Spreadsheet

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 Assitance (TA) Grant
3551.55 (b) (2)	Evidence of capacity to operate a MSH program	Narrative statement	75	1	75	0.25	18.75	$24	$450
3551.55 (b) (3)	Organizational Documents	Narrative statement	75	1	75	0.66	49.50	$24	$1,188
3551.55 (b) (3)	Financial statement	Narrative statement	75	1	75	0.25	19	$24	$450
3551.55 (b) (4)	Evidence of need and demand	Narrative statement	75	1	75	1	75.0	$24	$1,800
3551.55 (b) (5)	Evidence of land availability	Narrative statement	75	1	75	1	75	$24	$1,800
3551.55 (b) (8)	Proposed Budget	Narrative statement	75	1	75	1	75.00	$24	$1,800
3551.55 (b) (9)	Monthly activities schedule	Narrative statement	75	12	900	1	900.00	$24	$21,600
3551.55 (b) (11) (iii)	Conflict-of-interest Disclosure	Narrative statement	75	1	75	0.16	12	$24	$288
3551.55 (b) (11) (iv)	Disclosure of Lobbying Activities	RD Instruction 1940-Q Exhibit A-1	105	1	105	0.16	17	$24	$403.20
3551.55 (b) (12)	Evidence of multi-funded status/cost allocation plan	Letter/Narrative statement	75	1	75	0.5	37.5	$24	$900
3551.55 (b) (13)	Number of homes/ Factors for awards	Narrative statement/ Scoring summary sheet	75	1	75	1	75.00	$24	$1,800
3551.9 / 3551.55 (d) (3)	Grant Agreement	Narrative Statement	75	1	75	0.08	6	$24	$144
	TA Grant Closing
3551.55 (d) (1)	Personnel Information	Narrative statement	56	1	56	0.25	14	$24	$336
3551.55 (d) (3)	Authorization from the Board of Directors	Narrative statement	56	1	56	0.16	9	$24	$215
3551.55 (d) (4)	Establishing Interest Bearing Accounts	Narrative statement	56	1	56	0.25	14.00	$24	$336
3551.55 (d) (6)	Qualification for Federal assistance	Narrative statement	56	1	56	0.16	8.96	$24	$215
3551.55 (d) (9)	Agreement of compliance with all applicable Federal statutes and regulations	Narrative statement	56	1	56	0.16	8.96	$24	$215
3551.151(a)	Generate quarterly SHARES report	SHARES report and narrative statement	50	4	200	0.5	100.00	$24	$2,400
3551.104 (c) (2)	Grantee audit	Narrative statement	45	1	45	15	675.00	$24	$16,200
3551.106 (a)	Grant Closeout – Final Grantee Evaluation	Final SHARES entry	60	1	60	1	60	$24	$1,440
3551.106	Request for RHS Evaluation Review	Letter	5	1	5	0.16	0.80	$24	$19
	Subtotal TA Grants				2,345		2249.98		$54,000
	Predevelopment Grant
3551.201 (f) (2) (ii)	Evidence of demonstrated capacity to operate a MSH program	Narrative statement	30	1	30	0.25	7.5	$24	$180
3551.201 (f) (2) (vii)	Organizational Documents	Narrative statement	30	1	30	0.16	4.80	$24	$115
3551.201 (f) (2) (viii)	Financial statement	Narrative statement	30	1	30	0.25	8	$24	$180
3551.201 (f) (2) (x)	Evidence of Land availability	Narrative statement	30	1	30	0.5	15.00	$24	$360
3551.201 (f) (2) (xi)	Evidence of need and demand	Narrative statement	30	1	30	0.5	15.00	$24	$360
3551.201 (f) (2) (xii)	Monthly activity schedule	Narrative statement	30	1	30	0.5	15.00	$24	$360
3551.201 (f) (2) (xii)	Proposed budget	Narrative statement	30	1	30	0.5	15.00	$24	$360
3551.201 (f) (2) (xiii)	Conflict-of-interest disclosure	Narrative statement	30	1	30	0.16	5	$24	$115
3551.9	Grant Agreement	Narrative Statement	30	1	30	5.6	168.0	$24	$4,032
3551.201 (h) (2)	Predevelopment grantee closeout: Final accounting of funds	Narrative statement	30	1	30	1	30	$24	$720
	Subtotal Predevelopment Grants				300		282.60		$6,782
	Site Option Loans
3551.251 (g) (2) (i)	Resolution authorizing application for a site option loan	Narrative statement	5	1	5	0.25	1.3	$24	$30
3551.251 (g) (2) (ii)	Copy of proposed option or schedule of proposed options	Narrative statement	5	1	5	0.25	1.25	$24	$30
	Subtotal Site Option Loans				10		3		$60
	SUBTOTAL				2,655		2535		$60,842
	Reporting Requirements - Recordkeeping
1944.411(f)	Agreement to Establish a Certified Recordkeeping System	Narrative Statement	105	1	105	0.16	16.80	$24	$403
1944.411(h)	Agreement Between Grantee and Families	Narrative Statement	105	1	105	0.16	16.80	$24	$403
1944.420, Exhibit C	Amendment to the Self-Help Technical Assistance Grant Agreement	Narrative Statement	51	1	51	0.16	8.16	$24	$196
	SUBTOTAL				261		41.76		$1,002
	Reporting Requirements - Forms
1944.410(e)	Equal Opportunity Agreement	RD 400-1 (0575-0018)	105	1	105	0.16	16.80	$24	$403
1944.411(d)	Assurance Agreement	RD 400-4 (0575-0018)	105	1	105	0.25	26.25	$24	$630
1944.410(b)(1)(ii)	Request for Environmental Information	RD 1940-20 (0575-0094)	105	1	105	6	630	$24	$15,120
3551.55 (b) (11)	Drug-Free Workplace	AD-1049	105	1	105	0.16	17	$24	$403.20
3551.55 (b) (11)	Certification regarding debarment, suspension, ineligibility and voluntary exclusion	AD-1047	105	1	105	0.16	17	$24	$403.20
	SUBTOTAL				525		706.65		$16,960
1944.410(a)	Application for Federal Assistance	SF-424 (4040-0004)	105	1	105	1	105	$24
	Reporting Requirements - Form Burden Approved Under Other OMB Numbers
1944.410(a)(6)	Budget Information Non-Construction Programs	SF-424A (4040-0006)	105	1	105	3	315	$24
1944.411(d)	Assurances – Nonconstruction Programs	SF-424B (4040-0007)	105	1	105	0.25	26.25	$24
1944.417(a)(2)	Request for Advance or Reimbursement	SF-270 (4040-0012)	105	1	105	1	105	$24
1944.426(a)(2)	Federal Financial Report	SF-425 (4040-0014)	105	1	105	1.5	157.5	$24
1944.410(b)(2)(iv)	Affirmative Fair Housing Marketing Plan	HUD 935.2 (2529-0013)	105	1	105	3	315	$24
	Total Reporting Requirement Burden				3,180		3,241.73		$77,802
	Total Recordkeeping Burden				261		41.76		$1,002
	Total Burden This Docket				3,441		3,283.49		$78,804