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|
|
Reports |
Total Annual |
Est. No. of |
Est. Total |
Wage |
Cost to the |
|
|
|
| Section of |
|
Form No. |
Est. No. of |
Filed |
Responses |
Man hours |
Man-hours |
Class (per |
Public |
|
|
|
| Regulation |
Title |
(if Any) |
Respondents |
Annually |
(D) x (E) |
Per Response |
(F) x (G) |
hour) |
(H) x (I) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
APPROVED WITH THIS DOCKET - REPORTING REQUIREMENTS - NON FORMS |
|
|
|
|
|
|
|
|
|
|
|
| 2 CFR 200 |
SAMS Registration, Certifications and Representations |
Sam.gov |
9 |
1 |
9 |
2 |
18 |
83 |
1,494 |
|
|
|
| 4274.320(b)(2)(xiv) - 100% of respondents are not-for-profit |
Operating plans for revolving line of credit |
written |
25 |
1 |
25 |
5 |
125 |
83 |
10,375 |
|
|
|
| 4274.330(e) - 100% of respondents are not-for-profit |
Assignments of Security |
Written |
5 |
1 |
5 |
1.5 |
8 |
83 |
623 |
|
|
|
| 4274.332(b)(3) - 100% of respondents are not-for-profit |
Jusitification for amount of reserve |
Written |
15 |
1 |
15 |
2 |
30 |
83 |
2,490 |
|
|
|
| 4274.305(a) - 100% of respondents are not-for-profit |
Intergovernmental review comments |
written |
80 |
1 |
80 |
2 |
160 |
83 |
13,280 |
|
|
|
| 4274.333(a)(7)(iv) and (7)(a) - 100% of respondents are not-for-profit |
Evidence of fidelity bond coverage |
written |
140 |
1 |
140 |
1.5 |
210 |
83 |
17,430 |
|
|
|
| 4274.340(a)(1) - 100% of respondents are not-for-profit |
Workplan |
written |
140 |
1 |
140 |
18 |
2520 |
83 |
209,160 |
|
|
|
| 4272.340(a)(1)(iii) - 100% of respondents are not-for-profit |
Certification of lack of financing |
written |
140 |
1 |
140 |
1.5 |
210 |
83 |
17,430 |
|
|
|
| 4274.340(a)(11) - 100% of respondents are not-for-profit |
Credit elsewhere test |
written |
140 |
1 |
140 |
1 |
140 |
83 |
11,620 |
|
|
|
| 4274.340(a)(1)(iv) - 100% of respondents are not-for-profit |
Goals for low-income counties |
written |
37 |
1 |
37 |
2 |
74 |
83 |
6,142 |
|
|
|
| 4274.346 - 100% of respondents are not-for-profit |
Loan Closing Certifications |
written |
140 |
1 |
140 |
1 |
140 |
83 |
11,620 |
|
|
|
| 4274.352(a)(1) - 100% of respondents are not-for-profit |
Certifications to make loans to ultimate recipients |
written |
140 |
1 |
140 |
1.5 |
210 |
83 |
17,430 |
|
|
|
|
Request for Appeal |
written |
5 |
1 |
5 |
2 |
10 |
83 |
830 |
|
|
|
|
SUBTOTAL |
|
|
|
1,016 |
|
3,855 |
|
319,924 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 4274.340(a) - 100% of respondents are not-for-profit |
FORMS APPROVED WITH THIS DOCKET |
|
|
|
|
|
|
|
|
|
|
|
| 4274.333 - 100% of respondents are not-for-profit |
Loan Agreement |
4274-4 |
27 |
1 |
27 |
1.5 |
40.5 |
83 |
3,362 |
|
|
|
| 4274.333 - 100% of respondents are not-for-profit |
Supplemental Loan Agreement |
4274-5 |
14 |
1 |
14 |
1 |
14 |
83 |
1,162 |
|
|
|
| 4274.333(a)(5) - 100% of respondents are not-for-profit |
Promissory Note |
4274-3 |
27 |
1 |
27 |
1.5 |
41 |
83 |
3,362 |
|
|
|
|
Application for Loan (IRP) |
4274-1 |
140 |
1 |
140 |
56 |
7,840 |
83 |
650,720 |
|
|
|
|
SUBTOTAL |
|
|
|
208 |
|
7,935 |
|
658,605 |
|
|
|
| 4274.340(a) - 100% of respondents are not-for-profit |
*FORMS APPROVED UNDER OTHER OMB DOCKET |
|
|
|
|
|
|
|
|
|
|
|
| 4274.345 - 100% of respondents are not-for-profit |
Letter of Intent to Meet Conditions |
1942-46 (0575-0015) |
|
|
|
|
|
|
|
|
|
|
| 4274.305(b) - 100% of respondents are not-for-profit |
Request for Environmental Information |
1970-A, Exhibit H |
|
|
|
|
|
|
|
|
|
|
| 4274.333(b)(4)(ii) - 100% of respondents are not-for-profit |
Report of IRP/RDLF |
1951-4 (0570-0015)/LINC |
|
|
|
|
|
|
|
|
|
|
| 4274.340(a) - 100% of respondents are not-for-profit |
Assurance Agreement |
400-4 (0575-0018) |
|
|
|
|
|
|
|
|
|
|
| 4274.340(a) - 100% of respondents are not-for-profit |
Deposit Agreement |
402-1 (0575-0158) |
|
|
|
|
|
|
|
|
|
|
| 4274.340(a) - 100% of respondents are not-for-profit |
Compliance Review |
400-8 (0575-0018) |
|
|
|
|
|
|
|
|
|
|
|
TOTAL (*not included in total of the Forms Approved Under Other OMB Docket) |
|
|
|
1,224 |
|
11,790 |
|
978,529 |
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