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[140,2]
[130,3]
[90,4]
[10,5]
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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 Assitance (TA) Grant"]
["3551.55 (b) (2)","Evidence of capacity to operate a MSH program","Narrative statement",75,1,75,0.25,18.75,24,450]
["3551.55 (b) (3)","Organizational Documents","Narrative statement ",75,1,75,0.66,49.5,24,1188]
["3551.55 (b) (3)","Financial statement","Narrative statement",75,1,75,0.25,18.75,24,450]
["3551.55 (b) (4)","Evidence of need and demand","Narrative statement",75,1,75,1,75,24,1800]
["3551.55 (b) (5)","Evidence of land availability","Narrative statement",75,1,75,1,75,24,1800]
["3551.55 (b) (8)","Proposed Budget","Narrative statement",75,1,75,1,75,24,1800]
["3551.55 (b) (9)","Monthly activities schedule","Narrative statement",75,12,900,1,900,24,21600]
["3551.55 (b) (11) (iii)","Conflict-of-interest Disclosure","Narrative statement",75,1,75,0.16,12,24,288]
["3551.55 (b) (11) (iv)","Disclosure of Lobbying Activities","RD Instruction 1940-Q Exhibit A-1",105,1,105,0.16,16.8,24,403.20000000000005]
["3551.55 (b) (12)","Evidence of multi-funded status/cost allocation plan","Letter/Narrative statement",75,1,75,0.5,37.5,24,900]
["3551.55 (b) (13)","Number of homes/ Factors for awards","Narrative statement/ Scoring summary sheet",75,1,75,1,75,24,1800]
["3551.9 / 3551.55 (d) (3)","Grant Agreement ","Narrative Statement",75,1,75,0.08,6,24,144]
[null,"TA Grant Closing"]
["3551.55 (d) (1)","Personnel Information","Narrative statement",56,1,56,0.25,14,24,336]
["3551.55 (d) (3)","Authorization from the Board of Directors","Narrative statement",56,1,56,0.16,8.96,24,215.04000000000002]
["3551.55 (d) (4)","Establishing Interest Bearing Accounts","Narrative statement",56,1,56,0.25,14,24,336]
["3551.55 (d) (6)","Qualification for Federal assistance","Narrative statement",56,1,56,0.16,8.96,24,215.04000000000002]
["3551.55 (d) (9)","Agreement of compliance with all applicable Federal statutes and regulations","Narrative statement",56,1,56,0.16,8.96,24,215.04000000000002,null," "]
["3551.151(a)","Generate quarterly SHARES report","SHARES report and narrative statement",50,4,200,0.5,100,24,2400]
["3551.104 (c) (2)","Grantee audit","Narrative statement",45,1,45,15,675,24,16200]
["3551.106 (a)","Grant Closeout – Final Grantee Evaluation","Final SHARES entry",60,1,60,1,60,24,1440]
[3551.106,"Request for RHS Evaluation Review","Letter",5,1,5,0.16,0.8,24,19.200000000000003]
[null,"Subtotal TA Grants",null,null,null,2345,null,2249.9800000000005,null,53999.52]
[]
[null,"Predevelopment Grant"]
["3551.201 (f) (2) (ii)","Evidence of demonstrated capacity to operate a MSH program","Narrative statement",30,1,30,0.25,7.5,24,180]
["3551.201 (f) (2) (vii)","Organizational Documents","Narrative statement",30,1,30,0.16,4.8,24,115.19999999999999]
["3551.201 (f) (2) (viii)","Financial statement","Narrative statement",30,1,30,0.25,7.5,24,180]
["3551.201 (f) (2) (x)","Evidence of Land availability","Narrative statement",30,1,30,0.5,15,24,360]
["3551.201 (f) (2) (xi)","Evidence of need and demand","Narrative statement",30,1,30,0.5,15,24,360]
["3551.201 (f) (2) (xii)","Monthly activity schedule","Narrative statement",30,1,30,0.5,15,24,360]
["3551.201 (f) (2) (xii)","Proposed budget","Narrative statement",30,1,30,0.5,15,24,360]
["3551.201 (f) (2) (xiii)","Conflict-of-interest disclosure","Narrative statement",30,1,30,0.16,4.8,24,115.19999999999999]
[3551.9,"Grant Agreement","Narrative Statement",30,1,30,5.6,168,24,4032]
["3551.201 (h) (2) ","Predevelopment grantee closeout: Final accounting of funds","Narrative statement",30,1,30,1,30,24,720]
[null,"Subtotal Predevelopment Grants",null,null,null,300,null,282.6,null,6782.4]
[]
[null,"Site Option Loans"]
["3551.251 (g) (2) (i) ","Resolution authorizing application for a site option loan","Narrative statement",5,1,5,0.25,1.25,24,30]
["3551.251 (g) (2) (ii)","Copy of proposed option or schedule of proposed options","Narrative statement",5,1,5,0.25,1.25,24,30]
[null,"Subtotal Site Option Loans",null,null,null,10,null,2.5,null,60]
[null,"SUBTOTAL",null,null,null,2655,null,2535.0800000000004,null,60841.92]
[]
[null,"Reporting Requirements - Recordkeeping",null," "," "]
["1944.411(f)","Agreement to Establish a Certified Recordkeeping System                                      ","Narrative Statement",105,1,105,0.16,16.8,24,403.20000000000005]
["1944.411(h)","Agreement Between Grantee and Families                                                           ","Narrative Statement",105,1,105,0.16,16.8,24,403.20000000000005]
["1944.420, Exhibit C","Amendment to the Self-Help Technical Assistance Grant Agreement                                                         ","Narrative Statement",51,1,51,0.16,8.16,24,195.84]
[null,"SUBTOTAL",null,null,null,261,null,41.760000000000005,null,1002.2400000000001]
[]
[null,"Reporting Requirements - Forms "]
["1944.410(e)","Equal Opportunity Agreement                            ","RD 400-1 (0575-0018)",105,1,105,0.16,16.8,24,403.20000000000005]
["1944.411(d)","Assurance Agreement                                                        ","RD 400-4 (0575-0018)",105,1,105,0.25,26.25,24,630]
["1944.410(b)(1)(ii)","Request for Environmental Information                                              ","RD 1940-20 (0575-0094)",105,1,105,6,630,24,15120]
["3551.55 (b) (11)","Drug-Free Workplace","AD-1049",105,1,105,0.16,16.8,24,403.20000000000005]
["3551.55 (b) (11)","Certification regarding debarment, suspension, ineligibility and voluntary exclusion","AD-1047",105,1,105,0.16,16.8,24,403.20000000000005]
[null,"SUBTOTAL",null,null,null,525,null,706.6499999999999,null,16959.600000000002]
["1944.410(a)","Application for Federal Assistance                                                    ","SF-424    (4040-0004)",105,1,105,1,105,24]
[]
[null,"Reporting Requirements - Form Burden Approved Under Other OMB Numbers"]
["1944.410(a)(6)","Budget Information Non-Construction Programs","SF-424A (4040-0006)",105,1,105,3,315,24]
["1944.411(d)","Assurances – Nonconstruction Programs                               ","SF-424B (4040-0007)",105,1,105,0.25,26.25,24]
["1944.417(a)(2)","Request for Advance or Reimbursement                                                 ","SF-270    (4040-0012)",105,1,105,1,105,24]
["1944.426(a)(2)","Federal Financial Report                                              ","SF-425           (4040-0014)",105,1,105,1.5,157.5,24]
["1944.410(b)(2)(iv)","Affirmative Fair Housing Marketing Plan                                       ","HUD 935.2 (2529-0013)",105,1,105,3,315,24]
[]
[]
[null,"Total Reporting Requirement Burden",null,null,null,3180,null,3241.7300000000005,null,77801.52]
[null,"Total Recordkeeping Burden",null,null,null,261,null,41.760000000000005," ",1002.2400000000001]
[null,"Total Burden This Docket",null,null,null,3441,null,3283.4900000000007,null,78803.76000000001]
[null,null,null," "]
[]
[]
[]
[]
[]
[]
[" "]