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7 CFR 1942 subpart A 0575-NEW spreadsheet_clean060116.xlsx

7 CFR Part 1942-A Community Facility Loans– Re-lending Provision

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OMB: 0575-0199

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2016 Community Facility Loans - 7 CFR 1942, subpart A
OMB No 0575-NEW




Reports Total Annual Est. No. of Est. Total
Total


Form No. Est. No. of Filed Responses Man hours Man-hours Wage Cost
Reference Title (if Any) Respondents Annually (D) x (E) Per Response (F) x (G) Class (H) x (I) Comments











(A) (B) (C) (D) (E) (F) (G) (H) (I) (J)












Reporting Requirements Non-Forms








1942.30(a) Documentation of re-lender eligibility









Documentation of Legal Powers Written 20 1 20 0.50 10 $83 $830

Certification of Compliance with Federal, State, and Local Requirements Written 20 1 20 1.00 20 $83 $1,660

Documentation of Serving Persistent Poverty County(ies) or High Poverty Areas Written 20 1 20 1.00 20 $83 $1,660

Documentation ("Letter of Intent") from a Financial Institution that an Irrevocable Letter of Credit or similar Performance Guarantee will be issued if re-lender is approved for funding Written 20 1 20 5.00 100 $83 $8,300

Documentation Regulated and Supervised by a Federal or State Banking Regulatory Agency, Subject to Credit Examination, Not on a Watch List, and No Regulatory Actions Outstanding Written 9 1 9 2.00 18 $83 $1,494

Documentation of strong Financial Strength and Performance rating Written 4 1 4 5.00 20 $83 $1,660

Documentation of being a financially sound institution for Agency assessment Written 7 1 7 64.00 448 $83 $37,184

Documentation of Legal, Non-governmental Status (except for Tribal governments) Written 20 1 20 0.50 10 $83 $830

Documentation of Membership in a National Organization that provides training, technical assistance and credit evaluation or certified by a Government agency as having a primary mission of promoting development in low-income target markets and performs training and technical assistance as part of that mission. Written 20 1 20 2.00 40 $83 $3,320

Certification to loan a majority of funds to applicants whose projects are located in or serve Persistent Poverty County(ies) or High Poverty Area(s) Written 20 1 20 0.17 3 $83 $277.22

Multi-tier Action Environmental Compliance Agreement Written/RD Ins. 1970-A, Exhibit H 20 1 20 0.08 2 $83 $132.80

Documentation of Assitance Provided to RD Employees Written 20 1 20 0.17 3 $83 $277.22

Documentation of each evaluation factor Written 20 1 20 2.00 40 $83 $3,320

Workers Compensation Insurance Written 10 1 10 0.17 2 $83 $138.61
1942.30(e)(3) Irrevocable Letter of Credit Written 50 1 50 1.00 50 $83 $4,150
1942.30(b) Loan Origination and Servicing - applicant eligibility Written 50 1 50 1.50 75 $83 $6,225
1942.30(f) Loan Origination and Servicing - reporting































Reporting Requirements Forms









Letter of Intent to Meet Conditions 1942-46 10 1 10 1.00 10 $83 $830
1942.30(e)(1) Re-lender's Agreement 1942-55 50 1 50 1.50 75 $83 $6,225
1942.30(e)(2) Promissory Note 1942-56 50 1 50 1.00 50 $83 $4,150
1942.30(e)(4) Adequate Collateral (Loan Resolution Security Agreement) 1942-57 50 1 50 0.50 25 $83 $2,075

Estimate of Funds needed for 30-day Period Commencing 440-11 50 1 50 1.00 50 $83 $4,150

Position Fidelity Schedule Bond Declarations of Other Evidence of Coverage 440-24 50 1 50 0.50 25 $83 $2,075

Operating Budget 442-7 20 1 20 5.00 100 $83 $8,300

Equal Opportunity Agreement 400-1 20 1 20 0.17 3 $83 $277.22

Assurance Agreement 400-4 20 1 20 0.25 5 $83 $415.00

Certification Regarding Debarment, Suspension & Other Responsibility Matters-Primary Covered Transactions AD 1047 20 1 20 0.25 5 $83 $415

SUBTOTAL


620
1209
$100,371












Form Burden Approved Under Other OMB No.









Application for Federal Assistance SF-424 (4040-0004) 20







Budget Information- Non Construction Programs SF-424A (4040-0006) 20







Assurances - Non Construction Programs SF-424B (4040-0007) 20







Representations Regarding Felony Convictions and Tax Deliquincy Status for Corporate Applicants AD 3030 (0505-0025) 20







Assurances Regarding Felony Convictions and Tax Deliquincy Status for Corporate Applicants AD3031 (0505-0025) 20







Certfication of Non-Lobbying Activities or Disclosure of Lobbying Activities SF-LLL (4040-0013) 20







ACH Vendor/Miscellaneous Payment Enrollment Form SF-3881 (1510-0056) 10


















Recordkeeping Requirements









Quarterly Financial Statements Written 10 4 40 2.00 80 $83 $6,640

Quarterly Report of Re-rent Loans Written 10 4 40 1.00 40 $83 $3,320

Annual Audits Written 10 1 10 5.00 50 $83 $4,150

Financial Strength and Performance Rating Written 10 1 10 5.00 50 $83 $4,150

Certification of 7CFR 3575.42 & 3575.43 Written 50 1 50 0.25 13 $83 $1,038

Civil Rights Data Written 10 1 10 1.00 10 $83 $830

Documentation of providing funds to Persistent Poverty County(ies) and High Poverty Area(s) Written 10 1 10 1.00 10 83 $830

SUBTOTAL


170
253
$20,958

GRAND TOTAL


790
1462
$121,329
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