Information Collection Request

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

ICR 202102-0575-001 · 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 Removed Available
Form HUD 935-2 Affirmative Fair Housing Marketing Plan Form Removed Repair queued
Form SF-425 Federal Financial Report Form Removed Available
Form SF-425 Federal Financial Report Form Removed Repair queued
Form SF-270 Request for Advance or Reimbursement Form Removed Available
Form SF-270 Request for Advance or Reimbursement Form Removed Repair queued
Form SF-424B Assurances – Nonconstruction Programs Form Removed Available
Form SF-424B Assurances – Nonconstruction Programs Form Removed Repair queued
Form SF-424A Budget Information Non-Construction Programs Form Removed Available
Form SF-424A Budget Information Non-Construction Programs Form Removed Repair queued
Form AD 1047 Certificaion Regarding Debarrment, Suspension and other Responsibility Matters Form Removed Available
Form AD 1049 Certifiction Regarding Drug-Free Workplace Requirments Form Removed Available
Form SF 424 Application for Fedral Assistance Form Removed Available
Form RD 400-4 Assurance Agreement Form Removed Available
Form RD 400-1 Equal Opportunity Agreement Form Removed Available
Form RD 400-1 7 CFR 1944-I - Local/State & Tribal Governments Form Removed Repair queued
Form AD 1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I – For Grantees Other Than Individuals Form Modified Available
Form AD 1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions Form Modified Available
1944-I 2021 SuptStmt_rev.docx Supporting Statement A Uploaded 2021-11-24 Available
1944-I 2021 SuptStmt_rev.docx Supporting Statement A Uploaded 2021-11-24 Repair queued
2021_ 1944-I Grid.xls Supplementary Document Uploaded 2021-11-24 Available
2021_ 1944-I Grid.xls Supplementary Document Uploaded 2021-11-24 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2027 36 Months From Approved 04/30/2024
2,306 0 3,475
2,380 0 3,177
0 0 0





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

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 2,306 3,475 0 -1,169 0 0
Annual Time Burden (Hours) 2,380 3,177 0 -797 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No