| REPORTING REQUIREMENT- NON-FORMS | |||||||||
| Section of Regulation | Title | Form No. (If Any) |
Estimated No. of Respondents | Reports Filed Annually | Total Annual Reponses (D) X (E) |
Estimated No. of Manhours per Reponse | Est. Total Manhours (F) X (G) | Wage Class | Total Cost (H) X (I) |
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) |
| 3551.55 (b) (2) 3551.205 (b) (2) |
Evidence of capacity to operate a MSH program | Narrative Statement | 230 | 1 | 230 | 2.00 | 460 | $19.51 | $8,975 |
| 3551.55 (b) (3) 3551.205 (b) (3) |
Organizational Documents | Narrative Statement | 230 | 1 | 230 | 1.30 | 299 | $19.51 | $5,833 |
| 3551.55 (b) (3) (vii) 3551.205 (b) (3) (vii) |
Financial Statement | Narrative Statement | 230 | 1 | 230 | 2.00 | 460 | $19.51 | $8,975 |
| 3551.55 (b) (9) 3551.205 (b) (8) |
Commercial Credit Report | Narrative Statement | 230 | 1 | 230 | 0.08 | 18 | $19.51 | $359 |
| 3551.55 (b) (4) 3551.205 (b) (4) |
Evidence of Need and Demand | Narrative Statement | 230 | 1 | 230 | 9.00 | 2070 | $19.51 | $40,386 |
| 3551.55 (b) (5) 3551.205 (b) (5) |
Evidence of Land Availability | Narrative Statement | 230 | 1 | 230 | 4.00 | 920 | $19.51 | $17,949 |
| 3551.55 (b) (8) 3551.205 (b) (7) |
Monthly Activities Schedule | Narrative Statement | 230 | 1 | 230 | 4.00 | 920 | $19.51 | $17,949 |
| 3551.55 (b) (10) (vii) 3551.205 (b) (9) (iv) |
Certification regarding debarment, suspension, ineligibility and voluntary exclusion | Narrative Statement or (AD-1047) |
230 | 1 | 230 | 0.30 | 69 | $19.51 | $1,346 |
| 3551.55 (b) (10) (vi) 3551.205 (b) (9) (v) |
Drug Free Workplace | Narrative Statement or (AD-1049) |
230 | 1 | 230 | 0.30 | 69 | $19.51 | $1,346 |
| 3551.55 (b) (11) | Evidence of Multi-Funded Status/Cost Allocation Plan | Narrative Statement | 140 | 1 | 140 | 10.00 | 1400 | $19.51 | $27,314 |
| 3551.55 (b) (12) (i) | Proposed TA Cost/Homes to Complete | Narrative Statement | 140 | 1 | 140 | 2.00 | 280 | $19.51 | $5,463 |
| 3551.55 (d) (1) | Staffing Requirements | Narrative Statement | 90 | 1 | 90 | 1.30 | 117 | $19.51 | $2,283 |
| 3551.55 (e) 3551.206 (c) |
Grant Agreement | Narrative Statement | 138 | 1 | 138 | 0.25 | 35 | $19.51 | $673 |
| 3551.55 (d) (2) | Evidence of Insurance and Fidelity Bond | Narrative Statement | 90 | 1 | 90 | 1.00 | 90 | $19.51 | $1,756 |
| 3551.55 (b) (10) (ii) | Intergovernmental Review | Narrative Statement | 45 | 1 | 45 | 3.00 | 135 | $19.51 | $2,634 |
| 3551.55 (d) (2) | Compliance Agreement Regarding 7CFR 3015, 3016, and 3019 | Narrative Statement | 90 | 1 | 90 | 1.30 | 117 | $19.51 | $2,283 |
| 3551.55 (d) (3) 3551.205 (b) (3) |
Authorization From the Board of Directors | Narrative Statement | 228 | 1 | 228 | 1.00 | 228.0 | $19.51 | $4,448 |
| SUBTOTAL | TOTAL PAGE ONE | 3,031 | 7,687 | $149,971 | |||||
| REPORTING REQUIREMENT- NON-FORMS | |||||||||
| Section of Regulation | Title | Form No. (If Any) |
Estimated No. of Respondent | Reports Filed Annually | Total Annual Reponses (D) X (E) | Estimated No. of Manhours per Reponse | Estimated Total Manhours (F) X (G) | Wage Class | Total Cost (H) X (I) |
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) |
| 3551.55 (d) (4) | Establishing Interest Bearing Checking Account | Narrative Statement | 90 | 1 | 90 | 1.00 | 90 | $19.51 | $1,756 |
| 3551.55 (d) (5) | Member's Agreement | Narrative Statement | 90 | 1 | 90 | 5.00 | 450 | $19.51 | $8,780 |
| 3551.55 (d) (6) | Evidence 1st Group of Participating Families Are Qualified | Narrative Statement | 90 | 1 | 90 | 2.00 | 180 | $19.51 | $3,512 |
| 3551.55 (d) (8) | Building Specifications | Narrative Statement | 90 | 1 | 90 | 50.00 | 4500 | $19.51 | $87,795 |
| 3551.55 (d) (10) | Any Findings in the Civil Righrts Impact Analysis Addressed | Narrative Statement | 2 | 1 | 2 | 0.50 | 1 | $19.51 | $20 |
| 3551.102 | Grantee Request for Payment/Draw Schedule | Letter | 90 | 1 | 90 | 0.50 | 45 | $19.51 | $878 |
| 3551.152 (a) | Quarterly Reviews | Narrative Statement | 360 | 1 | 360 | 6.00 | 2160 | $19.51 | $42,142 |
| 3551.103 | Grantee Audit-Nonprofit Organizations | Narrative Statement | 90 | 1 | 90 | 18.00 | 1620 | $19.51 | $31,606 |
| 3551.103 | Grantee Audit-State, Local, and Indian Tribal Government | Narrative Statement | 5 | 1 | 5 | 18.00 | 90 | $19.51 | $1,756 |
| 3551.151 3551.206 (d) |
Grant Amendment Request | Letter Amendment to Self-Help Technical Assistance Grant |
35 | 1 | 35 | 5.00 | 175 | $19.51 | $3,414 |
| 3551.153 (b) | Work-out Agreement for Grantees Designated High Risk | Narrative Statement | 10 | 1 | 10 | 10.00 | 100 | $19.51 | $1,951 |
| 3551.155 3551.207 |
Grant Closeout Program and Financial Documentation |
Narrative Statement | 80 | 1 | 80 | 20.00 | 1600 | $19.51 | $31,216 |
| TOTAL | TOTAL PAGE TWO | 1,032 | 11,011 | $214,825 | |||||
| Reporting Requirements Approved Under Other OMB Numbers (Not included in form totals) |
|||||||||
| Section of Regulation | Title | Form No. (If Any) |
Estimated No. of Respondent | Reports Filed Annually | Total Annual Reponses (D) X (E) |
Estimated No. of Manhours per Reponse | Estimated Total Manhours (F) X (G) | Wage Class | Total Cost (H) X (I) |
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) |
| 3551.55 (b) (1) 3551.205 (b) (1) |
Application for Federal Assistance | SF-424 (0348-0043) | 224 | 1 | 224 | 0.75 | 168 | $19.51 | $3,278 |
| 3551.55 (b) (7) 3551.205 (b) (6) |
Program budget | SF-424A (0348-0044) | 140 | 1 | 140 | 3.00 | 420 | $19.51 | $8,194 |
| 3551.55 (b) (11) (i) | Equal Opportunity Agreement | RD 400-1 (0575-0018) | 140 | 1 | 140 | 0.16 | 22 | $19.51 | $437 |
| 3551.55 (c) (11) | Assurance Agreement | RD 400-4 (0575-0018) | 140 | 1 | 140 | 0.25 | 35 | $19.51 | $683 |
| 3551.55 (c) (11) | Assurances – Nonconstruction Programs | SF-424B (0348-0040) | 140 | 1 | 140 | 0.25 | 35 | $19.51 | $683 |
| 3551.55 (b) (11) (iv) 3553.205 (b) (9) (iii) |
Disclosure of Lobbying | RD 1940-Q (0348-0046) |
230 | 1 | 230 | 0.50 | 115 | $19.51 | $2,244 |
| 3551.55 (d) (9) | Affirmative Fair Housing Marketing Plan | HUD 935.2 (2529-0013) | 90 | 1 | 90 | 3.00 | 270 | $19.51 | $5,268 |
| 3551.55 (d) (7) | Grantee Request for ongoing payments | SF-270 (0348-0004) | 90 | 1 | 90 | 1.00 | 90 | $19.51 | $1,756 |
| 3551.155 (b) 3551.207 (b) |
Grant Closeout – Grantee financial documentation | SF-269A (0348-0039) | 45 | 1 | 45 | 1.50 | 68 | $19.51 | $1,317 |
| Forms Reporting | 0 | 0 | 0 | ||||||
| Non-Forms Reporting (Page One) |
3,031 | 7,687 | 149,971 | ||||||
| Non-Forms Reporting (Page Two) |
1,032 | 11,011 | $214,825 | ||||||
| Reporting Totals | 4,063 | 18,698 | $364,796 | ||||||
| File Type | application/vnd.ms-excel |
| Author | Melissa Carter |
| Last Modified By | debra.mangrum |
| File Modified | 2007-03-19 |
| File Created | 1990-01-01 |