Information Collection Request

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

ICR 201810-0575-001 · OMB 0575-0043 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form HUD 935-2 Affirmative Fair Housing Marketing Plan Form New Available
Form SF-425 Federal Financial Report Form New Available
Form SF-270 Request for Advance or Reimbursement Form New Available
Form SF-424B Assurances – Nonconstruction Programs Form New Available
Form SF-424A Budget Information Non-Construction Programs Form New Available
Form SF 424 7 CFR 1944-I - Local/State & Tribal Governments Form Modified Available
Form RD 400-1 7 CFR 1944-I - Nonprofit organization Form Modified Available
1944-I 2018 SuptStmt.doc Supporting Statement A Uploaded 2018-10-22 Available
2018 1944-I Grid (1).xls Supplementary Document Uploaded 2018-10-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
233538 Affirmative Fair Housing Marketing Plan Form New
233537 Federal Financial Report Form New
233536 Request for Advance or Reimbursement Form New
233535 Assurances – Nonconstruction Programs Form New
233533 Budget Information Non-Construction Programs Form New
233532 Amendment to the Self-Help Technical Assistance Grant Agreement New
233531 Agreement Between Grantee and Families New
233530 Agreement to Establish a Certified Recordkeeping System New
233527 Copy of proposed option or schedule of proposed options New
233526 Resolution authorizing application for a site option loan New
233523 Environmental Report New
233522 Predevelopment grantee closeout: Final accounting of funds New
233521 Request for RHS Evaluation Review New
233519 Grant Closeout – Final Grantee Evaluation New
233518 Grantee audit New
233517 Generate quarterly SHARES report New
233516 Agreement of compliance with all applicable Federal statutes and regulations New
233515 Qualification for Federal assistance New
233514 Establishing Interest Bearing Accounts New
233513 Authorization from the Board of Directors New
233512 Personnel Information New
233511 Grant Agreement New
233510 Number of homes/ Factors for awards New
233509 Evidence of multi-funded status/cost allocation plan New
233508 Disclosure of Lobbying Activities New
233507 Conflict-of-interest Disclosure New
233506 Monthly activities schedule New
233505 Proposed Budget New
233504 Evidence of land availability New
233503 Evidence of need and demand New
233502 Financial statement New
233501 Organizational Documents New
233494 Evidence of Capacity to Operate a MSH Program New
1907 7 CFR 1944-I - Local/State & Tribal Governments Form Modified
190094 7 CFR 1944-I - Nonprofit organization Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2021 36 Months From Approved 12/31/2018
3,475 0 3,441
3,177 0 3,283
0 0 0





Reginfo record details
35
table that charts list of burden
IC Title Form No. Form Name
Evidence of Capacity to Operate a MSH Program
Organizational Documents
Financial statement
Evidence of need and demand
Evidence of land availability
Proposed Budget
Monthly activities schedule
Disclosure of Lobbying Activities
Evidence of multi-funded status/cost allocation plan
Number of homes/ Factors for awards
Grant Agreement
Personnel Information
Authorization from the Board of Directors
Establishing Interest Bearing Accounts
Qualification for Federal assistance
Agreement of compliance with all applicable Federal statutes and regulations
Generate quarterly SHARES report
Grantee audit
Grant Closeout – Final Grantee Evaluation
Request for RHS Evaluation Review
Resolution authorizing application for a site option loan
Copy of proposed option or schedule of proposed options
Budget Information Non-Construction Programs SF-424A Budget Information Non-Construction Programs
Request for Advance or Reimbursement SF-270 Request for Advance or Reimbursement
Federal Financial Report SF-425 Federal Financial Report
Agreement to Establish a Certified Recordkeeping System
Agreement Between Grantee and Families
Amendment to the Self-Help Technical Assistance Grant Agreement
Affirmative Fair Housing Marketing Plan HUD 935-2 Affirmative Fair Housing Marketing Plan
Assurances – Nonconstruction Programs SF-424B Assurances – Nonconstruction Programs
7 CFR 1944-I - Nonprofit organization RD 400-4, SF 424, AD 1049, AD 1047, RD 400-1 Equal Opportunity Agreement ,   Assurance Agreement ,   Applicaton for Federal Assistance ,   Certification Regarding Drug-Free Workplace Requirements ,   Certification Regarding Debarment, Suspension, and othe Responsibility Matters
Conflict-of-interest Disclosure
Predevelopment grantee closeout: Final accounting of funds
7 CFR 1944-I - Local/State & Tribal Governments RD 400-1, RD 400-4, AD 1049, AD 1047, SF 424 Application for Fedral Assistance ,   Certifiction Regarding Drug-Free Workplace Requirments ,   Equal Opportunity Agreement ,   Assurance Agreement ,   Certificaion Regarding Debarrment, Suspension and other Responsibility Matters
Environmental Report

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 3,475 3,441 0 0 34 0
Annual Time Burden (Hours) 3,177 3,283 0 0 -106 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No