| OMB No. 0575-0115 - 7 CFR 1944-N "Housing Preservation Grants" | |||||||||
| USDA Rural Housing Service | |||||||||
| Section of Rule | Title | Form No. (if any) | No. of Respondents | Reports Filed | Total Responses (D) x (E) | Estimated No. of Manhours per response | Estimated Total Manhours (F) x (G) | Wage Class | Total Cost (H) x (I) |
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) |
| Reporting Requirements - NonForms | |||||||||
| 1944.654(b) | SAM Registration and General Certifications and Representations | Sam.gov | 118 | 1 | 118 | 2.0 | 236 | $35.54 | $8,387 |
| 1944.651(d) | Applicants must inform Agency if there is any known relationship of association with a RHS employee. | Narrative | 6 | 1 | 6 | 0.16 | 1 | $35.54 | $34 |
| 1944.658(a)(3) 1944.666(b)(7) 1944.666(e) 1944.670(a) 1944.676(b)(1)(x) 1944.688(e) 1944.689(a)(3) |
2 CFR Part 200, as adopted by USDA through 2 CFR Part 400 | Narrative | 118 | 1 | 118 | 8.00 | 944 | $35.54 | $33,550 |
| 1944.661(a) 1944.661(b) |
HPG recipient (individual Homeowners) evidence of income and ownership | Grantee form documentation | 1,458 | 2 | 2,916 | 1.00 | 2,916 | $35.54 | $103,635 |
| 1944.662(a) 1944.662(b) | HPG recipient (rental property owner or Co-op) requirements of evidence of income and ownership | Grantee form documentation | 625 | 2 | 1,250 | 0.50 | 625 | $35.54 | $22,213 |
| 1944.663 | Ownership agreement between HPG Grantee and Rental Property Owner or Co-op | Non-Standard form by grantee | 625 | 1 | 625 | 1.00 | 625 | $35.54 | $22,213 |
| 1944.665 | Final Inspection Report | Non-standard | 2,083 | 1 | 2,083 | 0.50 | 1,042 | $35.54 | $37,015 |
| 1944.667 | Relocation and displacement | Narrative in statement of activities | 2,083 | 1 | 2,083 | 0.33 | 687 | $35.54 | $24,430 |
| 1944.672(e) 1944.673 1944.676(d)(e) |
Documentation of historic preservation process, determination if unit is located in floodplain/wetland, or an archeological property. | Narrative and Exhibit F-2 | 208 | 1 | 208 | 0.16 | 33 | $35.54 | $1,183 |
| 1944.674(c) 1944.676(e-g) |
Documentation that statement of activities submitted to State single point of contact | Narrative | 118 | 1 | 118 | 0.16 | 19 | $35.54 | $671 |
| 1944.676(b) | Statement of Activities (Pre-application Requirement) | Narrative | 118 | 1 | 118 | 8.00 | 944 | $35.54 | $33,550 |
| 1944.683(b) 1944.688(a) |
Quarterly and Final Performance Reports | Exhibit E-1 | 118 | 4 | 472 | 2.00 | 944 | $35.54 | $33,550 |
| 1944.684(d) | Amendment to Grant Agreement Extension and/or Revision | Exhibit B | 24 | 1 | 24 | 0.50 | 12 | $35.54 | $426 |
| REPORTING TOTAL (BURDEN) | 10,139 | 24.31 | 9,028 | $320,855 | |||||
| Burden and Forms Approved Under Other OMB Numbers - included in this collection | |||||||||
| 1944.672(a) 1944.676(c) |
Environmental Report-Exhibit H | RD 1970-A Exhibit H, Multi-Tier | 118 | 1 | 118 | 0.50 | 59 | $35.54 | $2,097 |
| 1944.672(a) 1944.676(c) |
Environmental Report-Exhibit D | RD 1970-B Exhibit D, Cat-Ex Form (0575-0197) | 2,201 | 1 | 2201 | 0.50 | 1101 | $35.54 | $39,112 |
| 1944.672(d) | Environmental Assessment | Written (0575-0197) |
125 | 1 | 125 | 6.00 | 750 | $35.54 | $21,368 |
| BURDEN AND FORM TOTAL | 2,444 | 7 | 1,910 | 62,577 | |||||
| Recordkeeping Requirements (Under this collection) | |||||||||
| 1944.682(a) | Grant Agreement | Exhibit A | 118 | 1 | 118 | 0.50 | 59 | $35.54 | $2,097 |
| RECORDKEEPING TOTAL (BURDEN) | 118 | 0.50 | 59 | $2,097 | |||||
| TOTAL BURDEN THIS COLLECTION | 2,083 | 12,701 | 32 | 10,997 | 385,529 | ||||
| Burden and Forms Approved Under Other OMB Numbers - not included in this collection | |||||||||
| 1944.683 (a-b) 1944.682 (c) | Financial Status Report | SF 425 (4040-0014) |
118 | 16 | 1888 | 0.50 | 944 | $35.54 | $33,550 |
| 1944.676(a) | Application for Federal Assistance | SF 424 (4040-0004) |
118 | 1 | 118 | 0.50 | 59 | $35.54 | $2,097 |
| 1944.676(h) | Equal Opportunity Agreement | Form RD 400-1 (0575-0201) |
118 | 1 | 118 | 0.16 | 19 | $35.54 | $671 |
| 1944.676(h) | Assurance Agreement | Form RD 400-4 (0575-0201) |
118 | 1 | 118 | 0.25 | 30 | $35.54 | $1,048 |
| Total | $35,647 | ||||||||
| Totals | $421,176 | ||||||||
| OMB No. 0575-0115 - 7 CFR 1944-N "Housing Preservation Grants" | |||||||||||||
| USDA Rural Housing Service | |||||||||||||
| Section of Rule | Title | Form No. (if any) | No. of Respondents | Reports Filed | Total Responses (D) x (E) | Estimated No. of Manhours per response | Estimated Total Manhours (F) x (G) | Wage Class | Total Cost (H) x (I) | ||||
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | ||||
| Reporting Requirements - NonForms | |||||||||||||
| 1944.651(d) | Applicants must inform Agency if there is any known relationship of association with a RHS employee. | Narrative | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 2 | 1 | 2 | 0.16 | 0.32 | $16.00 | $5 | ||||||
| - Nonprofit Organizations | 3 | 1 | 3 | 0.16 | 0.48 | $16.00 | $8 | ||||||
| 1944.658(a)(3) 1944.666(b)(7) 1944.666(e) 1944.670(a) 1944.676(b)(1)(x) 1944.688(e) 1944.689(a)(3) |
7 CFR 3015, 7 CFR 3016, and OMB Circular A-122 |
Narrative | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 43 | 1 | 43 | 8.0 | 344 | $16.00 | $5,504 | ||||||
| - Nonprofit Organizations | 58 | 1 | 58 | 8.0 | 464 | $16.00 | $7,424 | ||||||
| 1944.661(a) 1944.661(b) |
HPG recipient (individual Homeowners) evidence of income and ownership | Grantee form documentation | 0 | 0 | $0 | ||||||||
| - Local/State Governments (Native American Indian Tribes) | 460 | 2 | 920 | 1.0 | 920 | $16.00 | $14,720 | ||||||
| - Nonprofit Organizations | 633 | 2 | 1266 | 1.0 | 1266 | $16.00 | $20,256 | 1,093 | |||||
| 1944.662(a) | HPG recipient (rental property owner or Co-op) requirements of evidence of ownership | Grantee form documentation | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 43 | 1 | 43 | 0.50 | 22 | $16.00 | $344 | ||||||
| - Nonprofit Organizations | 58 | 1 | 58 | 0.50 | 29 | $16.00 | $464 | ||||||
| 1944.662(b) | HPG recipient (tenant in rental property or co-op owner) of income eligibility | Grantee form documentation | 824 | ||||||||||
| - Local/State Governments (Native American Indian Tribes) | 460 | 1 | 460 | 0.50 | 230 | $16.00 | $3,680 | ||||||
| - Nonprofit Organizations | 633 | 1 | 633 | 0.50 | 317 | $16.00 | $5,064 | ||||||
| 1944.663 | Ownership agreement between HPG Grantee and Rental Property Owner or Co-op | Non-Standard form by grantee | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 22 | 1 | 22 | 1.0 | 22 | $16.00 | $352 | ||||||
| - Nonprofit Organizations | 31 | 1 | 31 | 1.0 | 31 | $16.00 | $496 | ||||||
| 1944.665 | Final Inspection Report | Non-standard | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 460 | 1 | 460 | 0.50 | 230 | $16.00 | $3,680 | ||||||
| - Nonprofit Organizations | 633 | 1 | 633 | 0.50 | 317 | $16.00 | $5,064 | ||||||
| 1944.667 | Relocation and displacement | Narrative in statement of activities | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 43 | 1 | 43 | 0.33 | 14 | $16.00 | $227 | ||||||
| - Nonprofit Organizations | 58 | 1 | 58 | 0.33 | 19 | $16.00 | $306 | ||||||
| 1944.672(e) 1944.673 1944.676(d)(e) |
Documentation of historic preservation process, determination if unit is located in floodplain/wetland, or an archeological property. | Narrative and Exhibit F-2 | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 460 | 1 | 460 | 0.16 | 74 | $16.00 | $1,178 | ||||||
| - Nonprofit Organizations | 633 | 1 | 633 | 0.16 | 101 | $16.00 | $1,620 | ||||||
| 1944.674(c) 1944.676(e-g) |
Documentation that statement of activities submitted to State single point of contact | Narrative | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 88 | 1 | 88 | 0.16 | 14 | $16.00 | $225 | ||||||
| - Nonprofit Organizations | 122 | 1 | 122 | 0.16 | 20 | $16.00 | $312 | ||||||
| 1944.676(b) | Statement of Activities (Pre-application Requirement) | Narrative | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 88 | 1 | 88 | 8.0 | 704 | $16.00 | $11,264 | ||||||
| - Nonprofit Organizations | 122 | 1 | 122 | 8.0 | 976 | $16.00 | $15,616 | ||||||
| 1944.683(b) 1944.688(a) |
Quarterly and Final Performance Reports | Exhibit E-1 | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 43 | 4 | 172 | 2.0 | 344 | $16.00 | $5,504 | ||||||
| - Nonprofit Organizations | 58 | 4 | 232 | 2.0 | 464 | $16.00 | $7,424 | ||||||
| 1944.684(d) | Amendment to Grant Agreement Extension and/or Revision | Exhibit B | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 21 | 1 | 21 | 0.50 | 11 | $16.00 | $168 | ||||||
| - Nonprofit Organizations | 23 | 1 | 23 | 0.50 | 12 | $16.00 | $184 | ||||||
| Reporting Requirements - Forms/information that is included in the System for Awards Management (SAM) | |||||||||||||
| 1944.654(b) | Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative 1 - for Grantees Other than Individuals | SAM | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 88 | 1 | 88 | 0.25 | 22 | $16.00 | $352 | ||||||
| - Nonprofit Organizations | 122 | 1 | 122 | 0.25 | 31 | $16.00 | $488 | ||||||
| REPORTING TOTAL (BURDEN) | 6904 | 6,996 | $111,930 | ||||||||||
| Recordkeeping Requirements (Under this collection) | |||||||||||||
| 1944.682(a) | Grant Agreement | Exhibit A | |||||||||||
| - Local/State Governments (Native American Indian Tribes) | 43 | 1 | 43 | 0.50 | 22 | $16.00 | $344 | ||||||
| - Nonprofit Organizations | 58 | 1 | 58 | 0.50 | 29 | $16.00 | $464 | ||||||
| RECORDKEEPING TOTAL (BURDEN) | 101 | 51 | $808 | ||||||||||
| TOTAL BURDEN THIS COLLECTION | 7005 | 7046 | $112,738 | ||||||||||
| Burden and Forms Approved Under Other OMB Numbers | |||||||||||||
| 1944.682(c) | Request for Advance or Reimbursement | SF 270 (0348-0004) |
|||||||||||
| - Local/State Governments (Native American Indian Tribes) | 43 | 4 | 172 | 0.50 | 86 | $16.00 | $1,376 | ||||||
| - Nonprofit Organizations | 58 | 4 | 232 | 0.50 | 116 | $16.00 | $1,856 | ||||||
| 1944.683 (a-b) | Financial Status Report | SF 425 (4040-0014) |
|||||||||||
| - Local/State Governments (Native American Indian Tribes) | 43 | 4 | 172 | 0.50 | 86 | $16.00 | $1,376 | ||||||
| - Nonprofit Organizations | 58 | 4 | 232 | 0.50 | 116 | $16.00 | $1,856 | ||||||
| 1944.672(a) 1944.676(c) |
Environmental Report | Written (0575-0197) |
|||||||||||
| - Local/State Governments (Native American Indian Tribes) | 88 | 1 | 88 | 6.00 | 528 | $16.00 | $8,448 | ||||||
| - Nonprofit Organizations | 122 | 1 | 122 | 6.00 | 732 | $16.00 | $11,712 | ||||||
| 1944.676(a) | Pre-Application for Federal Assistance | SF 424 (4040-0004) |
|||||||||||
| - Local/State Governments (Native American Indian Tribes) | 88 | 1 | 88 | 0.50 | 44 | $16.00 | $704 | ||||||
| - Nonprofit Organizations | 122 | 1 | 122 | 0.50 | 61 | $16.00 | $976 | ||||||
| 1944.676(h) | Equal Opportunity Agreement | Form RD 400-1 (0575-0018) |
|||||||||||
| - Local/State Governments (Native American Indian Tribes) | 88 | 1 | 88 | 0.16 | 14 | $16.00 | $225 | ||||||
| - Nonprofit Organizations | 122 | 1 | 122 | 0.16 | 20 | $16.00 | $312 | ||||||
| 1944.676(h) | Assurance Agreement | Form RD 400-4 (0575-0018) |
|||||||||||
| - Local/State Governments (Native American Indian Tribes) | 88 | 1 | 88 | 0.25 | 22 | $16.00 | $352 | ||||||
| - Nonprofit Organizations | 122 | 1 | 122 | 0.25 | 31 | $16.00 | $488 | ||||||
| 1944.6810 | Application for Federal Assistance | SF 424 (4040-0004) |
|||||||||||
| - Local/State Governments (Native American Indian Tribes) | 43 | 1 | 43 | 0.50 | 22 | $16.00 | $344 | ||||||
| - Nonprofit Organizations | 58 | 1 | 58 | 0.50 | 29 | $16.00 | $464 | ||||||
| 1944.682(c) | Federal Cash Transaction Report | SF 272 (0348-0003) |
|||||||||||
| - Local/State Governments (Native American Indian Tribes) | 43 | 4 | 172 | 0.50 | 86 | $16.00 | $1,376 | ||||||
| - Nonprofit Organizations | 58 | 4 | 232 | 0.50 | 116 | $16.00 | $1,856 | ||||||
| $33,722 | |||||||||||||
| $146,459 | |||||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |