Mutual and Self-Help Housing Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD-1049 CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS	Form	New	Available
Form AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	Form	New	Available
Form AD- 1049 CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS	Form	New	Available
Form AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions	Form	New	Available
sf269a.pdf	Supplementary Document	Uploaded 2007-06-05	Available
sf270.pdf	Supplementary Document	Uploaded 2007-06-05	Available
935-2a.pdf	Supplementary Document	Uploaded 2007-06-05	Available
ex1940q.pdf	Supplementary Document	Uploaded 2007-06-05	Available
0400-04.pdf	Supplementary Document	Uploaded 2007-06-05	Available
0400-01.pdf	Supplementary Document	Uploaded 2007-06-05	Available
SF424B-V1.1.pdf	Supplementary Document	Uploaded 2007-06-05	Available
SF424A-V1.0.pdf	Supplementary Document	Uploaded 2007-06-05	Available
SF424-V2.0.pdf	Supplementary Document	Uploaded 2007-06-05	Available
3551 supporting statement June 07.doc	Supporting Statement A	Uploaded 2007-06-05	Available
3551 PWB Grid (January07).xls	Supporting Statement B	Uploaded 2007-06-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
180297	Mutual and Self-Help Housing - State, Local, and Tribal	Form	New	CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS
180297	Mutual and Self-Help Housing - State, Local, and Tribal	Form	New	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions
180296	Mututal and Self-Help Housing Program - Non-Profit	Form	New	CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS
180296	Mututal and Self-Help Housing Program - Non-Profit	Form	New	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions

ICR Details

OMB Control No: 0575-0191	ICR Reference No: 200705-0575-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: USDA/RHS	Agency Tracking No:
Title: Mutual and Self-Help Housing Programs
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 10/11/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/05/2007
Terms of Clearance: In accordance with 5 CFR 1320, OMB is withholding approval at this time. Prior to publication of the final rule, the agency must submit to OMB a summary of all comments related to the information collection contained in the proposed rule and the agency response. The agency should clearly indicate any changes made to the information collection as a result of these comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Regulation promulgates the policies and procedures for providing technical assistance funds to eligible applicants to finance programs of technical and supervisory assistance for self-help housing

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Authorizing Statute(s): US Code: 42 USC 1490c Name of Law: Mutual and Self-Help Housing
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0575-AC20	Proposed rulemaking	72 FR 96	05/18/2007

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Mutual and Self-Help Housing - State, Local, and Tribal	AD-1047, AD-1049	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions ,   CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS
Mututal and Self-Help Housing Program - Non-Profit	AD- 1049, AD-1047	Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions ,   CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New collection. Proposed regulation 7 CFR 3551 replaces the current rule 7 CFR 1944-I.

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Annual Cost to Federal Government: $1,349,564

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/05/2007

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