HUD 4133 Community Compass High Wage Rate Worksheet

Request for Rates $200 and Greater Per Hour

Instructions: Complete this for new staff, contractors, and consultants with a total hourly rate of $200.00 and greater. Include the information for one person within a single row. Attach this form when inputting hourly rates for approval in DRGR.

"Public reporting burden for this collection of information is estimated to average 1.0 hours. This includes the time for collecting, reviewing, and reporting the data. The information is being collected for HUD's Community Compass Technical Assistance and Capacity Building Program Notice of Funding Availability (NOFA) and will be used for application review . Response to this request for information is required in order to receive the benefits to be derived. This agency may not collect this information, and you are not required to complete this form unless it displays a currently valid OMB control number."

TA Awardee Name:

Name

Rate Type "S" = Staff "C" = Consultant "SU" = Contractor

Total Hourly Base Rate (Staff=Initial rate of compensation an employee receives in exchange for service. Consultant/Contractor = Fully Loaded Rate)

Subject Matter Expertise

Selected Under Procurement Policy? (Yes/No)

If No, Explain Why Not

Describe Value of Person to TA Team

Estimated Annual Hours for TA

Estimated Annual Cost

Prior Approved Rate (if applicable)

Prior Approval Date

Other information including justification for contractor/consultant rate increase and/or sole source selection (if applicable)

Staff Type: Industry: Occupational Type (as selected in DRGR): Occupational Title: Areas of Expertise: SME Details: Awards, Education, Certifications, and Professional Affiliations:

Work Plan(s): Value to Project(s): Estimated Hours for Current/Pending Work Plan(s):

$-

Staff Type: Industry: Occupational Type (as selected in DRGR): Occupational Title: Areas of Expertise: SME Details: Awards, Education, Certifications, and Professional Affiliations:

Work Plan(s): Value to Project(s): Estimated Hours for Current/Pending Work Plan(s):

$-

BELOW PORTION TO BE COMPLETED BY WAG

History of Approved Wages in DRGR

TA Awardee

Staff Type

Effective Date

Rate Type

Occupational Type

Base Rate

GSA eLibrary Comparative Occupations from Awarded Contracts (https://bit.ly/2v1qmY1)

Occupation

Description of Occupation

Hourly Rate

Link to Contract

GSA Advantage Awarded Ceiling Rates for Occupations - CALC Tool (shorturl.at/hoD38)

Occupation

Average Hourly Rate

Average Hourly Rate + 1 St. Dev.

Link to Page

The Bureau of Labor Statistics Comparative Occupations (https://www.bls.gov/ooh/a-z-index.htm#A)

Occupation

Description of Occupation/Required Education

Median Hourly Rate

Link to Page

History of Approved Wages in DRGR for Occupational Type

TA Awardee

Effective Date

Rate Type

Staff Type

Base Rate