Section 515 Multi-Family Housing Preservation and Revitalization Restructuring (MPR) Demonstration Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 440-24 Position Fidelity Schedule Bond	Form	Modified	Available
Form 400-8 Compliance Review	Form	Modified	Available
Form 400-4 Assurance Agreement	Form	Modified	Available
Form 400-1 Equal Opportunity Agreement	Form	Modified	Available
Form 402-1 Deposit Agreement	Form	Modified	Available
Form 1927-20 Certification of Title Insurance Company	Form	Modified	Available
Form 1927-19 Certification of Attorney	Form	Modified	Available
Form 1927-10 Final Title Option	Form	Modified	Available
Form 1927-9 Preliminary Title Option	Form	Modified	Available
Form 1927-8 Agreement with Prior Lienholder	Form	Modified	Available
Form 1927-5 Affidavit Regarding Work of Improvement	Form	Modified	Available
Form 1940-20 Request for Environmental Informaion	Form	Modified	Available
Form 1924-25 Plan Certification	Form	Modified	Repair queued
Form 1924-19 Builder's Warranty	Form	Modified	Available
Form 1924-18 Partial Payment Estimate	Form	Modified	Available
Form 1924-13 Estimate and Certficate of Actual Cost	Form	Modified	Available
Form 1924-11 Statement of Labored Performed	Form	Modified	Repair queued
Form 1924-10 Release by Claimants	Form	Modified	Available
Form 1927-9 Certification of Contractor's Release	Form	Modified	Available
Form 1927-7 Contract Change Order	Form	Modified	Available
Form 1924-6 Construction Contract	Form	Modified	Available
Form 1924-6 Construction Contract	Form	Modified	Available
Form 1924-5 Invitation for Bid	Form	Modified	Available
Form 1924-3 Service Building Specifications	Form	Modified	Available
Form 1924-2 Description of Materials	Form	Modified	Available
Form 1924-1 Development Plan	Form	Modified	Available
Form 440-11 Estimate of Funds Needed	Form	Modified	Available
Form 3560-57 Application for Settlement Indebtness	Form	Modified	Available
Form 3560-38 Application for Cooperative Housing Membership	Form	Modified	Repair queued
Form 3560-44 FLH Technical Assitance Grant Agreement	Form	Modified	Available
Form 3560-35A Consilidated Loan Resolution	Form	Modified	Available
Form 3560-34A Consilidated RRH Loan Agreement	Form	Modified	Available
Form 3560-33A Consiliadated Loan Agreement	Form	Modified	Available
Form 3560-43 Verification of Occupancy of Domestic Farm Laborer	Form	Modified	Available
Form 3560-42 Labor Housing Grant Agreement	Form	Modified	Repair queued
Form 3560-41 Labor Housing Loan and Grant to a Nonprofit Corporation	Form	Modified	Available
Form 3560-40 Loan Agreement	Form	Modified	Repair queued
Form 3560-39 Loan Resolution	Form	Modified	Available
Form 3560-35 Loan Resolution	Form	Modified	Available
Form 3560-34 Loan Agreement	Form	Modified	Available
Form 3560-33 Loan Agreement	Form	Modified	Available
Form 3560-31 Identity of Interest Disclosure/Qualification Certificate	Form	Modified	Available
Form 3560-29 Notice of Payment Due	Form	Modified	Available
Form 3560-27A Operating Assistance Agreement	Form	Modified	Available
Form 3560-27 Rental Assistance Agreement	Form	Modified	Available
Form 3560-25 Request for Rental Assistance/Operating Assitance	Form	Modified	Available
Form 3560-22 Offer to Convey Security	Form	Modified	Available
Form 3560-20 MFH Transfer and Assumption Review and Recommendation	Form	Modified	Available
Form 3560-15 Reamortization Request	Form	Modified	Available
Form 3560-13 MF Project Family Owner's/Management Agent's Management Certification	Form	Modified	Available
Form 3560-12 Request for Authorization to Withdraw Reserve Funds	Form	Modified	Available
Form 3560-10 MFH Borrower Balance Sheet	Form	Modified	Available
Form 3560-9 MFH Interest Credit and Rental Assistance Agreement	Form	Modified	Available
Form 3560-8 Tenant Certification and Annual Recertification	Form	Modified	Available
Form 3560-7A On Farm Labor Housing Project Budget	Form	Modified	Repair queued
Form 3560-7 MFH Project Budget/Utility Allowance	Form	Modified	Available
Form 3560-1 Application for Partial Release, Subordination, or Consent	Form	Modified	Available
Form 440-34 Option to Purchase Real Property	Form	Modified	Available
Form 3560-51 MFH Obligation Fund Analysis	Form	Modified	Available
Form 440-24 Position Fidelity Schedule Bond	Form	Modified	Repair queued
Form 400-8 Compliance Review	Form	Modified	Available
Form 400-4 Assurance Agreement	Form	Modified	Available
Form 400-1 Equal Opportunity Agreement	Form	Modified	Available
Form 402-1 Deposit Agreement	Form	Modified	Available
Form 1927-20 Certification of Title Insurance Company	Form	Modified	Available
Form 1927-19 Certification of Attorney	Form	Modified	Available
Form 1927-10 Final Title Opinion	Form	Modified	Repair queued
Form 1927-9 Preliminary Title Opinion	Form	Modified	Available
Form 1927-8 Agreement with Prior Lienholder	Form	Modified	Available
Form 1940-20 Request for Environmental Information	Form	Modified	Available
Form 1927-5 Affadavit Regarding Work of Improvement	Form	Modified	Available
Form 1924-25 Plan Certification	Form	Modified	Available
Form 1924-19 Builder's Warranty	Form	Modified	Available
Form 1924-18 Partial Payment Estimate	Form	Modified	Available
Form 1924-13 Estimate and Certificate of Actual Costs	Form	Modified	Available
Form 1924-11 Statement of Labor Performed	Form	Modified	Available
Form 1924-10 Release by Claimants	Form	Modified	Available
Form 1924-9 Certification of Contractor's Release	Form	Modified	Available
Form 1924-7 Contract Change Oder	Form	Modified	Available
Form 1924-6 Construction Contract	Form	Modified	Available
Form 1924-5 Invitation for Bid	Form	Modified	Available
Form 1924-3 Service Building Specifications	Form	Modified	Repair queued
Form 1924-2 Description of Materials	Form	Modified	Available
Form 1924-1 Development Plan	Form	Modified	Available
Form 440-11 Estimate of Funds Needed	Form	Modified	Available
Form 3560-57 Application for Settlement Indebtness	Form	Modified	Available
Form 3560-51 MFH Obligation Fund Analysis	Form	Modified	Available
Form 3560-38 Application for Cooperative Housing Membership	Form	Modified	Available
Form 3560-44 Farm Labor Housing Technical Assistance Grant Agreement	Form	Modified	Available
Form 3560-35A Consilidated Loan Resolution	Form	Modified	Available
Form 3560-34A Consilidated RRH Loan Agreement	Form	Modified	Available
Form 3560-33A Consilidated Loan Agreement	Form	Modified	Available
Form 3560-43 Verification of Occupancy of Domestic Farm Laborer	Form	Modified	Available
Form 3560-42 Labor Housing Grant Agreement	Form	Modified	Available
Form 3560-41 Labor Housing Loan and Grant to a Nonprofit Corporation	Form	Modified	Available
Form 3560-40 Loan Agreement	Form	Modified	Available
Form 3560-39 Loan Resolution	Form	Modified	Available
Form 3650-35 Loan Resolution	Form	Modified	Available
Form 3560-34 Loan Agreement	Form	Modified	Available
Form 3560-33 Loan Agreement	Form	Modified	Available
Form 3560-29 Notice of Payment Due Report	Form	Modified	Available
Form 3560-27A Operating Assistance Agreement	Form	Modified	Available
Form 3560-27 Rental Assistance Agreement	Form	Modified	Available
Form 3560-25 Request for Rental Assistance/Operating Agreement	Form	Modified	Available
Form 3560-22 Offer to Convey Security	Form	Modified	Available
Form 3560-20 MFH Transfer and Assumption Review and Recommendation	Form	Modified	Available
Form 3560-15 Reamortization Request	Form	Modified	Available
Form 3560-13 MFH Project Owner's/Management Agent's Management Certification	Form	Modified	Available
Form 3560-12 Request for Authorization to Withdraw Reserve Funds	Form	Modified	Available
Form 3560-10 MFH Borrower Balance Sheet	Form	Modified	Available
Form 3560-9 MFH Interest Credit and Rental Assistance Agreement	Form	Modified	Available
Form 3560-8 Tenant Certification and Annual Recertification	Form	Modified	Available
Form 3560-7A On-Farm Labor Housing Project Budget	Form	Modified	Available
Form 3560-7 MFH Project Budget/Utility Allowance	Form	Modified	Available
Form 3560-1 Application for Partial Release, Subordination or Release	Form	Modified	Available
Form 440-34 Option to Purchase Real Property	Form	Modified	Available
Form 3560-31 Identity of Interest Disclosure/Qualification Certificate	Form	Modified	Available
Form 440-24 Position Fidelity Schedule Bond	Form	Modified	Available
Form 400-8 Compliance Review	Form	Modified	Available
Form 400-4 Assurance Agreement	Form	Modified	Available
Form 400-1 Equal Opportunity Agreement	Form	Modified	Available
Form 402-1 Deposit Agreement	Form	Modified	Available
Form 1927-20 Certification of Title Insurance Company	Form	Modified	Available
Form 1927-19 Certification of Attorney	Form	Modified	Available
Form 1927-10 Final Title Option	Form	Modified	Available
Form 1927-9 Preliminary Title Option	Form	Modified	Available
Form RD 1927-8 Agreement With Prior Lienholder	Form	Modified	Available
Form RD 1927-5 Affidavit Regarding Work of Imporvement	Form	Modified	Available
Form RD 1940-20 Request for Environmental Information	Form	Modified	Available
Form RD 1924-25 Plan Certification	Form	Modified	Available
Form RD 1924-19 Builder's Warranty	Form	Modified	Available
Form RD 1924-18 Partial Payment Estimate	Form	Modified	Available
Form RD 1924-13 Estimate and Certificate of Actual Cost	Form	Modified	Available
Form RD 1924-12 Inspection Report	Form	Modified	Available
Form RD 1924-11 Statement of Labor Performed	Form	Modified	Available
Form RD 1924-10 Release by Claimants	Form	Modified	Available
Form RD 1924-9 Certification of Contractor's Release	Form	Modified	Available
Form RD 1924-7 Contract Change Order	Form	Modified	Available
Form RD 1924-6 Construction Contract	Form	Modified	Available
Form RD 1924-5 Invitation for Bid	Form	Modified	Available
Form RD 1924-3 Service Building Specifications	Form	Modified	Available
Form RD 1924-2 Description of Materials	Form	Modified	Available
Form RD 1924-1 Development Plan	Form	Modified	Available
Form RD 440-11 Estimate of Funds Needed	Form	Modified	Available
Form RD 3560-57 Application for Settlement of Indebtness	Form	Modified	Available
Form RD 3560-51 MFH Obligation Fund Analysis	Form	Modified	Available
Form RD 3560-38 Application for Cooperative Housing Membership	Form	Modified	Available
Form RD 3560-44 Farm Labor Housing Technical Assistance Grant Agreement	Form	Modified	Available
Form RD 3560-35A Consilidated Loan Resolution	Form	Modified	Available
Form RD 3560-34A Consilidated RRH Loan Agreement	Form	Modified	Available
Form RD 3560-33A Consilidated Loan Agreement	Form	Modified	Available
Form RD 3560-43 Verification of Occupancy of Domestic Farm Laborer	Form	Modified	Available
Form RD 3560-42 Labor Housing Grant Agreement	Form	Modified	Available
Form RD 3560-41 LH Loan and Grant to a Nonprofit Corporation	Form	Modified	Available
Form RD 3560-40 Loan Agreement	Form	Modified	Available
Form RD 3560-39 Loan Resoluton	Form	Modified	Available
Form RD 3560-35 Loan Resolution	Form	Modified	Available
Form RD 3560-34 Loan Agreement	Form	Modified	Available
Form RD 3560-33 Loan Agreement	Form	Modified	Available
Form RD 3560-31 Identity of Interest Disclosure/Qualification Certificate	Form	Modified	Available
Form RD 3560-29 Notice of Payment Due Report	Form	Modified	Available
Form RD 3560-27A Operating Assistance Agreement	Form	Modified	Available
Form RD 3560-25 Request for Rental Assistance/Operationg Assistance	Form	Modified	Available
Form RD 3560-22 Offer to Convey Security	Form	Modified	Available
Form RD 3560-20 MFH Transfer and Assumption Review and Recommendation	Form	Modified	Available
Form RD 3560-15 Reamortization Request	Form	Modified	Repair queued
Form RD 3560-13 MFH Project Management Certification	Form	Modified	Available
Form RD 3560-12 Request for Authorization to Withdraw Reserve Funds	Form	Modified	Available
Form RD 3560-10 MFH Borrower Balance Sheet	Form	Modified	Available
Form RD 3560-9 MFH Interest Credit and Rental Assistance Agreement	Form	Modified	Available
Form RD 3560-8 Tenant Certification	Form	Modified	Available
Form RD 3560-7A On-Farm Labor Housing Project Budget	Form	Modified	Available
Form RD 3560-7 Restrictive Use Covenant	Form	Modified	Available
Form RD 3560-1 Application for Partial Release	Form	Modified	Available
Form RD 440-34 Option to Purchase Real Property	Form	Modified	Available
Form RD 3560-27 Rental Assistance Agreement	Form	Modified	Available
SF424_2_1-V2.1 (1).pdf	Supplementary Document	Uploaded 2016-06-29	Available
935-2a.pdf	Supplementary Document	Uploaded 2016-06-29	Available
HUD-2530 (2).pdf	Supplementary Document	Uploaded 2016-06-29	Available
0575-0190 PBA SUPPORTING STATEMENT 2016.doc	Supporting Statement A	Uploaded 2016-08-23	Available
0575-0190 2016 PBA List of Documents.xls	Supplementary Document	Uploaded 2016-08-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Position Fidelity Schedule Bond
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Compliance Review
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Assurance Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Equal Opportunity Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Deposit Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Certification of Title Insurance Company
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Certification of Attorney
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Final Title Option
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Preliminary Title Option
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Agreement with Prior Lienholder
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Affidavit Regarding Work of Improvement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Request for Environmental Informaion
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Plan Certification
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Builder's Warranty
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Partial Payment Estimate
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Estimate and Certficate of Actual Cost
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Statement of Labored Performed
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Release by Claimants
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Certification of Contractor's Release
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Contract Change Order
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Construction Contract
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Construction Contract
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Invitation for Bid
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Service Building Specifications
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Description of Materials
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Development Plan
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Estimate of Funds Needed
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Application for Settlement Indebtness
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Application for Cooperative Housing Membership
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	FLH Technical Assitance Grant Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Consilidated Loan Resolution
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Consilidated RRH Loan Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Consiliadated Loan Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Verification of Occupancy of Domestic Farm Laborer
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Labor Housing Grant Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Labor Housing Loan and Grant to a Nonprofit Corporation
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Loan Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Loan Resolution
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Loan Resolution
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Loan Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Loan Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Identity of Interest Disclosure/Qualification Certificate
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Notice of Payment Due
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Operating Assistance Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Rental Assistance Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Request for Rental Assistance/Operating Assitance
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Offer to Convey Security
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	MFH Transfer and Assumption Review and Recommendation
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Reamortization Request
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	MF Project Family Owner's/Management Agent's Management Certification
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Request for Authorization to Withdraw Reserve Funds
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	MFH Borrower Balance Sheet
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	MFH Interest Credit and Rental Assistance Agreement
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Tenant Certification and Annual Recertification
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	On Farm Labor Housing Project Budget
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	MFH Project Budget/Utility Allowance
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Application for Partial Release, Subordination, or Consent
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	Option to Purchase Real Property
44624	Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	Form	Modified	MFH Obligation Fund Analysis
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Position Fidelity Schedule Bond
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Compliance Review
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Assurance Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Equal Opportunity Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Deposit Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Certification of Title Insurance Company
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Certification of Attorney
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Final Title Opinion
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Preliminary Title Opinion
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Agreement with Prior Lienholder
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Request for Environmental Information
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Affadavit Regarding Work of Improvement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Plan Certification
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Builder's Warranty
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Partial Payment Estimate
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Estimate and Certificate of Actual Costs
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Statement of Labor Performed
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Release by Claimants
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Certification of Contractor's Release
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Contract Change Oder
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Construction Contract
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Invitation for Bid
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Service Building Specifications
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Description of Materials
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Development Plan
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Estimate of Funds Needed
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Application for Settlement Indebtness
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	MFH Obligation Fund Analysis
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Application for Cooperative Housing Membership
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Farm Labor Housing Technical Assistance Grant Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Consilidated Loan Resolution
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Consilidated RRH Loan Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Consilidated Loan Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Verification of Occupancy of Domestic Farm Laborer
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Labor Housing Grant Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Labor Housing Loan and Grant to a Nonprofit Corporation
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Loan Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Loan Resolution
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Loan Resolution
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Loan Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Loan Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Notice of Payment Due Report
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Operating Assistance Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Rental Assistance Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Request for Rental Assistance/Operating Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Offer to Convey Security
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	MFH Transfer and Assumption Review and Recommendation
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Reamortization Request
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	MFH Project Owner's/Management Agent's Management Certification
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Request for Authorization to Withdraw Reserve Funds
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	MFH Borrower Balance Sheet
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	MFH Interest Credit and Rental Assistance Agreement
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Tenant Certification and Annual Recertification
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	On-Farm Labor Housing Project Budget
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	MFH Project Budget/Utility Allowance
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Application for Partial Release, Subordination or Release
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Option to Purchase Real Property
44623	Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	Form	Modified	Identity of Interest Disclosure/Qualification Certificate
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Position Fidelity Schedule Bond
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Compliance Review
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Assurance Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Equal Opportunity Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Deposit Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Certification of Title Insurance Company
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Certification of Attorney
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Final Title Option
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Preliminary Title Option
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Agreement With Prior Lienholder
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Affidavit Regarding Work of Imporvement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Request for Environmental Information
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Plan Certification
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Builder's Warranty
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Partial Payment Estimate
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Estimate and Certificate of Actual Cost
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Inspection Report
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Statement of Labor Performed
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Release by Claimants
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Certification of Contractor's Release
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Contract Change Order
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Construction Contract
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Invitation for Bid
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Service Building Specifications
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Description of Materials
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Development Plan
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Estimate of Funds Needed
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Application for Settlement of Indebtness
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	MFH Obligation Fund Analysis
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Application for Cooperative Housing Membership
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Farm Labor Housing Technical Assistance Grant Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Consilidated Loan Resolution
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Consilidated RRH Loan Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Consilidated Loan Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Verification of Occupancy of Domestic Farm Laborer
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Labor Housing Grant Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	LH Loan and Grant to a Nonprofit Corporation
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Loan Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Loan Resoluton
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Loan Resolution
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Loan Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Loan Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Identity of Interest Disclosure/Qualification Certificate
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Notice of Payment Due Report
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Operating Assistance Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Request for Rental Assistance/Operationg Assistance
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Offer to Convey Security
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	MFH Transfer and Assumption Review and Recommendation
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Reamortization Request
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	MFH Project Management Certification
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Request for Authorization to Withdraw Reserve Funds
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	MFH Borrower Balance Sheet
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	MFH Interest Credit and Rental Assistance Agreement
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Tenant Certification
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	On-Farm Labor Housing Project Budget
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Restrictive Use Covenant
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Application for Partial Release
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Option to Purchase Real Property
2050	Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	Form	Modified	Rental Assistance Agreement

ICR Details

OMB Control No: 0575-0190	ICR Reference No: 201606-0575-001
Status: Historical Active	Previous ICR Reference No: 201306-0575-001
Agency/Subagency: USDA/RHS	Agency Tracking No:
Title: Section 515 Multi-Family Housing Preservation and Revitalization Restructuring (MPR) Demonstration Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/29/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/24/2016
Terms of Clearance: In accordance with 5 CFR 1320, this information collection request has been approved for 3 years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2016
Responses	22,141	0	2,420
Time Burden (Hours)	27,365	0	2,720
Cost Burden (Dollars)	0	0	0

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Abstract: Implements a Demonstration Program to Preserve and Revitalize existing Rural Rental Housing Projects Financed by Rural Development under Section 515 of the Housing Act of 1949.

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Authorizing Statute(s): PL: Pub.L. 109 - 97 515 Name of Law: USDA, Rural Development, Food and Drug Administration, and Related Agencies Appropriation Act, 2006
   US Code: 42 USC 1485 Name of Law: Housing Act of 1949
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 31589	05/19/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 57560	08/23/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Sec. 515 Multi-Family Housing Preservation & Revitalization - Individuals	RD 3560-10, RD 3560-9, RD 3560-8, RD 3560-31, RD 3560-39, RD 3560-43, RD 3560-33A, RD 3560-34A, RD 3560-35A, RD 3560-57, RD 1924-3, RD 1924-6, RD 3560-51, 1927-9, 400-8, 1927-19, 1927-20, 440-24, 1927-10, 402-1, 400-1, 400-4, RD 3560-15, RD 3560-13, RD 3560-22, RD 3560-25, RD 3560-27, RD 3560-27A, RD 3560-34, RD 3560-42, RD 3560-44, RD 440-11, RD 1924-1, RD 1924-2, RD 1924-10, RD 1924-12, RD 1924-18, RD 1924-25, RD 1940-20, RD 1927-5, RD 1927-8, RD 3560-41, RD 3560-38, RD 1924-11, RD 1924-13, RD 3560-20, RD 1924-5, RD 1924-7, RD 1924-9, RD 1924-19, RD 3560-12, RD 3560-29, RD 3560-33, RD 3560-35, RD 3560-40, RD 440-34, RD 3560-1, RD 3560-7, RD 3560-7A	Option to Purchase Real Property ,   Application for Partial Release ,   Restrictive Use Covenant ,   On-Farm Labor Housing Project Budget ,   Tenant Certification ,   MFH Interest Credit and Rental Assistance Agreement ,   MFH Borrower Balance Sheet ,   Request for Authorization to Withdraw Reserve Funds ,   MFH Project Management Certification ,   Reamortization Request ,   MFH Transfer and Assumption Review and Recommendation ,   Offer to Convey Security ,   Request for Rental Assistance/Operationg Assistance ,   Rental Assistance Agreement ,   Operating Assistance Agreement ,   Notice of Payment Due Report ,   Identity of Interest Disclosure/Qualification Certificate ,   Loan Agreement ,   Loan Agreement ,   Loan Resolution ,   Loan Resoluton ,   Loan Agreement ,   LH Loan and Grant to a Nonprofit Corporation ,   Labor Housing Grant Agreement ,   Verification of Occupancy of Domestic Farm Laborer ,   Consilidated Loan Agreement ,   Consilidated RRH Loan Agreement ,   Consilidated Loan Resolution ,   Farm Labor Housing Technical Assistance Grant Agreement ,   Application for Cooperative Housing Membership ,   MFH Obligation Fund Analysis ,   Application for Settlement of Indebtness ,   Estimate of Funds Needed ,   Development Plan ,   Description of Materials ,   Service Building Specifications ,   Invitation for Bid ,   Construction Contract ,   Contract Change Order ,   Certification of Contractor's Release ,   Release by Claimants ,   Statement of Labor Performed ,   Inspection Report ,   Estimate and Certificate of Actual Cost ,   Partial Payment Estimate ,   Builder's Warranty ,   Plan Certification ,   Request for Environmental Information ,   Affidavit Regarding Work of Imporvement ,   Agreement With Prior Lienholder ,   Preliminary Title Option ,   Final Title Option ,   Certification of Attorney ,   Certification of Title Insurance Company ,   Deposit Agreement ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Compliance Review ,   Position Fidelity Schedule Bond
Sec. 515 Multi-Family Housing Preservation and Revitalization - Private Sector	1927-19, 400-1, 400-8, 440-34, 3560-1, 3560-7, 3560-7A, 3560-8, 3560-9, 3560-10, 3560-12, 3560-15, 3560-20, 3560-22, 3560-25, 3650-35, 3560-39, 3560-40, 3560-41, 3560-42, 3560-33A, 3560-34A, 3560-38, 440-11, 1924-1, 1924-2, 1924-5, 1924-6, 1924-7, 1924-10, 1924-11, 440-24, 3560-13, 3560-27, 3560-27A, 3560-29, 3560-31, 3560-33, 3560-34, 3560-43, 3560-44, 3560-35A, 3560-51, 3560-57, 1924-3, 1924-9, 1924-13, 1927-5, 1927-10, 1924-18, 1924-19, 1924-25, 1940-20, 1927-8, 1927-9, 1927-20, 402-1, 400-4	Option to Purchase Real Property ,   Application for Partial Release, Subordination or Release ,   MFH Project Budget/Utility Allowance ,   On-Farm Labor Housing Project Budget ,   Tenant Certification and Annual Recertification ,   MFH Interest Credit and Rental Assistance Agreement ,   MFH Borrower Balance Sheet ,   Request for Authorization to Withdraw Reserve Funds ,   MFH Project Owner's/Management Agent's Management Certification ,   Reamortization Request ,   MFH Transfer and Assumption Review and Recommendation ,   Offer to Convey Security ,   Request for Rental Assistance/Operating Agreement ,   Rental Assistance Agreement ,   Operating Assistance Agreement ,   Notice of Payment Due Report ,   Identity of Interest Disclosure/Qualification Certificate ,   Loan Agreement ,   Loan Agreement ,   Loan Resolution ,   Loan Resolution ,   Loan Agreement ,   Labor Housing Loan and Grant to a Nonprofit Corporation ,   Labor Housing Grant Agreement ,   Verification of Occupancy of Domestic Farm Laborer ,   Consilidated Loan Agreement ,   Consilidated RRH Loan Agreement ,   Consilidated Loan Resolution ,   Farm Labor Housing Technical Assistance Grant Agreement ,   Application for Cooperative Housing Membership ,   MFH Obligation Fund Analysis ,   Application for Settlement Indebtness ,   Estimate of Funds Needed ,   Development Plan ,   Description of Materials ,   Service Building Specifications ,   Invitation for Bid ,   Construction Contract ,   Contract Change Oder ,   Certification of Contractor's Release ,   Release by Claimants ,   Statement of Labor Performed ,   Estimate and Certificate of Actual Costs ,   Partial Payment Estimate ,   Builder's Warranty ,   Plan Certification ,   Affadavit Regarding Work of Improvement ,   Request for Environmental Information ,   Agreement with Prior Lienholder ,   Preliminary Title Opinion ,   Final Title Opinion ,   Certification of Attorney ,   Certification of Title Insurance Company ,   Deposit Agreement ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Compliance Review ,   Position Fidelity Schedule Bond
Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal	1927-9, 1927-8, 3560-8, 3560-7, 3560-13, 3560-15, 3560-29, 3560-35, 3560-41, 3560-42, 3560-44, 1924-6, 1927-7, 1927-5, 400-4, 400-8, 440-34, 3560-10, 3560-27A, 3560-34A, 3560-38, 1924-2, 1924-11, 1940-20, 402-1, 3560-12, 3560-25, 3560-31, 3560-33, 3560-9, 3560-20, 3560-40, 3560-43, 3560-33A, 3560-51, 1927-19, 3560-34, 3560-39, 1924-3, 1924-5, 1924-6, 1924-10, 1924-13, 1924-18, 1924-19, 1927-10, 3560-22, 3560-27, 3560-35A, 3560-57, 440-11, 1924-1, 1924-25, 1927-9, 1927-20, 400-1, 440-24, 3560-1, 3560-7A	Option to Purchase Real Property ,   Application for Partial Release, Subordination, or Consent ,   MFH Project Budget/Utility Allowance ,   On Farm Labor Housing Project Budget ,   Tenant Certification and Annual Recertification ,   MFH Interest Credit and Rental Assistance Agreement ,   MFH Borrower Balance Sheet ,   Request for Authorization to Withdraw Reserve Funds ,   MF Project Family Owner's/Management Agent's Management Certification ,   Reamortization Request ,   MFH Transfer and Assumption Review and Recommendation ,   Offer to Convey Security ,   Request for Rental Assistance/Operating Assitance ,   Rental Assistance Agreement ,   Operating Assistance Agreement ,   Notice of Payment Due ,   Identity of Interest Disclosure/Qualification Certificate ,   Loan Agreement ,   Loan Agreement ,   Loan Resolution ,   Loan Resolution ,   Loan Agreement ,   Labor Housing Loan and Grant to a Nonprofit Corporation ,   Labor Housing Grant Agreement ,   Verification of Occupancy of Domestic Farm Laborer ,   Consiliadated Loan Agreement ,   Consilidated RRH Loan Agreement ,   Consilidated Loan Resolution ,   FLH Technical Assitance Grant Agreement ,   Application for Cooperative Housing Membership ,   MFH Obligation Fund Analysis ,   Application for Settlement Indebtness ,   Estimate of Funds Needed ,   Development Plan ,   Description of Materials ,   Service Building Specifications ,   Invitation for Bid ,   Construction Contract ,   Construction Contract ,   Contract Change Order ,   Certification of Contractor's Release ,   Release by Claimants ,   Statement of Labored Performed ,   Estimate and Certficate of Actual Cost ,   Partial Payment Estimate ,   Builder's Warranty ,   Plan Certification ,   Request for Environmental Informaion ,   Affidavit Regarding Work of Improvement ,   Agreement with Prior Lienholder ,   Preliminary Title Option ,   Final Title Option ,   Certification of Attorney ,   Certification of Title Insurance Company ,   Deposit Agreement ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Compliance Review ,   Position Fidelity Schedule Bond

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	22,141	2,420	0	0	19,721	0
Annual Time Burden (Hours)	27,365	2,720	0	0	24,645	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: There was a significant increase in responses, 19,721, and hours, 24,645, due to an adjustment in Rural Development’s accounting of burden of RD forms within individual packages.

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Annual Cost to Federal Government: $2,149,350

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 08/24/2016

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