170 |
1 |
|
|
|
|
|
|
|
|
|
|
140 |
2 |
|
|
|
|
|
|
|
|
|
|
4 |
8 |
|
|
|
|
|
|
|
|
|
|
Section of Regulation |
Title |
Form No (if any) |
Estimated No. of Respondents |
Reports Filed Annually |
Total Annual Responses (D) x (E) |
Estimated No. of Manhours Per Response |
Estimated Total Manhours (F) x (G) |
Wage Class |
Total Cost (H) x (I) |
|
|
(A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
|
|
|
Reporting Requirements - No Forms |
|
|
|
|
|
|
|
|
|
|
|
Technical Assistance (TA) Grant |
|
|
|
|
|
|
|
|
|
|
3551.55 (b) (2) |
Evidence of capacity to operate a MSH program |
Narrative statement |
70 |
1 |
70 |
0.25 |
17.50 |
$30 |
$525 |
|
|
3551.55 (b) (3) |
Organizational Documents |
Narrative statement |
70 |
1 |
70 |
0.16 |
11.20 |
$30 |
$336 |
|
|
3551.55 (b) (3) |
Financial statement |
Narrative statement |
70 |
1 |
70 |
0.25 |
18 |
$30 |
$525 |
|
|
3551.55 (b) (4) |
Evidence of need and demand |
Narrative statement |
70 |
1 |
70 |
1 |
70.0 |
$30 |
$2,100 |
|
|
3551.55 (b) (5) |
Evidence of land availability |
Narrative statement |
70 |
1 |
70 |
1 |
70 |
$30 |
$2,100 |
|
|
3551.55 (b) (8) |
Proposed Budget |
Narrative statement |
70 |
1 |
70 |
1 |
70.00 |
$30 |
$2,100 |
|
|
3551.55 (b) (9) |
Monthly activities schedule |
Narrative statement |
70 |
4 |
280 |
1 |
280.00 |
$30 |
$8,400 |
|
|
3551.55 (b) (11) (iii) |
Conflict-of-interest Disclosure |
Narrative statement |
70 |
1 |
70 |
0.16 |
11 |
$30 |
$336 |
|
|
3551.55 (b) (11) (iv) |
Disclosure of Lobbying Activities |
RD Instruction 1940-Q Exhibit A-1 |
70 |
1 |
70 |
0.16 |
11 |
$30 |
$336.00 |
|
|
3551.55 (b) (12) |
Evidence of multi-funded status/cost allocation plan |
Letter/Narrative statement |
70 |
1 |
70 |
0.5 |
35.0 |
$30 |
$1,050 |
|
|
3551.55 (b) (13) |
Number of homes/ Factors for awards |
Narrative statement/ Scoring summary sheet |
70 |
1 |
70 |
1 |
70.00 |
$30 |
$2,100 |
|
|
3551.9 / 3551.55 (d) (3) |
Grant Agreement |
Narrative Statement |
70 |
1 |
70 |
0.08 |
6 |
$30 |
$168 |
|
|
|
TA Grant Closing |
|
|
|
|
|
|
|
|
|
|
3551.55 (d) (1) |
Personnel Information |
Narrative statement |
70 |
1 |
70 |
0.25 |
18 |
$30 |
$525 |
|
|
3551.55 (d) (3) |
Authorization from the Board of Directors |
Narrative statement |
70 |
1 |
70 |
0.16 |
11 |
$30 |
$336 |
|
|
3551.55 (d) (4) |
Establishing Interest Bearing Accounts |
Narrative statement |
70 |
1 |
70 |
0.25 |
17.50 |
$30 |
$525 |
|
|
3551.55 (d) (6) |
Qualification for Federal assistance |
Narrative statement |
70 |
1 |
70 |
0.16 |
11.20 |
$30 |
$336 |
|
|
3551.55 (d) (9) |
Agreement of compliance with all applicable Federal statutes and regulations |
Narrative statement |
70 |
1 |
70 |
0.16 |
11.20 |
$30 |
$336 |
|
|
3551.151(a) |
Generate quarterly SHARES report |
SHARES report and narrative statement |
70 |
4 |
280 |
0.5 |
140.00 |
$30 |
$4,200 |
|
|
3551.104 (c) (2) |
Grantee audit |
Narrative statement |
70 |
1 |
70 |
15 |
1050.00 |
$30 |
$31,500 |
|
|
3551.106 (a) |
Grant Closeout – Final Grantee Evaluation |
Final SHARES entry |
70 |
1 |
70 |
1 |
70 |
$30 |
$2,100 |
|
|
3551.106 |
Request for RHS Evaluation Review |
Letter |
70 |
1 |
70 |
0.16 |
11.20 |
$30 |
$336 |
|
|
1944.410(b)(1)(ii) |
Environmental Report |
Narrative statement |
50 |
1 |
50 |
6 |
300 |
$30 |
$9,000 |
|
|
|
Subtotal TA Grants |
|
|
|
1,940 |
|
2309.00 |
|
$69,270 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predevelopment Grant- not currently funded |
|
|
|
|
|
|
|
|
|
|
3551.201 (f) (2) (ii) |
Evidence of demonstrated capacity to operate a MSH program |
Narrative statement |
0 |
1 |
0 |
0.25 |
0.0 |
$30 |
$0 |
|
|
3551.201 (f) (2) (vii) |
Organizational Documents |
Narrative statement |
0 |
1 |
0 |
0.16 |
0.00 |
$30 |
$0 |
|
|
3551.201 (f) (2) (viii) |
Financial statement |
Narrative statement |
0 |
1 |
0 |
0.25 |
0 |
$30 |
$0 |
|
|
3551.201 (f) (2) (x) |
Evidence of Land availability |
Narrative statement |
0 |
1 |
0 |
1 |
0.00 |
$30 |
$0 |
|
|
3551.201 (f) (2) (xi) |
Evidence of need and demand |
Narrative statement |
0 |
1 |
0 |
1 |
0.00 |
$30 |
$0 |
|
|
3551.201 (f) (2) (xii) |
Monthly activity schedule |
Narrative statement |
0 |
12 |
0 |
1 |
0.00 |
$30 |
$0 |
|
|
3551.201 (f) (2) (xii) |
Proposed budget |
Narrative statement |
0 |
1 |
0 |
1 |
0.00 |
$30 |
$0 |
|
|
3551.201 (f) (2) (xiii) |
Conflict-of-interest disclosure |
Narrative statement |
0 |
1 |
0 |
0.16 |
0 |
$30 |
$0 |
|
|
3551.9 |
Grant Agreement |
Narrative Statement |
0 |
1 |
0 |
0.08 |
0.0 |
$30 |
$0 |
|
|
3551.201 (h) (2) |
Predevelopment grantee closeout: Final accounting of funds |
Narrative statement |
0 |
1 |
0 |
1 |
0 |
$30 |
$0 |
|
|
1944.410(b)(1)(ii) |
Environmental Report |
Narrative statement |
0 |
1 |
0 |
6 |
0 |
$30 |
$0 |
|
|
|
Subtotal Predevelopment Grants |
|
|
|
0 |
|
0.00 |
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Site Option Loans |
|
|
|
|
|
|
|
|
|
|
3551.251 (g) (2) (i) |
Resolution authorizing application for a site option loan |
Narrative statement |
3 |
1 |
3 |
0.25 |
0.8 |
$30 |
$23 |
|
|
3551.251 (g) (2) (ii) |
Copy of proposed option or schedule of proposed options |
Narrative statement |
3 |
1 |
3 |
0.25 |
0.75 |
$30 |
$23 |
|
|
|
Subtotal Site Option Loans |
|
|
|
6 |
|
2 |
|
$45 |
|
|
|
SUBTOTAL |
|
|
|
1,946 |
|
2311 |
|
$69,315 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3551.55 (b) (11) |
Drug-Free Workplace |
AD-1049 (0505-0027) |
70 |
1 |
70 |
0.25 |
18 |
$26 |
$455.00 |
|
|
3551.55 (b) (11) |
Certification regarding debarment, suspension, ineligibility and voluntary exclusion |
AD-1047 (0505-0027) |
70 |
1 |
70 |
0.25 |
18 |
$26 |
$455.00 |
|
|
|
SUBTOTAL |
|
|
|
140 |
|
35 |
|
$910.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reporting Requirements - Recordkeeping |
|
|
|
|
|
|
|
|
|
|
1944.411(f) |
Agreement to Establish a Certified Recordkeeping System |
Narrative Statement |
70 |
1 |
70 |
0.16 |
11.20 |
$30 |
$336 |
|
|
1944.411(h) |
Agreement Between Grantee and Families |
Narrative Statement |
100 |
1 |
100 |
0.16 |
16.00 |
$30 |
$480 |
|
|
1944.420, Exhibit C |
Amendment to the Self-Help Technical Assistance Grant Agreement |
Narrative Statement |
50 |
1 |
50 |
0.16 |
8.00 |
$30 |
$240 |
|
|
|
SUBTOTAL |
|
|
|
220 |
|
35.20 |
|
$1,056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reporting Requirements - Form Burden Approved Under Other OMB Numbers |
|
|
|
|
|
|
|
|
|
|
1944.410(a) |
Application for Federal Assistance |
SF-424 (4040-0004) |
70 |
1 |
70 |
1 |
70 |
$24 |
$1,680.00 |
|
|
1944.410(a)(6) |
Budget Information Non-Construction Programs |
SF-424A (4040-0006) |
70 |
1 |
70 |
3 |
210 |
$26 |
$5,460.00 |
|
|
1944.411(d) |
Assurances – Nonconstruction Programs |
SF-424B (4040-0007) |
70 |
1 |
70 |
0.5 |
35.00 |
$26 |
$910.00 |
|
|
1944.417(a)(2) |
Request for Advance or Reimbursement |
SF-270 (4040-0012) |
840 |
1 |
840 |
1 |
840 |
$26 |
$21,840.00 |
|
|
1944.426(a)(2) |
Federal Financial Report |
SF-425 (4040-0014) |
140 |
1 |
140 |
1.5 |
210.0 |
$26 |
$5,460.00 |
|
|
1944.410(b)(2)(iv) |
Affirmative Fair Housing Marketing Plan |
HUD 935.2 (2529-0013) |
70 |
1 |
70 |
3 |
210 |
$26 |
$5,460.00 |
|
|
1944.410(e) |
Equal Opportunity Agreement |
RD 400-1 (0575-0018) |
70 |
1 |
70 |
0.16 |
11.20 |
$26 |
$291 |
|
|
1944.411(d) |
Assurance Agreement |
RD 400-4 (0575-0018) |
70 |
1 |
70 |
0.25 |
17.50 |
$26 |
$455 |
|
|
3551.55 (b) (11) (iv) |
Disclosure of Lobbying Activities |
SF-LLL |
70 |
1 |
70 |
0.16 |
11 |
$30 |
$336.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Reporting Requirement Burden |
|
|
|
2,086 |
|
2,345.50 |
|
$70,225 |
|
|
|
Total Recordkeeping Burden |
|
|
|
220 |
|
35.20 |
|
$1,056 |
|
|
|
Total Burden This Docket |
|
|
|
2,306 |
|
2,380.70 |
|
$71,281 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|