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[140,2]
[130,3]
[90,4]
[10,5]
[45,6]
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[]
["Section of Regulation","Title","Form No    (if any)","Estimated No. of Respondents","Reports Filed Annually","Total Annual 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)"]
[null,"Reporting Requirements - No Forms"]
[null,"Technical Assistance (TA) Grant"]
["3551.55 (b) (2)","Evidence of capacity to operate a MSH program","Narrative statement",70,1,70,0.25,17.5,30,525]
["3551.55 (b) (3)","Organizational Documents","Narrative statement ",70,1,70,0.16,11.200000000000001,30,336.00000000000006]
["3551.55 (b) (3)","Financial statement","Narrative statement",70,1,70,0.25,17.5,30,525]
["3551.55 (b) (4)","Evidence of need and demand","Narrative statement",70,1,70,1,70,30,2100]
["3551.55 (b) (5)","Evidence of land availability","Narrative statement",70,1,70,1,70,30,2100]
["3551.55 (b) (8)","Proposed Budget","Narrative statement",70,1,70,1,70,30,2100]
["3551.55 (b) (9)","Monthly activities schedule","Narrative statement",70,4,280,1,280,30,8400]
["3551.55 (b) (11) (iii)","Conflict-of-interest Disclosure","Narrative statement",70,1,70,0.16,11.200000000000001,30,336.00000000000006]
["3551.55 (b) (11) (iv)","Disclosure of Lobbying Activities","RD Instruction 1940-Q Exhibit A-1",70,1,70,0.16,11.200000000000001,30,336.00000000000006]
["3551.55 (b) (12)","Evidence of multi-funded status/cost allocation plan","Letter/Narrative statement",70,1,70,0.5,35,30,1050]
["3551.55 (b) (13)","Number of homes/ Factors for awards","Narrative statement/ Scoring summary sheet",70,1,70,1,70,30,2100]
["3551.9 / 3551.55 (d) (3)","Grant Agreement ","Narrative Statement",70,1,70,0.08,5.6000000000000005,30,168.00000000000003]
[null,"TA Grant Closing"]
["3551.55 (d) (1)","Personnel Information","Narrative statement",70,1,70,0.25,17.5,30,525]
["3551.55 (d) (3)","Authorization from the Board of Directors","Narrative statement",70,1,70,0.16,11.200000000000001,30,336.00000000000006]
["3551.55 (d) (4)","Establishing Interest Bearing Accounts","Narrative statement",70,1,70,0.25,17.5,30,525]
["3551.55 (d) (6)","Qualification for Federal assistance","Narrative statement",70,1,70,0.16,11.200000000000001,30,336.00000000000006]
["3551.55 (d) (9)","Agreement of compliance with all applicable Federal statutes and regulations","Narrative statement",70,1,70,0.16,11.200000000000001,30,336.00000000000006,null," "]
["3551.151(a)","Generate quarterly SHARES report","SHARES report and narrative statement",70,4,280,0.5,140,30,4200]
["3551.104 (c) (2)","Grantee audit","Narrative statement",70,1,70,15,1050,30,31500]
["3551.106 (a)","Grant Closeout – Final Grantee Evaluation","Final SHARES entry",70,1,70,1,70,30,2100]
[3551.106,"Request for RHS Evaluation Review","Letter",70,1,70,0.16,11.200000000000001,30,336.00000000000006]
["1944.410(b)(1)(ii)","Environmental Report                                              ","Narrative statement",50,1,50,6,300,30,9000]
[null,"Subtotal TA Grants",null,null,null,1940,null,2309,null,69270]
[]
[null,"Predevelopment Grant- not currently funded"]
["3551.201 (f) (2) (ii)","Evidence of demonstrated capacity to operate a MSH program ","Narrative statement",0,1,0,0.25,0,30,0]
["3551.201 (f) (2) (vii)","Organizational Documents","Narrative statement",0,1,0,0.16,0,30,0]
["3551.201 (f) (2) (viii)","Financial statement","Narrative statement",0,1,0,0.25,0,30,0]
["3551.201 (f) (2) (x)","Evidence of Land availability","Narrative statement",0,1,0,1,0,30,0]
["3551.201 (f) (2) (xi)","Evidence of need and demand","Narrative statement",0,1,0,1,0,30,0]
["3551.201 (f) (2) (xii)","Monthly activity schedule","Narrative statement",0,12,0,1,0,30,0]
["3551.201 (f) (2) (xii)","Proposed budget","Narrative statement",0,1,0,1,0,30,0]
["3551.201 (f) (2) (xiii)","Conflict-of-interest disclosure","Narrative statement",0,1,0,0.16,0,30,0]
[3551.9,"Grant Agreement","Narrative Statement",0,1,0,0.08,0,30,0]
["3551.201 (h) (2) ","Predevelopment grantee closeout: Final accounting of funds","Narrative statement",0,1,0,1,0,30,0]
["1944.410(b)(1)(ii)","Environmental Report                                              ","Narrative statement",0,1,0,6,0,30,0]
[null,"Subtotal Predevelopment Grants",null,null,null,0,null,0,null,0]
[]
[null,"Site Option Loans"]
["3551.251 (g) (2) (i) ","Resolution authorizing application for a site option loan","Narrative statement",3,1,3,0.25,0.75,30,22.5]
["3551.251 (g) (2) (ii)","Copy of proposed option or schedule of proposed options","Narrative statement",3,1,3,0.25,0.75,30,22.5]
[null,"Subtotal Site Option Loans",null,null,null,6,null,1.5,null,45]
[null,"SUBTOTAL",null,null,null,1946,null,2310.5,null,69315]
[]
["3551.55 (b) (11)","Drug-Free Workplace","AD-1049 (0505-0027)",70,1,70,0.25,17.5,26,455]
["3551.55 (b) (11)","Certification regarding debarment, suspension, ineligibility and voluntary exclusion","AD-1047 (0505-0027)",70,1,70,0.25,17.5,26,455]
[null,"SUBTOTAL",null,null,null,140,null,35,null,910]
[]
[null,"Reporting Requirements - Recordkeeping",null," "," "]
["1944.411(f)","Agreement to Establish a Certified Recordkeeping System                                      ","Narrative Statement",70,1,70,0.16,11.200000000000001,30,336.00000000000006]
["1944.411(h)","Agreement Between Grantee and Families                                                           ","Narrative Statement",100,1,100,0.16,16,30,480]
["1944.420, Exhibit C","Amendment to the Self-Help Technical Assistance Grant Agreement                                                         ","Narrative Statement",50,1,50,0.16,8,30,240]
[null,"SUBTOTAL",null,null,null,220,null,35.2,null,1056]
[]
[null,"Reporting Requirements - Form Burden Approved Under Other OMB Numbers"]
["1944.410(a)","Application for Federal Assistance                                                    ","SF-424    (4040-0004)",70,1,70,1,70,24,1680]
["1944.410(a)(6)","Budget Information Non-Construction Programs","SF-424A (4040-0006)",70,1,70,3,210,26,5460]
["1944.411(d)","Assurances – Nonconstruction Programs                               ","SF-424B (4040-0007)",70,1,70,0.5,35,26,910]
["1944.417(a)(2)","Request for Advance or Reimbursement                                                 ","SF-270    (4040-0012)",840,1,840,1,840,26,21840]
["1944.426(a)(2)","Federal Financial Report                                              ","SF-425           (4040-0014)",140,1,140,1.5,210,26,5460]
["1944.410(b)(2)(iv)","Affirmative Fair Housing Marketing Plan                                       ","HUD 935.2 (2529-0013)",70,1,70,3,210,26,5460]
["1944.410(e)","Equal Opportunity Agreement                            ","RD 400-1     (0575-0018)",70,1,70,0.16,11.200000000000001,26,291.20000000000005]
["1944.411(d)","Assurance Agreement                                                        ","RD 400-4     (0575-0018)",70,1,70,0.25,17.5,26,455]
["3551.55 (b) (11) (iv)","Disclosure of Lobbying Activities","SF-LLL",70,1,70,0.16,11.200000000000001,30,336.00000000000006]
[]
[null,"Total Reporting Requirement Burden",null,null,null,2086,null,2345.5,null,70225]
[null,"Total Recordkeeping Burden",null,null,null,220,null,35.2," ",1056]
[null,"Total Burden This Docket",null,null,null,2306,null,2380.7,null,71281]
[null,null,null," "]
[]
[]
[]
[]
[]
[]
[" "]