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[170,1]
[140,2]
[130,3]
[90,4]
[10,5]
[45,6]
[15,7]
[4,8]
[130,9]
[130,10]
[4,11]
[1,12]
[70,13]
[35,14]
[25,15]
[25,16]
[]
["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"]
["1944.410(a)(1)","Evidence of Capacity to Operate a MSH Program                                                                          -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","20                      120",1,140,0.25,35,24,840]
["1944.410(a)(2)","Organizational Documents                                                  -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","20                      120",1,140,0.16,22.400000000000002,24,537.6]
["1944.410(a)(3)","Financial Statement                                            -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","20                      120",1,140,0.25,35,24,840]
["1944.410(a)(4)","Narrative Statement of the Area to be Served                                                               -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","20                      120",1,140,0.25,35,24,840]
["1944.410(a)(5)","Very Low-Income Plan                                                        -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","20                      120",1,140,0.5,70,24,1680]
["1944.410(a)(7)","Survey of Lots                                                              -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","20                      120",1,140,1,140,24,3360]
["1944.410(a)(8)","List of Other Activities                                                                          -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","20                      120",1,140,0.25,35,24,840]
["1944.410(a)(9)","Statement Identifying Need, Amount of Funds and Projected Time Period                                                                  -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","7                                    103",1,110,8.5,935,24,22440]
["1944.410(a)(d), Exhibit D","Self-Help Technical Assistance Grant Predevelopment Agreement                                                                   -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","5                        10",1,15,0.5,7.5,24,180]
["1944.411( c)","Statement of Compliance, OMB Circulars and Department Regulations                                                                       -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","7                                    103",1,110,0.16,17.6,24,422.40000000000003]
["1944.411(g)","Establishing Interest Bearing Accounts                                                                                             -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","7                                    103",4,440,0.25,110,24,2640]
["1944.417(b) & Exhibit B","Evaluation Report of Self-Help Grants                                                                              -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","7                                    103",4,440,1,440,24,10560]
["1944.419( c)","Request for Evaluation Review                                                                         -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Letter","2                                      8",1,10,0.16,1.6,24,38.400000000000006]
["1944.420( c)","Revised Budget                                                            -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","5                              30",1,35,1,35,24,840]
["1944.422(a)","Audit Report, Non-Profit Organizations                                                                     -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Written","5                                      100",1,105,15,1575,24,37800]
["1944.422(b)","Audit Report, Local Governments and Indian Tribes                                                                    -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","2                                          6",1,8,15,120,24,2880]
["1944.427, Exhibit E","Grantees' Self-Evaluation                                                                      -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","7                                    103",1,110,1,110,24,2640]
["1944-I, Exhibit F","Application for Site Option Loan                                                  -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","1                               1",1,1,1,1,24,24]
[null,"SUBTOTAL",null,null,null,2364,null,3725.1,null,89402.4]
[]
[null,"Reporting Requirements - Recordkeeping",null," "," "]
["1944.411(f)","Agreement to Establish a Certified Recordkeeping System                                      -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","7                                    103",1,110,0.16,17.6,24,422.40000000000003]
["1944.411(h)","Agreement Between Grantee and Families                                                           -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","7                                    103",1,110,0.16,17.6,24,422.40000000000003]
["1944.420, Exhibit C","Amendment to the Self-Help Technical Assistance Grant Agreement                                                         -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","7                                    103",1,110,0.16,17.6,24,422.40000000000003]
["1944-I, Exhibit A","Self-Help Technical Assistance Grant  Agreement                                                                     -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","Narrative Statement","7                                    103",1,110,0.08,8.8,24,211.20000000000002]
[null,"SUBTOTAL",null,null,null,440,null,61.60000000000001,null,1478.4]
[]
[null,"Reporting Requirements - Forms Approved Under Other OMB Numbers"]
["1944.410(a)","Application for Federal Assistance                                                    -Local/State Governments                             (Native American Indian Tribes)                                         -Nonprofit Organization","SF-424   (0348-0043)","20                                                                                                                                                                                                                                                                    120",1,140,1,140,24,3360]
["1944.410(a)(6)","Budget Information Non-Construction Programs                                                     -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","SF-424A (0348-0044)","20                      120",1,140,3,420,24,10080]
["1944.410(e)","Equal Opportunity Agreement                            -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","RD 400-1 (0575-0018)","20                      120",1,140,0.16,22.400000000000002,24,537.6]
["1944.411(d)","Assurance Agreement                                                        -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","RD 400-4 (0575-0018)","20                      120",1,140,0.25,35,24,840]
["1944.411(d)","Assurances – Nonconstruction Programs                               -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","SF-424B (0348-0040)","20                      120",1,140,0.25,35,24,840]
["1944.417(a)(2)","Request for Advance or Reimbursement                                                 -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","SF-270    (0348-0004)","20                      120",1,140,1,140,24,3360]
["1944.426(a)(2)","Federal Financial Report                                              -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","SF-425           (0348-0038)","20                      120",1,140,1.5,210,24,5040]
["1944.410(b)(1)(ii)","Request for Environmental Information                                              -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","RD 1940-20 (0575-0094)","20                      120",1,140,6,840,24,20160]
["1944.410(b)(2)(iv)","Affirmative Fair Housing Marketing Plan                                       -Local/State Governments                   (Native American Indian Tribes)                                         -Nonprofit Organization","HUD 935.2 (2529-0013)","20                      120",1,140,3,420,24,10080]
[]
[]
[null,"Total Annual Responses",null,null,null,2364,null,3725,null,89402]
[null,"Total Recordkeeping Burden",null,null,null,440,null,62," ",1478]
[null,"Total Burden This Docket",null,null,null,2804,null,3787,null,90880]
[null,null,null," "]
[]
[]
[]
[]
[]
[]
[" "]

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["1. TA applicants before award",170,1]
["2. TA applicants with award status",140,2]
["3. TA grantees",130,3]
["4. TA grantees with non-profit audit reqs.",90,4]
["5. TA grantees with State, local and tribal government audit reqs.",10,5]
["6. TA grantees with revised budgets",45,6]
["7. TA grantees with amended grant agreements",15,7]
["8. TA grantees providing environmental information",4,8]
["9. Number of TA grantees requesting RHS review of the final evaluation",130,9]
["10. Number of TA grantees closing out the grant ",130,10]
["11. Number of TA grantees requesting site option loans",4,11]
["12. Number of TA grantees awarded site option loans (environmental requirements)",1,12]
["13. Number of Predevelopment applicants (before award)",70,13]
["14. Number of Predevelopment applicants with award status",35,14]
["15. Number of Predevelopment grantees",25,15]
["16. Number of predevelopment grantees closing out the grant",25,16]
[]
["Type","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)"]
[null,"(A)","(B)","(C)","(D)","(E)","(F)","(G)","(H)","(I)","(J)"]
["TA Grant Application"]
[1,"3551.55 (b) (1)","Application for Federal Assistance","SF-424",170,1,170,0.75,127.5,15,1912.5]
[1,"3551.55 (b) (2)","Evidence of capacity to operate a MSH program","Narrative statement",170,1,170,0.25,42.5,15,637.5]
[1,"3551.55 (b) (3)","Organizational Documents","Narrative statement ",170,1,170,0.16,27.2,15,408]
[1,"3551.55 (b) (3)","Financial statement","Narrative statement",170,1,170,0.25,42.5,15,637.5]
[1,"3551.55 (b) (10)","Commercial credit report","Narrative statement",170,1,170,0.16,27.2,15,408]
[1,"3551.55 (b) (4)","Evidence of need and demand","Narrative statement",170,1,170,1,170,15,2550]
[1,"3551.55 (b) (5)","Evidence of land availability","Narrative statement",170,1,170,1,170,15,2550]
[1,"3551.55 (b) (7)","Program budget","SF-424A or equivalent",170,1,170,3,510,15,7650]
[1,"3551.55 (b) (8)","Housing plans and cost estimates","Narrative statement",170,1,170,1,170,15,2550]
[1,"3551.55 (b) (9)","Monthly activities schedule","Narrative statement",170,1,170,1,170,15,2550]
[1,"3551.55 (b) (11)","Assurance Agreement","RD 400-4",170,1,170,0.25,42.5,15,637.5]
[1,"3551.55 (b) (11) (i)","Equal Opportunity Agreement","RD 400-1",170,1,170,0.25,42.5,15,637.5]
[1,"3551.55 (b) (11)","Assurances – Nonconstruction Programs","SF-424B",170,1,170,0.25,42.5,15,637.5]
[1,"3551.55 (b) (11)","Drug-Free Workplace","AD-1049",170,1,170,0.16,27.2,15,408]
[1,"3551.55 (b) (11)","Certification regarding debarment, suspension, ineligibility and voluntary exclusion","AD-1047",170,1,170,0.16,27.2,15,408]
[1,"3551.55 (b) (11) (iii)","Conflict-of-interest Disclosure","Narrative statement",170,1,170,0.16,27.2,15,408]
[1,"3551.55 (b) (11) (iv)","Disclosure of Lobbying Activities","RD 1940-Q",170,1,170,0.16,27.2,15,408]
[1,"3551.55 (b) (12)","Evidence of multi-funded status/cost allocation plan","Letter/Narrative statement",170,1,170,0.5,85,15,1275]
[1,"3551.55 (b) (13)","Number of homes/ Factors for awards","Narrative statement/ Scoring summary sheet",170,1,170,1,170,15,2550]
[1,"3551.9/3551.55 (d) (3)","TA Grant Agreement ","Narrative Statement",170,1,170,0.08,13.6,15,204]
["TA Grant Closing"]
[2,"3551.55 (d) (1)","Personnel Information","Narrative statement",140,1,140,0.25,35,15,525]
[2,"3551.55 (d) (2)","Evidence of insurance and fidelity bonding","Narrative statement",140,1,140,0.25,35,15,525]
[2,"3551.55 (d) (2)","Evidence of accounting and record keeping system (compliance with 7 CFR 3015 or 7 CFR 3016)","Narrative statement",140,1,140,0.25,35,15,525]
[2,"3551.55 (d) (3)","Authorization from the Board of Directors","Narrative statement",140,1,140,0.16,22.400000000000002,15,336.00000000000006]
[2,"3551.55 (d) (4)","Evidence of checking account","Narrative statement",140,1,140,0.25,35,15,525]
[2,"3551.55 (d) (5)","Member’s agreement","Narrative statement",140,1,140,0.16,22.400000000000002,15,336.00000000000006]
[2,"3551.55 (d) (6)","Evidence 1st group participating families qualified for mortgage financing","Narrative statement",140,1,140,0.16,22.400000000000002,15,336.00000000000006]
[2,"3551.55 (d) (7)","Building specifications","Narrative statement",140,1,140,1,140,15,2100]
[2,"3551.55 (d) (8)","Affirmative Fair Housing Marketing Plan","HUD 935.2",140,1,140,1,140,15,2100]
[2,"3551.55 (d) (9)","Agreement of compliance with all applicable Federal statutes and regulations","Narrative statement",140,1,140,0.16,22.400000000000002,15,336.00000000000006]
[2,"3551.55 (d) (10)","Evidence addressed RHS environmental review findings","Narrative statement",4,1,4,0.5,2,15,30]
[2,"3551.55 (d) (11)","Evidence addressed RHS Civil Rights Impact analysis findings","Narrative statement",2,1,2,0.5,1,15,15]
["TA Grant Program Administration"]
[3,"3551.103 (a) and (b)","Request for Obligation of Funds","RD 1940-1",130,1,130,0.25,32.5,15,487.5]
[3,"3551.103 (a) and (b)","Grantee Request for ongoing payments/ Includes SHARES update","SHARES/ SF-270",130,12,1560,1,1560,15,23400]
[6,"3551.103 (c)","Grantee request for payment varying significantly from draw schedule","Letter with SF-270",45,12,540,0.5,270,15,4050]
[3,"3551.151(a)","Generate quarterly SHARES report","SHARES report and narrative statement",130,4,520,0.5,260,15,3900]
[4,"3551.104 (c) (2)","Grantee audit – Nonprofit organizations","Narrative statement",90,1,90,15,1350,15,20250]
[5,"3551.104 (c) (1)","Grantee audit – State, local and  Indian tribal government","Narrative statement",10,1,10,15,150,15,2250]
[7,"3551.152 (a) ","Grant Amendment requests","Letter /  Amendment to Self-Help Technical Assistance Grant",15,1,15,0.16,2.4,15,36]
[7,"3551.152 (b) ","Work-out agreements for grantees designated High Risk","Narrative statement",15,1,15,1,15,15,225]
[3,"3551.106 (a) ","Grant Closeout – Grantee program documentation ","Final equipment inventory / Certification of records retention",130,1,130,0.5,65,15,975]
[3,"3551.106 (a)  3551.106 (b)  3551.106 (c) ","Grant Closeout – Grantee financial documentation","SF-269A / Certification of borrower account closeout / Final Audit",130,1,130,1.5,195,15,2925]
[3,"3551.106 (a)","Grant Closeout – Final Grantee Evaluation","Final SHARES entry",130,1,130,1,130,15,1950]
[3,3551.106,"Request for RHS Evaluation Review","Letter",15,1,15,0.16,2.4,15,36]
[]
["Total TA Grant Application Burden",null,null,null,3400,20,3400,11.540000000000001,1961.8000000000002,null,29427]
["Total TA Grant Closing Burden",null,null,null,1406,12,1406,4.640000000000001,512.6,null,7689]
["Total TA Grant Program Administration Burden",null,null,null,970,37,3285,36.56999999999999,4032.3,null,60484.5]
["Total TA Burden",null,null,null,5776,69,8091,52.74999999999999,6506.700000000001,null,97600.5]

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["1. Number of TA applicants (before award)",170,1]
["2. Number of TA applicants with award status",140,2]
["3. Number of TA grantees",130,3]
["4. Number of TA grantees with non-profit audit requirements",90,4]
["5. Number of TA grantees with State, local and tribal government audit requirements",10,5]
["6. Number of TA grantees with revised budgets",45,6]
["7. Number of TA grantees with amended grant agreements",15,7]
["8. Number of TA grantees providing environmental information",4,8]
["9. Number of TA grantees requesting RHS review of the final evaluation",130,9]
["10. Number of TA grantees closing out the grant ",130,10]
["11. Number of TA grantees requesting site option loans",4,11]
["12. Number of TA grantees awarded site option loans (environmental requirements)",1,12]
["13. Number of Predevelopment applicants (before award)",70,13]
["14. Number of Predevelopment applicants with award status",35,14]
["15. Number of Predevelopment grantees",25,15]
["16. Number of predevelopment grantees closing out the grant",25,16]
[]
["Type","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)"]
[null,"(A)","(B)","(C)","(D)","(E)","(F)","(G)","(H)","(I)","(J)"]
[11,"3551.251 (g) (1)","Loan application","SF-424",4,1,4,0.75,3,15,45]
[11,"3551.251 (g) (2) (i) ","Resolution authorizing application for a site option loan","Narrative statement",4,1,4,0.25,1,15,15]
[11,"3551.251 (g) (2) (ii)","Copy of proposed option or schedule of proposed options","Narrative statement",4,1,4,0.25,1,15,15]
[12,"3551.251 (i) ","Loan closing","Loan agreement",1,1,1,0.25,0.25,15,3.75]
[]
["Total Site Option Loan",null,null,null,13,4,13,1.5,5.25,null,78.75]

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["1. Number of TA applicants (before award)",170,1]
["2. Number of TA applicants with award status",140,2]
["3. Number of TA grantees",130,3]
["4. Number of TA grantees with non-profit audit requirements",90,4]
["5. Number of TA grantees with State, local and tribal government audit requirements",10,5]
["6. Number of TA grantees with revised budgets",45,6]
["7. Number of TA grantees with amended grant agreements",15,7]
["8. Number of TA grantees providing environmental information",4,8]
["9. Number of TA grantees requesting RHS review of the final evaluation",130,9]
["10. Number of TA grantees closing out the grant ",130,10]
["11. Number of TA grantees requesting site option loans",4,11]
["12. Number of TA grantees awarded site option loans (environmental requirements)",1,12]
["13. Number of Predevelopment applicants (before award)",70,13]
["14. Number of Predevelopment applicants with award status",35,14]
["15. Number of Predevelopment grantees",25,15]
["16. Number of predevelopment grantees closing out the grant",25,16]
[]
["Type","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)"]
[null,"(A)","(B)","(C)","(D)","(E)","(F)","(G)","(H)","(I)","(J)"]
[13,"3551.201 (f) (2) (i)","Application for Federal Assistance","SF-424",70,1,70,0.75,52.5,15,787.5]
[13,"3551.201 (f) (2) (ii)","Evidence of demonstrated capacity to operate a MSH program","Narrative statement",70,1,70,0.25,17.5,15,262.5]
[13,"3551.201 (f) (2) (iii)","Certificate of incorporation","Narrative statement",70,1,70,0.16,11.200000000000001,15,168.00000000000003]
[13,"3551.201 (f) (2) (iv)","Tax-exempt certification","Narrative statement",70,1,70,0.16,11.200000000000001,15,168.00000000000003]
[13,"3551.201 (f) (2) (v)","Articles of incorporation and Bylaws","Narrative statement",70,1,70,0.16,11.200000000000001,15,168.00000000000003]
[13,"3551.201 (f) (2) (vi)","Certificate of good standing","Narrative statement",70,1,70,0.16,11.200000000000001,15,168.00000000000003]
[13,"3551.201 (f) (2) (vii)","Organization identifying information","Narrative statement",70,1,70,0.16,11.200000000000001,15,168.00000000000003]
[13,"3551.201 (f) (2) (viii)","Financial statement","Narrative statement",70,1,70,0.25,17.5,15,262.5]
[13,"3551.201 (f) (2) (ix)","Credit report","Narrative statement",70,1,70,0.16,11.200000000000001,15,168.00000000000003]
[13,"3551.201 (f) (2) (x)","Land availability","Narrative statement",70,1,70,0.5,35,15,525]
[13,"3551.201 (f) (2) (xi)","Evidence of interest by families","Narrative statement",70,1,70,0.5,35,15,525]
[13,"3551.201 (f) (2) (xii)","Monthly activity schedule","Narrative statement",70,1,70,0.5,35,15,525]
[13,"3551.201 (f) (2) (xii)","Proposed budget","Narrative statement",70,1,70,0.5,35,15,525]
[13,"3551.201 (f) (2) (xiii)","Conflict-of-interest disclosure","Narrative statement",70,1,70,0.16,11.200000000000001,15,168.00000000000003]
[13,"3551.201 (f) (2) (xiv)","Disclosure of lobbying activities","RD 1940-Q",70,1,70,0.16,11.200000000000001,15,168.00000000000003]
[13,3551.9,"Grant Agreement","Narrative Statement",70,1,70,0.08,5.6000000000000005,15,84.00000000000001]
[15,"3551.201 (h) (2) ","Predevelopment grantee closeout: Final accounting of funds","Narrative statement",25,1,25,1,25,15,375]
[]
["Total Predevelopment Grant Burden",null,null,null,1145,17,1145,5.61,347.7,null,5215.5]

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[null,"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)"]
["Total TA Burden",5776,69,8091,52.74999999999999,6506.700000000001,null,97600.5]
["Total Predevelopment Grant Burden",1145,17,1145,5.61,347.7,null,5215.5]
["Total Site Option Loan",13,4,13,1.5,5.25,null,78.75]
["TOTAL",6934,90,9249,59.85999999999999,6859.650000000001,null,102894.75]