if unit is located in floodplain/wetland, or an archeological property
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Narrative and Exhibit F-2
|
460
633 |
1
1 |
460
633 |
0.16
0.16 |
74
101 |
$16.00
$16.00 |
$1,184
$1,616 |
|
1944.674(c) 1944.676(e-g) |
Documentation that statement of activities submitted to State single point of contact
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Narrative
|
88
122 |
1
1 |
88
122 |
0.16
0.16 |
11
21 |
$16.00
$16.00 |
$224
$320 |
|
1944.676(b)
|
Statement of Activities (Pre-application Requirement)
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Narrative
|
88
122 |
1
1 |
88
122 |
8
8 |
704
976 |
$16.00
$16.00 |
$11,264
$15,616 |
|
1944.683(b) 1944.688(a)
|
Quarterly and Final Performance Reports
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Exhibit E-1
|
43
58 |
4
4 |
172
232 |
2
2 |
344
464 |
$16.00
$16.00 |
$5,504
$7,424 |
|
7 CFR 1944-N “Housing Preservation Grant”
OMB No. 0575-0115
Reports Filed: Annually/Semi-Annually/Quarterly Date Prepared: November 30, 2018
|
|
|||||||||||||||
Section of Regulation
(A) |
Title
(B) |
Form Number
(C) |
Estimated No. of Respondents
(D) |
Reports Filed Annually (D) x (E) (E) |
Total Annual Responses (D) x (E) (F) |
Hours Per Response
(G) |
Total Annual Hours (F) x (G) (H) |
Wage Class (per hour)
(I) |
Cost to the Public (H) x (I)
(J) |
|
||||||
1944.684(d) |
Amendment to Grant Agreement Extension and/or Revision
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization
|
Exhibit B
|
21
23 |
1
1 |
21
23 |
0.5
0.5 |
11
12 |
$16.00
$16.00 |
$176
$192 |
|
||||||
REPORTING REQUIREMENTS – FORMS |
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|||||||
1944.654(b) |
Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I – for Grantees Other Than Individuals
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization
|
AD 1049
|
88
122 |
1
1 |
88
122 |
0.25
0.25 |
22
31 |
$16.00
$16.00 |
$352
$496
|
|
||||||
|
REPORTING TOTAL (Burden) |
|
|
|
6,904 |
|
6,998 |
|
|
|||||||
7 CFR 1944-N “Housing Preservation Grant”
OMB No. 0575-0115
Reports Filed: Annually/Semi-Annually/Quarterly Date Prepared: November 30, 2018
|
||||||||||||||||||
Section of Regulation
(A) |
Title
(B) |
Form Number
(C) |
Estimated No. of Respondents
(D) |
Reports Filed Annually
(E) |
Total Annual Responses (D) x (E) (F) |
Hours Per Response
(G) |
Total Annual Hours (F) x (G) (H) |
Wage Class (per hour)
(I) |
Cost to the Public (H) x (I) (J) |
|||||||||
BURDENS AND FORMS APPROVED UNDER OTHER OMB NUMBERS |
||||||||||||||||||
1944.682{c) |
Request for Advance or Reimbursement
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
SF 270 (0348-0004)
|
43
58 |
4
4 |
172
232 |
0.5
0.5 |
86
116 |
$16.00
$16.00 |
$1,376
$1,856 |
|||||||||
1944.683(a-b)
|
Financial Status Report
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
SF 425 (4040-0014)
|
43
58 |
4
4 |
172
232 |
0.5
0.5 |
86
116 |
$16.00
$16.00 |
$1,376
$1,856 |
|||||||||
1944.672(a) 1944.676(c) |
Environmental Report
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Written (0575-0197)
|
88
122 |
1
1 |
88
122 |
6
6 |
528
732 |
$16.00
$16.00 |
$8,448
$11,712 |
|||||||||
1944.676{a) |
Pre-Application for Federal Assistance
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
SF 424 (4040-0004)
|
88
122 |
1
1 |
88
122 |
0.5
0.5 |
44
61 |
$16.00
$16.00 |
$704
$976 |
|||||||||
7 CFR 1944-N “Housing Preservation Grant”
OMB No. 0575-0115
Reports Filed: Annually/Semi-Annually/Quarterly Date Prepared: November 30, 2018
|
||||||||||||
Section of Regulation
(A) |
Title
(B) |
Form Number
(C) |
Estimated No. of Respondents
(D) |
Reports Filed Annually
(E) |
Total Annual Responses (D) x (E) (F) |
Hours Per Response
(G) |
Total Annual Hours (F) x (G) (H) |
Wage Class (per hour)
(I) |
Cost to the Public (H) x (I) (J) |
|||
1944.676(h) |
Equal Opportunity Agreement
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Form RD 400-1 (0575-0018)
|
88
122 |
1
1 |
88
122 |
0.16
0.16 |
22
31 |
$16.00
$16.00 |
$224
$320 |
|||
1944.676(h)
|
Assurance Agreement
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Form RD 400-4 (0575-0018)
|
88
122 |
1
1 |
88
122 |
.25
.25 |
22
31 |
$16.00
$16.00 |
$352
$496 |
|||
1944.681 |
Application for Federal Assistance
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
SF 424 (4040-0004)
|
43
58 |
1
1 |
43
58 |
0.5
0.5 |
22
29 |
$16.00
$16.00 |
$352
$464
|
|||
7 CFR 1944-N “Housing Preservation Grant”
OMB No. 0575-0115
Reports Filed: Annually/Semi-Annually/Quarterly Date Prepared: November 30, 2018
|
|||||||||||||||
Section of Regulation
(A) |
Title
(B) |
Form Number
(C) |
Estimated No. of Respondents
(D) |
Reports Filed Annually
(E) |
Total Annual Responses (D) x (E) (F) |
Hours Per Response
(G) |
Total Annual Hours (F) x (G) (H) |
Wage Class (per hour)
(I) |
Cost to the Public (H) x (I) (J) |
||||||
1944.682(c) |
Federal Cash Transactions Report
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
SF 272 (0348-0003)
|
43
58 |
4
4 |
172
232 |
0.5
0.5 |
86
116 |
$16.00
$16.00 |
$1,376
$1,856 |
||||||
RECORDKEEPING REQUIREMENTS (under this collection) |
|||||||||||||||
1944.682(a)
|
Grant Agreement
- Local/State Governments (Native American Indian Tribes)
- Nonprofit organization |
Exhibit A
|
43
58 |
1
1 |
43
58 |
0.5
0.5 |
22
29 |
$16.00
$16.00 |
$352
$464 |
||||||
|
RECORDKEEPING TOTAL |
|
|
|
101 |
|
51 |
|
816 |
||||||
|
|
|
|
|
|
|
|
|
|
||||||
|
REPORTING TOTAL |
|
|
|
6,904 |
|
6,998 |
|
|
||||||
|
TOTAL BURDEN for this Collection |
|
|
|
7,005 |
|
7,049 |
|
127,232 |
||||||
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |