|  | 
 | 
 | 
 | Reports | Total Annual | Est. No. of | Est. Total | Wages | Cost to the | 
	
		|  | 
 | Form No. | Est. No. of | Filed | Responses | Man hours | Man-hours | Class | Public | 
	
		| Section of Regulation | Title | (if Any) | Respond-ents | Annually | (D) x (E) | Per Response | (F) x (G) | $/Hr. | (H) x (I) | 
	
		| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | 
	
		| REPORTING REQUIREMENTS - FORMS APPROVED WITH THIS DOCKET | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1780.33(h)(1); 1942.5(b)(1)(ii)(C); 1951.222(c)(3); 3570.71(h) | Operating Budget | 442-7 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 1,120 | 1 | 1,120 | 5 | 5,600 | 74.0 | $414,400 | 
	
		| 1780.41(a)(3); 1942.5(b)(1)(ii)(E); 1951.230(a)(9);1955.10(f)(3)(i); & 3570.82 | Balance Sheet or Financial Statement | 442-3 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 680 | 1 | 680 | 1 | 680 | 59 | $40,365 | 
	
		| 1780.29(b)(1); 1942.17(l)(i) | Agreement for Engineering Services | 1942-19 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 310 | 1 | 310 | 4 | 1,240 | 59 | $73,606 | 
	
		| 1780.39(f); Guide 16 of 1942-A; 3570.61(e) | Resolution of Members or Stockholders | 1942-8 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 60 | 1 | 60 | 1 | 60 | 59 | $3,562 | 
	
		| 1780.41(a)(6); 1942.5(a)(1)(ii); 1952.230(f)(2); 4274.350; 1942.315(b); 4284.638(c); 3570.71 | Letter of Intent to Meet Conditions | 1942-46 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 670 | 1 | 670 | 1 | 670 | 74.0 | $49,580 | 
	
		| 
 | RBS (Small Socially Disadvantaged Producer Grant Program) | 
 | 24 | 1 | 24 | 1 | 24 | 74.0 | $1,776 | 
	
		| 1942.17(j)(4)(i)(A); 3570.76 | Right-of-Way Easement | 442-20 | 
 | 
 | 
 | 
 | 
 | 59 | 
 | 
	
		| 
 | RHS | 
 | 330 | 1 | 330 | 1 | 330 | 59 | $19,470 | 
	
		| 1942.17(j)(4)(i); 3570.76 | Right-of-Way Certificate | 442-21 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 330 | 1 | 330 | 1 | 330 | 59 | $19,470 | 
	
		| 1780.44(g)(1)(i), 1942.17(j)(4)(i); 3570.76 | Opinion of Counsel Relative to Rights-of-Way | 442-22 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 310 | 1 | 310 | 1 | 310 | 59 | $18,290 | 
	
		| 1942.17(n)(2) | Loan Resolution (Public Bodies) | 1942-47 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 180 | 1 | 180 | 1 | 180 | 59 | $10,620 | 
	
		| 1942.17(n)(2) | Loan Resolution Security Agreement | 1942-9 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 360 | 1 | 360 | 1 | 360 | 59 | $21,240 | 
	
		| 1780.45(b)(1)(ii); 1942.17(p)(2)(ii); 1944.235(c) | Estimate of Funds Needed for 30-Day Period Commencing ____" | 440-11 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 910 | 3 | 2,730 | 1 | 2,730 | 74 | $202,020 | 
	
		| 
 | Promissory Note | 440-22 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 645 | 2 | 1,290 | 0.25 | 323 | 59 | $19,028 | 
	
		| 1780.37(f); 1942.17(q)(2)(i)(A);1951.223(b)(1), 1951.230(a)(9); 3570.82 | Statement of Budget, Income, and Equity | 442-2 | 
 | 
 | 0 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 1,108 | 1 | 1,108 | 2.5 | 2,770 | 59 | $163,430 | 
	
		| 1942.8(d) | Bond Registration Book | 442-28 | 
 | 
 | 0 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 175 | 1 | 175 | 1 | 175 | 59 | $10,325 | 
	
		| 1942.17(j)(3)(ii)(B) | Position Fidelity Schedule Bond Declarations | 440-24 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 1,062 | 1 | 1,062 | 0.5 | 531 | 59.0 | $31,329 | 
	
		| 1942.30(e )(1) | Re-lender's Agreement | 1942-55 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 27 | 1 | 27 | 1.5 | 41 | 88 | $3,564 | 
	
		| 1942.30(e )(2) | Promissory Note | 1942-56 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 27 | 1 | 27 | 1 | 27 | 88 | $2,376 | 
	
		| 1942.30(e )(4) | Adequate collateral (Loan Resolution Security Agreement | 1942-57 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 27 | 1 | 27 | 0.5 | 14 | 88 | $1,188 | 
	
		| Subtotal | 
 | 
 | 
 | 
 | 10,820 | 
 | 16,394 | 
 | 1,105,638 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| REPORTING REQUIREMENTS - NO FORMS | 
	
		| 1942.17(c)(2)(vii) | Application to Obtain Additional Funding | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 38 | 1 | 38 | 4 | 152 | 59 | $8,968 | 
	
		| 1942.17(b)(3); 3570.61(c) | Statement on ability to obtain credit elsewhere | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 966 | 1 | 966 | 1 | 966 | 59 | $56,994 | 
	
		| 1942.17(e) | Notification of declination of service | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 0 | 1 | 0 | 3 | 0 | 59 | $0 | 
	
		| 1942.17(g)(2)(iii)(A); 3570.80 | Liens on real and chattel property | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 25 | 1 | 25 | 1 | 25 | 59 | $1,475 | 
	
		| 1942.17(g)(3)(i)(B) | Financing Statement | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 338 | 1 | 338 | 1 | 338 | 59 | $19,942 | 
	
		| 1942.17(j)(9); 3570.71 | Public Information | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 966 | 1 | 966 | 2 | 1,932 | 59 | $113,988 | 
	
		| 1942.5(b)(1)(ii)(D) and Guides 6-10; 3570.65 | Preliminary Architectural or Engineering Report | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 434 | 1 | 434 | 4 | 1,736 | 59 | $102,424 | 
	
		| 1942.17(l)(1); 3570.71 | Agreement for professional services | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 515 | 1 | 515 | 4 | 2,060 | 59 | $121,540 | 
	
		| 1942.17(h)(2)(iii) | Positive programs to encourage connections | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 0 | 1 | 0 | 3 | 0 | 59 | $0 | 
	
		| 1942.17(n)(3) | Interim financing | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 675 | 1 | 675 | 4 | 2,700 | 59 | $159,300 | 
	
		| 1942.17(j)(3)(iii)(A) | Property insurance | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 595 | 1 | 595 | 1 | 595 | 59 | $35,105 | 
	
		| 1942.17(j)(3)(iii)(B) | Liability and Property Damage Insurance | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 560 | 1 | 560 | 1 | 560 | 59 | $33,040 | 
	
		| 1942.17(j)(3)(iii)(D) | Flood Insurance | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 58 | 1 | 58 | 1 | 58 | 59 | $3,422 | 
	
		| 1942.17(j)(3)(iii)(E) | Workman's compensation insurance | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 430 | 1 | 430 | 0.5 | 215 | 74.0 | $15,910 | 
	
		| 1942.17(n)(6); 3570.80 | Evidence of Disbursement of other funds | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 275 | 1 | 275 | 1 | 275 | 59 | $16,225 | 
	
		| 1942.17(j)(4)(ii) | Acquistion of Land, Easement, Water Rights & Existing Facilities | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 418 | 1 | 418 | 3 | 1,254 | 59 | $73,986 | 
	
		| 1942.3; 3570.65 | Appraisal Report | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 665 | 1 | 665 | 2 | 1,330 | 59 | $78,470 | 
	
		| 1942.5(b)(1)(ii)(I); 3570.70 | Lease/Management agreement | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 96 | 1 | 96 | 5 | 480 | 59 | $28,320 | 
	
		| 1942.17(g)(2) | Notes, bonds, warrants or other contractural obligations | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 418 | 1 | 418 | 5 | 2,090 | 59 | $123,310 | 
	
		| 1942.18(e) & Guides 17 thru 19; 3570.76 | Construction contract forms | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 418 | 1 | 418 | 1 | 418 | 59 | $24,662 | 
	
		| 1942.8(g); 3570.80 | Certification by borrower's attorney | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 418 | 1 | 418 | 15 | 6,270 | 59 | $369,930 | 
	
		| 1942.18(m); 3570.76 | Contracts awarded prior to application | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 24 | 1 | 24 | 2 | 48 | 59 | $2,832 | 
	
		| 1942.18(o)(3); 3570.76 | Resident Inspector resume | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 305 | 1 | 305 | 0.5 | 153 | 59 | $8,998 | 
	
		| 1942.18(o)(4); 3570.76 | Daily inspection report | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 1,640 | 12 | 19,680 | 0.5 | 9,840 | 59 | $580,560 | 
	
		| 1942.5(b)(1)(ii)(G) | Evidence that facility cannot be provided by a public body | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 225 | 1 | 225 | 1 | 225 | 59 | $13,275 | 
	
		| 1942.5(b)(1)(ii)(H); 3570.65 | Financial feasibility report | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 640 | 1 | 640 | 4 | 2,560 | 59 | $151,040 | 
	
		| 1942.17(b)(4); 3570.65 | Organizational documents | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 960 | 1 | 960 | 1 | 960 | 59 | $56,640 | 
	
		| 1942.5(a)(1)(ii), 1942.17(f)(1) | Borrower request to choose interest rate | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 960 | 1 | 960 | 0.167 | 160 | 59 | $9,459 | 
	
		| 1942.5(b)(1)(ii)(F) | Five Year Financial History | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 675 | 1 | 675 | 1 | 675 | 59 | $39,825 | 
	
		| 1942.17(g)(2)(iii)(A)(9)(ii) | Exceptional Community Support and Documentation | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 595 | 1 | 595 | 4 | 2,380 | 59 | $140,420 | 
	
		| 1942.17(g)(3)(i)(D) | Other Security | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 225 | 1 | 225 | 1 | 225 | 59 | $13,275 | 
	
		| 1942.17(j)(3)(iii)(C) | Malpractice Insurance | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 210 | 1 | 210 | 0.5 | 105 | 59 | $6,195 | 
	
		| 1942.17(j)(4)(iii) | Land Purchase Contract | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 80 | 1 | 80 | 2 | 160 | 59 | $9,440 | 
	
		| 1942.17(j)(8) | Certificate of Need | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 56 | 1 | 56 | 1 | 56 | 59 | $3,304 | 
	
		| 1942.17(k); 3570.70 | Certification of appropriate regulatory agencies | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 201 | 1 | 201 | 4 | 804 | 59 | $47,436 | 
	
		| 1942.17(r)(1)(ii)(B) & Guide 22 | Positive Action Plan | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 56 | 1 | 56 | 2 | 112 | 59 | $6,608 | 
	
		| 1942.17(q)(4); 3570.83 | Audits | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 720 | 1 | 720 | 3 | 2,160 | 59 | $127,440 | 
	
		| 1942.17(q)(4)(ii) | Financial Statements - borrowers under $100,000 gross income | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 720 | 1 | 720 | 4 | 2,880 | 59 | $169,920 | 
	
		| 1942.18(j)(5)(iv) | Utilization of small business & minority owned business | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 112 | 1 | 112 | 0.5 | 56 | 59 | $3,304 | 
	
		| 1942.18(k)(5); 3570.75 | Procurement when other than bid or negotiation is used | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 80 | 1 | 80 | 1 | 80 | 59 | $4,720 | 
	
		| 1942.18(l); 3570.76 | Unconventional contracting methods | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 80 | 1 | 80 | 5 | 400 | 59 | $23,600 | 
	
		| 1942.2(a)(1)(iii); 3570.65(a)(1) | State clearinghouse review | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 595 | 1 | 595 | 1 | 595 | 59 | $35,105 | 
	
		| 1942.17(q)(1)(ii) | Approval of Audit | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 380 | 1 | 380 | 0.5 | 190 | 59 | $11,210 | 
	
		| 1942.17(q)(2)(ii)(A); 3570.83 | Governing body members and terms of office | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 380 | 1 | 380 | 0.5 | 190 | 59 | $11,210 | 
	
		| 1942.30(a) | Documentation of Legal Powers | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 0.5 | 16 | 88 | 1,408 | 
	
		| 1942.30(a) | Certification of Compliance with Federal, State, and Local Requirements | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 1 | 32 | 88 | 2,816 | 
	
		| 1942.30(a) | Documentation of Serving Persistent Poverty County(ies) or High Poverty Areas | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 1 | 32 | 88 | 2,816 | 
	
		| 1942.30(a) | Documentation ("Letter of Intent") from a Financial Institution that an Irrevocable Letter of Credit or similar Performance Guarantee will be issued if re-lender is approved for funding | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 5 | 160 | 88 | 14,080 | 
	
		| 1942.30(a) | Documentation Regulated and Supervised by a Federal or State Banking Regulatory Agency, Subject to Credit Examination, Not on a Watch List, and No Regulatory Actions Outstanding | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 14 | 1 | 14 | 2 | 28 | 88 | 2,464 | 
	
		| 1942.30(a) | Documentation of strong Financial Strength and Performance rating | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 6 | 1 | 6 | 5 | 30 | 88 | 2,640 | 
	
		| 1942.30(a) | Documentation of being a financially sound institution for Agency assessment | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 11 | 1 | 11 | 64 | 704 | 88 | 61,952 | 
	
		| 1942.30(a) | Documentation of Legal, Non-governmental Status (except for Tribal governments) | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 0.5 | 16 | 88 | 1,408 | 
	
		| 1942.30(a) | Documentation of Membership in a National Organization that provides training, technical assistance and credit evaluation or certified by a Government agency as having a primary mission of promoting development in low-income target markets and performs training and technical assistance as part of that mission. | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 2 | 64 | 88 | 5,632 | 
	
		| 1942.30(a) | Certification to loan a majority of funds to applicants whose projects are located in or serve Persistent Poverty County(ies) or High Poverty Area(s) | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 0.17 | 5 | 88 | 479 | 
	
		| 1942.30(a) | Multi-tier Action Environmental Compliance Agreement | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 0.08 | 3 | 88 | 225 | 
	
		| 1942.30(a) | Documentation of Assitance Provided to RD Employees | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 0.17 | 5 | 88 | 479 | 
	
		| 1942.30(a) | Documentation of each evaluation factor | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 2 | 64 | 88 | 5,632 | 
	
		| 1942.30(e )(3) | Irrevocable Letter of Credit | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 80 | 1 | 80 | 1 | 80 | 88 | 7,040 | 
	
		| 1942.30(b) | Loan Origination and Servicing - applicant eligibility | Written | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 80 | 1 | 80 | 1.5 | 120 | 88 | 10,560 | 
	
		| Subtotal | 
 | 
 | 
 | 
 | 36,798 | 
 | 49,837 | 
 | $2,983,287 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| RECORDKEEPING REQUIREMENTS | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1942.17(q)(1)(iv) | Borrower shall maintain accounting records for 3 years | Written | 4,458 | 1 | 4,458 | 0.25 | 1,115 | 88 | $98,076 | 
	
		| 
 | Quarterly Financial Statements | Written | 16 | 4 | 64 | 2 | 128 | 88 | $11,264 | 
	
		| 
 | Quarterly Report of Re-rent Loans | Written | 16 | 4 | 64 | 1 | 64 | 88 | $5,632 | 
	
		| 
 | Annual Audits | Written | 16 | 1 | 16 | 5 | 80 | 88 | $7,040 | 
	
		| 
 | Financial Strength and Performance Rating | Written | 16 | 1 | 16 | 5 | 80 | 88 | $7,040 | 
	
		| 
 | Certification of 7CFR 3575.42 & 3575.43 | Written | 80 | 1 | 80 | 0.25 | 20 | 88 | $1,760 | 
	
		| 
 | Civil Rights Data | Written | 16 | 1 | 16 | 1 | 16 | 88 | $1,408 | 
	
		| 
 | Documentation of providing funds to Persistent Poverty County(ies) and High Poverty Area(s) | Written | 16 | 1 | 16 | 1 | 16 | 88 | $1,408 | 
	
		| Subtotal | 
 | 
 | 
 | 
 | 4,730 | 
 | 1,519 | 
 | 133,628 | 
	
		| Grand Total | 
 | 
 | 
 | 
 | 52,348 | 
 | 67,749 | 
 | $4,222,553.40 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| Form Burden Approved Under Other OMB Numbers | 
	
		| 1942.2(c)(2) | Application for Federal Assistance (For Construction) | SF-424 (4040-0004) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 1,205 | 1 | 1,205 | 1 | 1,205 | 59 | $71,095 | 
	
		| 
 | Budget Information - Non Construction Programs | SF-424A (4040-0006) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 20 | 1 | 20 | 1 | 20 | 59 | $1,180 | 
	
		| 
 | Assurances - Non Construction Programs | SF-424B (4040-0007) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 20 | 1 | 20 | 1 | 20 | 59 | $1,180 | 
	
		| 
 | Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities | SF-LLL (4040-0013) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 20 | 1 | 20 | 1 | 20 | 59 | $1,180 | 
	
		| 
 | ACH Vendor/Miscellaneous Payment Enrollment Form | SF-3881 (1530-0069) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 20 | 1 | 20 | 1 | 20 | 59 | $1,180 | 
	
		| 
 | Environmental Policies and Procedures | Written (0575-0197) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 1185 | 1 | 1185 | 1 | 1185 | 59 | $69,915 | 
	
		| 1942.17(n)(2)(x) | Equal Opportunity Agreement | 400-1 | 16 | 1 | 16 | 0.25 | 4 | 59 | $236 | 
	
		| 
 | Certification Regarding Debarment, Suspension & Other Responsibility Matters-Primary Covered Transactions | AD 1047 | 32 | 1 | 32 | 1 | 32 | 88 | $2,816 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 0.25 | 8 | 88 | $704 | 
	
		| 1942.17(j)(4)(i)(B) | Preliminary Title Opinion | 1927-9 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 1,905 | 2 | 3,810 | 1.5 | 5,715 | 59 | $337,185 | 
	
		| 1942.17(j)(4)(i)(B) | Final Title Opinion | 1927-10 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 1,905 | 2 | 3,810 | 0.33 | 1,257 | 59 | $74,181 | 
	
		| 1942.17(p)(5) & Guide 18 | Partial Payment Estimate | 1924-18 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 3,310 | 2 | 6,620 | 0.5 | 3,310 | 59 | $195,290 | 
	
		| 1942.18(o)(7)(ii) & Guide 18 | Contract Change Order | 1924-7 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 2,575 | 1 | 2,575 | 0.25 | 644 | 59 | $37,981 | 
	
		| 
 | Deposit Agreement | 402-1 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 16 | 1 | 16 | 0.25 | 4 | 73.7 | $295 | 
	
		| 
 | Representations Regarding Felony Convictions and Tax Deliquency Status for Corporate Applicants | AD 3030 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 0.25 | 8 | 88 | $704 | 
	
		| 
 | Assurances Regarding Felony Convictions and Tax Delinquency Status for Corporate Appliants | AD 3031 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RHS | 
 | 32 | 1 | 32 | 0.05 | 2 | 88 | $141 |