RD 1924 Construction Common Forms

Forms and Documents

Document Name	Status
Form 1924-25 1924-25 Plan Certification Form	New
Form 1924-19 1924-19 Builder's Warranty Form	New
Form 1924-18 1924-18 Partial Payment Estimate Form	New
Form 1924-13 1924-13 Estimate and Certificate of Actual Cost Form	New
Form 1924-11 1924-11 Statement of Labor Performed Form	New
Form 1924-10 1924-10 Release of Claimants Form	New
Form 1924-9 1924-9 Certificate of Contractor's Release Form	New
Form 1924-7 1924-7 Contract Change Order Form	New
Form 1924-6 1924-6 Construction Contract Form	New
Form 1924-5 1924-5 Invitation for Bid Form	New
Form 1924-4 1924-4 Documentation for Construction Complaint/Request Form	New
Form 1924-3 1924-3 Service Building Specifications Form	New
Form 1924-2 1924-2 Description of Materials Form	New
Form 1924-1 1924-1 Development Plan Form	New
60-Day FR publication.pdf Supplementary Document	2021-10-13
RD Common Forms - 0575-NEW - 1924 SS Final.docx Supporting Statement A	2021-10-13
1924 Common Form 60-Day.docx Supplementary Document	2021-10-12
1924 Common Form Spreadsheet.xlsx Supplementary Document	2021-10-12

IC Document Collections

IC ID	Document Title	Status
249701	1924-25 Plan Certification Form	New
249700	1924-19 Builder's Warranty Form	New
249699	1924-18 Partial Payment Estimate Form	New
249698	1924-13 Estimate and Certificate of Actual Cost Form	New
249697	1924-11 Statement of Labor Performed Form	New
249696	1924-10 Release of Claimants Form	New
249695	1924-9 Certificate of Contractor's Release Form	New
249694	1924-7 Contract Change Order Form	New
249693	1924-6 Construction Contract Form	New
249692	1924-5 Invitation for Bid Form	New
249691	1924-4 Documentation for Construction Complaint/Request Form	New
249690	1924-3 Service Building Specifications Form	New
249689	1924-2 Description of Materials Form	New
249688	1924-1 Development Plan Form	New

ICR Details

OMB Control No:	ICR Reference No: 202110-0575-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: USDA/RHS	Agency Tracking No:
Title: RD 1924 Construction Common Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  Yes
Type of Review Request: Regular	Date Submitted to OIRA: 03/01/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	15	0
Time Burden (Hours)	7	0
Cost Burden (Dollars)	0	0

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Abstract: The information collection under OMB Number 0575-New will enable the Agencies to effectively administer the policies, methods, and responsibilities in the planning and performing of construction and other development work for the related construction programs. The Rural Housing Service (RHS) is authorized under various sections of Title V of the Housing Act of 1949, as amended, to provides financial assistance to construct, improve, alter, repair, replace, or rehabilitate dwellings, which will provide modest, decent, safe, and sanitary housing to eligible individuals in rural areas. The Consolidated Farm and Rural Development Act, as amended, authorizes the credit programs of the RHS, RBCS and RUS to provide financial assistance for essential community facilities such as construction of community facilities and water and waste systems; and the improvement, development, and financing of businesses, industries, and employment. In several sections of both acts, loan limitations are established as percentages of development costs, requiring careful monitoring of those costs. Also, the Secretary is authorized to prescribe regulations to ensure that Federal funds are not wasted or dissipated and that construction will be undertaken economically and will not be of elaborate or extravagant design or materials. The collection of information covered by the forms allows for the planning and performing of construction and other development work. Information for the RD forms and their usage in this collection package are included in this supporting statement. The Agencies provide forms and/or guidelines to assist in the collection and submission of information; however, most of the information may be collected and submitted in the form and content which is accepted and typically used in normal conduct of planning and performing development work in private industry when a private lender is financing the activity. The information is usually submitted via hand delivery or U.S. Postal Service to the appropriate Agency office. Electronic submittal of information is also possible through e-mail or USDA’s Service Center eForms website.

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Authorizing Statute(s): PL: Pub.L. 96 - 88 501, 506 and 509 Name of Law: Title V of the Housing Act of 1949
   PL: Pub.L. 110 - 234 9007 Name of Law: Food, Conservation, and Energy Act of 2008
   PL: Pub.L. 104 - 120 538 Name of Law: Housing Opportunity Program Extension Act 1996
   PL: Pub.L. 109 - 97 515 Name of Law: USDA, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act 2006
   PL: Pub.L. 102 - 550 501, 502 and 504 Name of Law: Title V of the housing Act of 1949, as amended
   US Code: 7 USC 1926 Name of Law: Consolidated Farm and Rural Development Act
   US Code: 42 USC 1471 Name of Law: Title V of the Housing Act of 1949
   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:
	86 FR 56885	10/13/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 9564	02/22/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

IC Title	Form No.	Form Name
1924-1 Development Plan	1924-1	Development Plan
1924-10 Release of Claimants	1924-10	Release by Claimants
1924-11 Statement of Labor Performed	1924-11	Statement of Labor Performed
1924-13 Estimate and Certificate of Actual Cost	1924-13	Estimate and Certificate of Actual Cost
1924-18 Partial Payment Estimate	1924-18	Partial Payment Estimate
1924-19 Builder's Warranty	1924-19	Builder's Warranty
1924-2 Description of Materials	1924-2	Description of Materials
1924-25 Plan Certification	1924-25	Plan Certification
1924-3 Service Building Specifications	1924-3	Service Building Specifications
1924-4 Documentation for Construction Complaint/Request	1924-4	Documentation for Construction Complaint/Request
1924-5 Invitation for Bid	1924-5	Invitation for Bid (Construction Contract)
1924-6 Construction Contract	1924-6	Construction Contract
1924-7 Contract Change Order	1924-7	Contract Change Order
1924-9 Certificate of Contractor's Release	1924-9	Certificate of Contractor's Release

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ICR Summary of Burden

	Total Request	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	15	0	0	15	0	0
Annual Time Burden (Hours)	7	0	0	7	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This IC is a culmination of multiple burden figures for common forms across RD programs. The increase is due to the burden of these forms being combined into this IC.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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Common Form ICR:  Yes

Description/Changes for Common Form Usage:  The applicant/borrower, contractor, subcontractor, material supplier, equipment lessor, architect, engineer, manufacturer or sponsor of manufactured housing collects the required information. Rural Development provides forms and/or guidelines to assist in the collection and submission of information; however, most of the information may be collected and submitted in the form and content which is accepted and typically used in the normal conduct of planning and performing development work in private industry when a private lender is financing the activity. The information is usually submitted via hand delivery or U.S. Postal Service to the Rural Development Field Office, although receipt through e-mail or USDA Service Center’s eForms website is becoming more common. Occasionally, information is submitted directly to the Rural Development State Office. The information is used by Rural Development to determine whether a loan/grant can be approved, to ensure that Rural Development has adequate security for the loans financed, to provide for sound construction and development work and to determine that the requirements of the applicable acts have been met. The information is also used to monitor compliance with the terms and conditions of the loan/grant and to monitor the prudent use of Federal funds.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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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: 03/01/2022

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