Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
7 CFR 1944-I - Local/State & Tribal Governments Modified 40 7 0 Form RD 400-1 Equal Opportunity Agreement
Form RD 400-4 Assurance Agreement
Form SF 424 Application for Fedral Assistance
Form AD 1049 Certifiction Regarding Drug-Free Workplace Requirments
Form AD 1047 Certificaion Regarding Debarrment, Suspension and other Responsibility Matters
7 CFR 1944-I - Nonprofit organization Modified 355 61 0 Form RD 400-1 Equal Opportunity Agreement
Form RD 400-4 Assurance Agreement
Form SF 424 Applicaton for Federal Assistance
Form AD 1049 Certification Regarding Drug-Free Workplace Requirements
Form AD 1047 Certification Regarding Debarment, Suspension, and othe Responsibility Matters
Affirmative Fair Housing Marketing Plan New 1 1 0 Form HUD 935-2 Affirmative Fair Housing Marketing Plan
Agreement Between Grantee and Families New 100 16 0
Agreement of compliance with all applicable Federal statutes and regulations New 51 8 0
Agreement to Establish a Certified Recordkeeping System New 100 16 0
Amendment to the Self-Help Technical Assistance Grant Agreement New 45 7 0
Assurances – Nonconstruction Programs New 1 1 0 Form SF-424B Assurances – Nonconstruction Programs
Authorization from the Board of Directors New 51 8 0
Budget Information Non-Construction Programs New 1 1 0 Form SF-424A Budget Information Non-Construction Programs
Conflict-of-interest Disclosure New 95 15 0
Copy of proposed option or schedule of proposed options New 5 1 0
Disclosure of Lobbying Activities New 100 16 0
Environmental Report New 100 600 0
Establishing Interest Bearing Accounts New 51 13 0
Evidence of Capacity to Operate a MSH Program New 95 24 0
Evidence of land availability New 95 95 0
Evidence of multi-funded status/cost allocation plan New 70 35 0
Evidence of need and demand New 95 95 0
Federal Financial Report New 1 1 0 Form SF-425 Federal Financial Report
Financial statement New 95 24 0
Generate quarterly SHARES report New 200 100 0
Grant Agreement New 95 8 0
Grant Closeout – Final Grantee Evaluation New 55 55 0
Grantee audit New 40 600 0
Monthly activities schedule New 1140 1140 0
Number of homes/ Factors for awards New 70 70 0
Organizational Documents New 95 15 0
Personnel Information New 51 13 0
Predevelopment grantee closeout: Final accounting of funds New 25 25 0
Proposed Budget New 95 95 0
Qualification for Federal assistance New 51 8 0
Request for Advance or Reimbursement New 1 1 0 Form SF-270 Request for Advance or Reimbursement
Request for RHS Evaluation Review New 5 1 0
Resolution authorizing application for a site option loan New 5 1 0
Total burden requested under this ICR: 3475 3177 0  
To view an IC, click on IC Title