Spreadsheet

---

Overview

RD forms included in notice
Non-forms included in notice
Non-RD forms excluded

---

Sheet 1: RD forms included in notice

Primary Handbook Reference (Chapter)	Title	RD Form No.	Estimated No. of Respondents	Reports Filed Annually	Total Annual Responses	Estimated No. of Hours per Response	Estimated Total Hours	Wage Class (per hour)	Cost to the Public
HB-1-3550, Chapter 5	Equal Opportunity Agreement	400-1	3,200	1	3,200	0.167	534	$15	$8,016
HB-1-3550, Chapter 5	Compliance Statement	400-6	3,200	1	3,200	0.167	534	$27	$14,429
HB-1-3550, Chapter 3	Application for Rural Assistance (NonFarm Tract) Uniform Residential Loan Application	410-4	28,000	1	28,000	1.500	42,000	$15	$630,000
HB-1-3550, Chapter 4	Application Reference Letter	410-8	5,600	1	5,600	0.100	560	$20	$11,200
HB-1-3550, Chapter 13; HB-2-3550, Chapter 2	Application for Partial Release, Subordination, or Consent	465-1	5,100	1	5,100	1.000	5,100	$15	$76,500
HB-1-3550, Chapter 4; HB-2-3550, Chapter 4	Request for Verification of Employment	1910-5	15,000	1	15,000	0.250	3,750	$20	$75,000
HB-1-3550, Chapter 5; HB-2-3550, Chapter 3	Development Plan	1924-1	200	1	200	0.250	50	$15	$750
HB-1-3550, Chapter 5; HB-2-3550, Chapter 3	Description of Materials	1924-2	2,400	1	2,400	0.250	600	$27	$16,200
HB-1-3550, Chapter 5	Documentation of Construction Complaint/Request for Compensation for Construction Defects	1924-4	20	1	20	2.000	40	$15	$600
HB-1-3550, Chapter 5; HB-2-3550, Chapter 3	Construction Contract	1924-6	3,200	1	3,200	0.250	800	$21	$16,800
HB-1-3550, Chapter 5	Contract Change Order	1924-7	700	1	700	0.250	175	$21	$3,675
HB-1-3550, Chapter 5; HB-2-3550, Chapter 3	Certificate of Contractor's Release	1924-9	3,200	1	3,200	0.250	800	$27	$21,600
HB-1-3550, Chapter 5; HB-2-3550, Chapter 3	Release by Claimants	1924-10	3,200	1	3,200	0.500	1,600	$27	$43,200
HB-1-3550, Chapter 5; HB-2-3550, Chapter 3	Builder's Warranty	1924-19	3,200	1	3,200	0.250	800	$21	$16,800
HB-1-3550, Chapter 5; HB-2-3550, Chapter 3	Plan Certification	1924-25	2,400	1	2,400	0.167	401	$27	$10,822
HB-1-3550, Chapter 8	Affidavit Regarding Work of Improvement	1927-5	2,000	1	2,000	0.167	334	$27	$9,018
HB-1-3550, Chapter 8	Agreement with Prior Lienholder	1927-8	300	1	300	0.083	25	$27	$672
HB-1-3550, Chapter 8	Preliminary Title Opinion	1927-9	300	1	300	1.500	450	$27	$12,150
HB-1-3550, Chapter 8	Final Title Opinion	1927-10	300	1	300	0.333	100	$27	$2,697
HB-1-3550, Chapter 8	Certification of Attorney	1927-19	10	1	10	0.167	2	$27	$45
HB-1-3550, Chapter 8	Certification of Title Insurance	1927-20	200	1	200	0.167	33	$27	$902
HB-1-3550, Chapter 8	Promissory Note	1940-16	10,700	1	10,700	0.250	2,675	$15	$40,125
HB-1-3550, Chapter 3	Truth in Lending Statement	1940-41	3,300	1	3,300	0.083	274	$11	$3,013
HB-1-3550, Chapter 8	Notice of Right to Cancel	1940-43	40	1	40	0.083	3	$11	$37
HB-1-3550, Chapter 4; HB-2-3550, Chapter 4	Certification of Disability or Handicap	1944-4	480	1	480	0.250	120	$41	$4,920
HB-1-3550, Chapter 9	Rural Development Manufactured Housing Dealer-Contractor Application	1944-5	50	1	50	0.500	25	$27	$675
HB-1-3550, Chapter 6; HB-2-3550, Chapter 4	Payment Assistance/Deferred Mortgage Assistance Agreement or Interest Credit/Deferred Payment Computation	1944-14/1944-6/1944-A6 and 1944-B6	70,000	1	70,000	0.333	23,310	$17	$396,270
HB-1-3550, Chapter 9	Application for Conditional Commitment	1944-36	300	1	300	0.500	150	$27	$4,050
HB-1-3550, Chapter 4	Landlord's Verification	1944-60	15,000	1	15,000	0.083	1,245	$20	$24,900
HB-1-3550, Chapter 4; HB-2-3550, Chapter 4	Request for Verification of Deposit	1944-62	5,000	1	5,000	1.500	7,500	$20	$150,000
HB-1-3550, Chapter 13; HB-2-3550, Chapter 6	Offer to Convey Security	1955-1	40	1	40	0.250	10	$15	$150
HB-1-3550, Chapter 16	Open Real Property Master Listing Agreement	1955-42	30	1	30	0.500	15	$27	$405
HB-1-3550, Chapter 16	Standard Sales Contract - Sale of Real Property by the United States	1955-45	100	1	100	0.500	50	$33	$1,650
HB-1-3550, Chapter 16	Invitation, Bid, and Acceptance-Sale of Real Property by the United States	1955-46	750	1	750	0.500	375	$33	$12,375
HB-1-3550, Chapter 3; HB-2-3550 Chapter 4	Authorization to Release Information	3550-1	50,000	1	50,000	0.083	4,150	$15	$62,250
HB-1-3550, Chapter 4	Request for Verification of Gift/Gift Letter	3550-2	3,000	1	3,000	0.083	249	$33	$8,217
HB-1-3550, Chapter 4	Employment and Asset Certification/Employment Certification	3550-4	28,000	1	28,000	0.083	2,324	$15	$34,860
HB-1-3550, Chapter 7	Notice of Special Flood Hazard, Flood Insurance Purchase Requirements, and Availability of Federal Disaster Relief Assistance	3550-6	2,200	1	2,200	0.083	183	$15	$2,739
HB-1-3550, Chapter 8	Funding Commitment and Notification of Loan Closing	3550-7	10,700	1	10,700	0.083	888	$15	$13,322
HB-1-3550, Chapter 7	Initial Escrow Account Disclosure Statement	3550-9	9,000	1	9,000	0.083	747	$15	$11,205
HB-1-3550, Chapter 9	Condominium Rider	3550-10	40	1	40	0.083	3	$17	$56
HB-1-3550, Chapter 10	Planned Unit Development Rider	3550-11	40	1	40	0.083	3	$17	$56
HB-1-3550, Chapter 8; HB-2-3550, Chapter 4	Subsidy Repayment Agreement	3550-12	7,200	1	7,200	0.083	598	$17	$10,159
HB-1-3550, Chapter 8	Real Estate Mortgage or Deed of Trust	3550-14 (State)	7,500	1	7,500	0.250	1,875	$15	$28,125
HB-1-3550, Chapter 7	Tax Information	3550-15	7,300	1	7,300	0.250	1,825	$27	$49,275
HB-1-3550, Chapter 13; HB-2-3550, Chapter 7	Reamortization Agreement	3550-18	4,800	1	4,800	0.250	1,200	$17	$20,400
HB-1-3550, Chapter 13; HB-2-3550, Chapter 7	Application for Settlement of Indebtedness	3550-20	4,000	1	4,000	0.250	1,000	$17	$17,000
HB-2-3550, Chapter 4	Payment Subsidy Renewal Certification	3550-21	106,300	1	106,300	0.500	53,150	$17	$903,550
HB-1-3550, Chapter 8; HB-2-3550, Chapter 2	Assumption Agreement- Single Family Housing	3550-22	470	1	470	0.083	39	$17	$663
HB-1-3550, Chapter 4 (pending)	Applicant Orientation Guide	3550-23	10,700	1	10,700	0.500	5,350	$15	$80,250
HB-1-3550, Chapter 12	Grant Agreement	3550-24	4,800	1	4,800	0.083	398	$8	$3,187
HB-1-3550, Chapter 6	Verification of Debt Proposed for Refinancing	3550-30	60	1	60	0.200	12	$20	$240
HB-1-3550, Chapter 6	Option to Purchase Real Property	3550-34	500	1	500	0.083	42	$17	$685
				RD FORMS TOTAL:	444,130		168,477		$2,855,885
				NON-FORMS TOTAL:	214,730		147,093		$2,949,531
				OVERALL:	658,860		315,570		$5,805,416
					(SUM)		(SUM)		(SUM)
																																																																																																																																																																																																																																																															596,974

---

Sheet 2: Non-forms included in notice

Primary Handbook Reference (Chapter)	Title	Form No.	Estimated No. of Respondents	Reports Filed Annually	Total Annual Responses	Estimated No. of Hours per Response	Estimated Total Hours	Wage Class (per hour)	Cost to the Public
HB-1-3550, Chapter 3	Attachment 3-J, checklist of items to accompany the application	Document	17,700	1	17,700	1.000	17,700	$17	$300,900
HB-1-3550, Chapter 3	Certificate of homeownership education	Document	7,500	1	7,500	5.000	37,500	$17	$637,500
HB-1-3550, Chapter 3	Certified packaging process: application to be an intermediary	Document	10	1	10	1.500	15	$27	$405
HB-1-3550, Chapter 3	Certified packaging process: intermediary's annual report on certified packaging bodies funneling through them	Report	20	1	20	1.000	20	$27	$540
HB-1-3550, Chapter 3	Certified packaging process: items needed over and above Attachment 3-J	Document	600	1	600	1.500	900	$27	$24,300
HB-1-3550, Chapter 3	Certified packaging process: disclosure letter	Document	600	1	600	0.083	50	$17	$850
HB-1-3550, Chapter 3	Notification of continued interest	Written	4,000	1	4,000	0.083	333	$15	$4,998
HB-1-3550, Chapter 3	Withdrawal request	Oral/Written	2,800	1	2,800	0.083	233	$15	$3,499
HB-1-3550, Chapter 4	Do Not Pay (DNP) - applicant response to delinquent Federal debt	Document	1,400	1	1,400	0.500	700	$15	$10,500
HB-1-3550, Chapter 4	Evidence of citizenship	Document	250	1	250	0.083	21	$15	$312
HB-1-3550, Chapter 4	Request for copy of tri-merge credit report	Written	2,000	1	2,000	0.083	167	$15	$2,499
HB-1-3550, Chapter 4; HB-2-3550, Chapter 4	Oral verification of employment	Oral	25,000	1	25,000	0.083	2,083	$20	$41,650
HB-1-3550, Chapter 5; HB-2-3550, Chapter 2	Appraisal	Report	17,000	1	17,000	2.000	34,000	$27	$918,000
HB-1-3550, Chapter 5	Whole house inspection	Report	4,600	1	4,600	2.000	9,200	$27	$248,400
HB-1-3550, Chapter 6	Documentation on the construction quality of a new dwelling	Document	1,200	1	1,200	0.500	600	$17	$10,200
HB-1-3550, Chapter 8	Title insurance binder	Document	7,200	1	7,200	1.500	10,800	$27	$291,600
HB-1-3550, Chapter 8	Title insurance policy	Document	7,200	1	7,200	0.333	2,398	$27	$64,735
HB-1-3550, Chapter 8; HB-1-3550, Chapter 3	Furnish documentation of hazard and flood insurance	Document	20,000	1	20,000	0.083	1,666	$15	$24,990
HB-1-3550, Chapter 9	List of items to accompany a manufactured dealer-contractor application	Document	50	1	50	0.250	13	$27	$338
HB-1-3550, Chapter 9	Check of references for a manufactured dealer-contractor application	Oral	100	1	100	0.083	8	$20	$166
HB-1-3550, Chapter 9	Manufacturer's certificate of origin	Document	40	1	40	0.250	10	$20	$200
HB-1-3550, Chapter 9	Conditional commitment change in price, plans, and/or specifications	Written	40	1	40	0.083	3	$27	$90
HB-1-3550, Chapter 10	Loan commitment from the leveraged lender	Written	70	1	70	0.250	18	$27	$473
HB-1-3550, Chapter 10	Required documentation from a leveraging source	Document	800	1	800	0.250	200	$27	$5,400
HB-1-3550, Chapter 12	Attachment 12-E, checklist of items to accompany the application	Document	10,300	1	10,300	1.000	10,300	$8	$78,074
HB-1-3550, Chapter 13; HB-2-3550, Chapter 7	Missing borrower / determination of property abandonment	Oral/Written	800	1	800	0.250	200	$20	$4,000
HB-1-3550, Chapter 16	Release of DSS restrictions	Document	300	1	300	0.083	25	$17	$425
HB-2-3550, Chapter 2	Refinancing review	Document	3,500	1	3,500	0.750	2,625	$17	$44,625
HB-2-3550, Chapter 2	Documentation of inability to refinance	Document	130	1	130	1.000	130	$17	$2,210
HB-2-3550, Chapter 2	Request to waive late or other fees	Oral/Written	5,600	1	5,600	0.083	466	$15	$6,997
HB-2-3550, Chapter 2	Final payoff request	Oral/Document	43,000	1	43,000	0.083	3,582	$15	$53,729
HB-2-3350, Chapter 3	Notification of insurance claim proceeds	Oral/Written	3,500	1	3,500	0.250	875	$15	$13,125
HB-2-3550, Chapter 5	Request for special servicing - delinquency workout agreements and moratoriums	Document	9,000	1	9,000	0.500	4,500	$15	$67,500
HB-2-3550, Chapter 6	Offer to pay following an acceleration or a request for an extension	Document	3,200	1	3,200	0.500	1,600	$15	$24,000
HB-2-3550, Chapter 7	Borrower's offer to repay	Written	60	1	60	0.500	30	$15	$450
HB-2-3550, Chapter 7	Borrower's request for a review regarding administrative offset	Written	200	1	200	0.500	100	$15	$1,500
HB-2-3550, Chapter 7	Borrower's request for records	Written	150	1	150	0.250	38	$15	$563
HB-2-3550, Chapter 7	Borrower's written agreement for a different repayment schedule	Written	20	1	20	0.500	10	$15	$150
HB-2-3550, Chapter 7	Borrower's request to review IRS offset referral	Written	2,000	1	2,000	1.000	2,000	$15	$30,000
HB-2-3550, Chapter 7	Collection efforts	Document	2,000	1	2,000	0.083	167	$15	$2,499
HB-2-3550, Chapter 7	Delinquent adjustment agreements	Document	90	1	90	0.250	23	$15	$338
To be determined	Survey of borrowers regarding their loan origination experience	Written	10,700	1	10,700	0.167	1,787	$15	$26,804

---

Sheet 3: Non-RD forms excluded

Primary Handbook Reference (Chapter)	Title	Form No.	Estimated No. of Respondents	Reports Filed Annually	Total Annual Responses	Estimated No. of Hours per Response	Estimated Total Hours	Wage Class (per hour)	Cost to the Public
HB-1-3550	Affirmative Fair Housing Marketing Plan	HUD 935-2B	300	1	300	2.000	600	$27	$1,200
HB-1-3550, Chapter 4; HB-2-3550, Chapter 4	Request for Transcript of Tax Return	IRS 4506-T	30,000	1	30,000	0.250	7,500	$15	$1,875