7 CFR 1944-I, "Self-Help Technical Assistance Grants"

7 CFR 1944-I, "Self-Help Technical Assistance Grants

Reports Filed: Annually

OMB NO. 0575-0043

Date Prepared: 5/4/09

Section of
Regulation

Title

Forms No.(s)
(If "none"
so state)

(A)

(B)

(C)

Estimated
No. of
Respondents

Reports
Filed
Annually

Total
Annual
Responses
(D) x (E)

Hours
per
Response

Total
Annual
Hours
(F) x (G)

Wage
Class

Total
Cost
(H) x (I)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

Reporting Requirements - FORMS
APPROVED UNDER OTHER OMB
NUMBERS
1944.410(a)

Application for Federal Assistance

SF-424
(4040-0004)

14

1

14

0.75

10.5

20

$210

146

1

146

0.75

109.5

20

$2,190

- Local/State Governments
(Native American Indian Tribes)

14

1

14

3

42

20

$840

- Nonprofit organization

146

1

146

3

438

20

$8,760

14

1

14

0.16

2.24

20

$44.80

146

1

146

0.16

23.36

20

$467.20

14

1

14

0.25

3.5

20

$70

146

1

146

0.25

36.5

20

$730

14

1

14

0.25

3.5

20

$70

146

1

146

0.25

36.5

20

$730

14

1

14

1

14

20

$280

146

1

146

1

146

20

$2,920

- Local/State Governments
(Native American Indian Tribes)
- Nonprofit organization
1944.410(a)(6)

19944.410(e)

Budget Information Non-Construction
Programs

Equal Opportunity Agreement
- Local/State Governments
(Native American Indian Tribes)

SF-424A
(4040-0006)

RD 400-1
(0575-0018)

- Nonprofit organization
1944.411(d)

Assurance Agreement
- Local/State Governments
(Native American Indian Tribes)

RD 400-4
(0575-0018)

- Nonprofit organization
1944.411(d)

Assurances - Nonconstruction Programs
- Local/State Governments
(Native American Indian Tribes)

SF-424B
(4040-0007)

- Nonprofit organizations
1944.417(a)(2)

Request for Advance or Reimbursement
- Local/State Governments
(Native American Indian Tribes)
- Nonprofit organizations

SF-270
(0348-0004)

7 CFR 1944-I, "Self-Help Technical Assistance Grants

Reports Filed: Annually

OMB NO. 0575-0043

Date Prepared: 5/4/09

Section of
Regulation

Title

Forms No.(s)
(If "none"
so state)

(A)

(B)

(C)

Estimated
No. of
Respondents

Reports
Filed
Annually

Total
Annual
Responses
(D) x (E)

Hours
per
Response

Total
Annual
Hours
(F) x (G)

Wage
Class

Total
Cost
(H) x (I)

(D)

(E)

(F)

G)

(H)

(I)

(J)

Reporting Requirements - FORMS
APPROVED UNDER OTHER OMB
NUMBERS
1944.426(a)(2)

Financial Status Report
- Local/State Governments
(Native American Indian Tribes)

SF-269A
(0348-0038)

14

1

14

1.5

21

20

$420

146

1

146

1.5

219

20

$4,380

14

1

14

3

42

20

$840

146

1

146

3

438

20

$8,760

- Local/State Governments
(Native American Indian Tribes)

14

1

14

0.25

3.5

20

$70

- Nonprofit organizations

146

1

146

0.25

36.5

20

$730

- Local/State Governments
(Native American Indian Tribes)

14

1

14

0.16

2.24

20

$44.80

- Nonprofit organizations

146

1

146

0.16

23.36

20

$467.2

- Nonprofit organization
1944.410(b)(2)
(ii)

Affirmative Fair Housing Marketing Plan
- Local/State Governments
(Native American Indian Tribes)

HUD 935.2
(2529-0013)

- Nonprofit organization
Reporting Requirements - No Forms
1944.410(b)(2)
(iv)

1944.410(a)(1)

Evidence of Capacity to Operate a MSH
Program

Organizational Documents

Narrative
Statement

Narrative
Statement

7 CFR 1944-I, "Self-Help Technical Assistance Grants

Reports Filed: Annually

OMB NO. 0575-0043

Date Prepared: 5/4/09

Section of
Regulation

Title

Forms No.(s)
(If "none"
so state)

(A)

(B)

(C)

Estimated
No. of
Respondents

Reports
Filed
Annually

Total
Annual
Responses
(D) x (E)

Hours
per
Response

Total
Annual
Hours
(F) x (G)

Wage
Class

Total
Cost
(H) x (I)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

Reporting Requirements - NO FORMS
1944.410(a)(3)

Financial Statement

Narrative
Statement

14

1

14

0.25

3.5

20

$70

146

1

146

0.25

36.5

20

$730

- Local/State Governments
(Native American Indian Tribes)

14

1

14

0.25

3.5

20

$70

- Nonprofit organization

146

1

146

0.25

36.5

20

$730

14

1

14

0.5

7

20

$140

146

1

146

0.5

73

20

$1,460

14

1

14

1

14

20

$280

146

1

146

1

146

20

$2,920

14

1

14

0.25

3.5

20

$70

146

1

146

0.25

36.5

20

$730

- Local/State Governments
(Native American Indian Tribes)

11

1

11

8.5

93.5

20

$1,870

- Nonprofit organizations

119

1

119

8.5

1,011.5

20

$20,230

- Local/State Governments
(Native American Indian Tribes)
- Nonprofit organization
1944.410(a)(4)

1944.410(a)(5)

Narrative Statement of the Area to be
Served

Very Low-income Plan
- Local/State Governments
(Native American Indian Tribes)

Narrative
Statement

Narrative
Statement

- Nonprofit organization
1944.410(a)(7)

Survey of Lots
- Local/State Governments
(Native American Indian Tribes)

Narrative
Statement

- Nonprofit organization
1944.410(a)(8)

List of Other Activities
- Local/State Governments
(Native American Indian Tribes)

Narrative
Statement

- Nonprofit organizations
1944.410(a)(9)

Statement Identifying Need, Amount of
Funds and Projected Time Period

Narrative
Statement

7 CFR 1944-I, "Self-Help Technical Assistance Grants

Reports Filed: Annually

OMB NO. 0575-0043

Date Prepared: 5/4/09

Section of
Regulation

Title

Forms No.(s)
(If "none"
so state)

(A)

(B)

(C)

Estimated
No. of
Respondents

Reports
Filed
Annually

Total
Annual
Responses
(D) x (E)

Hours
per
Response

Total
Annual
Hours
(F) x (G)

Wage
Class

Total
Cost
(H) x (I)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

Reporting Requirements - NO FORMS
1944.410(a)(d)
Exhibit D

1944.411(c)

1944.411(g)

Self-Help Technical Assistance Grant
Predevelopment Agreement

Narrative
Statement

- Local/State Governments
(Native American Indian Tribes)

3

1

3

0.5

1.5

20

$30

- Nonprofit organization

27

1

27

0.5

13.5

20

$270

- Local/State Governments
(Native American Indian Tribes)

11

1

11

0.16

1.76

20

$35.2

- Nonprofit organization

119

1

119

0.16

19.04

20

$380.8

11

4

44

0.25

11

20

$220

119

4

476

0.25

119

20

$2,380

11

4

44

1

44

20

$880

119

4

476

1

476

20

$9,520

- Local/State Governments
(Native American Indian Tribes)

2

1

2

0.16

0.32

20

$6.4

- Nonprofit organizations

13

1

13

0.16

2.08

20

$41.6

4

1

4

1

4

20

$80

36

1

36

1

36

20

$720

Statement of Compliance, OMB
Circulars and Department Regulations

Establishing Interest Bearing Accounts
- Local/State Governments
(Native American Indian Tribes)

Narrative
Statement

Narrative
Statement

- Nonprofit organization
1944.417(b) and
Exhibit B

Evaluating Report of Self-Help Grants
- Local/State Governments
(Native American Indian Tribes)

Narrative
Statement

- Nonprofit organization
1944.419(c)

1944.420(c)

Request for Evaluation Review

Revised Budget
- Local/State Governments
(Native American Indian Tribes)
- Nonprofit organizations

Letter

Narrative
Statement

7 CFR 1944-I, "Self-Help Technical Assistance Grants

Reports Filed: Annually

OMB NO. 0575-0043

Date Prepared: 5/4/09

Section of
Regulation

Title

Forms No.(s)
(If "none"
so state)

(A)

(B)

(C)

Estimated
No. of
Respondents

Reports
Filed
Annually

Total
Annual
Responses
(D) x (E)

Hours
per
Response

Total
Annual
Hours
(F) x (G)

Wage
Class

Total
Cost
(H) x (I)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

Reporting Requirements - NO FORMS
1944.422(a)

1944.422(b)

1944.427
Exhibit E

Audit Report, Non-Profit Organizations

Written

- Local/State Governments
(Native American Indian Tribes)

10

1

10

15

150

20

3,000

- Nonprofit organization

105

1

105

15

1,575

20

31,500

- Local/State Governments
(Native American Indian Tribes)

1

1

1

15

15

20

300

- Nonprofit organization

11

1

11

15

165

20

3,300

11

1

11

1

11

20

220

119

1

119

1

119

20

2,380

1

1

1

1

1

20

20

4

1

4

1

4

20

80

- Local/State Governments
(Native American Indian Tribes)

11

1

11

0.16

1.76

20

35.2

- Nonprofit organizations

119

1

119

0.16

19.04

20

380.8

Audit Report, Local Governments and
Indian Tribes

Grantees' Self-Evaluation
- Local/State Governments
(Native American Indian Tribes)

Narrative
Statement

Narrative
Statement

- Nonprofit organization
1944.I
Exhibit F

Application for Site Option Loan
- Local/State Governments
(Native American Indian Tribes)

Narrative
Statement

- Nonprofit organization
Reporting Requirements Recordkeeping
1944.411(f)

Agreement to Establish a Certified
Recordkeeping System

Narrative
Statement

7 CFR 1944-I, "Self-Help Technical Assistance Grants

Reports Filed: Annually

OMB NO. 0575-0043

Date Prepared: 5/4/09

Section of
Regulation

Title

Forms No.(s)
(If "none"
so state)

(A)

(B)

(C)

Estimated
No. of
Respondents

Reports
Filed
Annually

Total
Annual
Responses
(D) x (E)

Hours'
per
Response

Total
Annual
Hours
(F) x (G)

Wage
Class

Total
Cost
(H) x (I)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

Reporting Requirements Recordkeeping
1944.411(h)

Agreement Between Grantee and Families
- Local/State Governments
(Native American Indian Tribes)

Narrative
Statement

11

1

11

0.16

1.76

20

35.2

119

1

119

0.16

19.04

20

380.8

- Local/State Governments
(Native American Indian Tribes)

11

1

11

0.16

1.76

20

35.2

- Nonprofit organization

119

1

119

0.16

19.04

20

380.8

- Local/State Governments
(Native American Indian Tribes)

11

1

11

0.08

0.88

20

17.6

- Nonprofit organization

119

1

119

0.08

9.52

20

190.4

- Nonprofit organization
1944.420
Exhibit C

1944.I, Exhibit A

Amendment to the Self-Help Technical
Assistance Grant Agreement

Self-Help Technical Assistance Grant
Agreement

Total Annual Ressponses
Total Recordkeeping Burden

Narrative
Statement

Narrative
Statement

3,287
520

Total Reporting Burden
Total Burden This Docket

3,287

73

$1,456

4,299

$85,984

4,372

$87,440