APPLICATION
CHECKLIST FOR 523 PROPOSALS
(1944-I)
Link: http://rdinit.usda.gov/regs/
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Description
of Document |
Form/Instruction
Number |
Tab Position |
Date Received/Comments |
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1. |
Application for Federal Assistance Non-Construction
Programs (Form SF424) Include Intergovernmental
Review Response Executive Order 12372-enclose the response from
appropriate agency. |
SF – 424 1944.410(e) |
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2. |
Waiting List of Participants Give the names, addresses, household size, and total
annual income of interested families. |
1944.410(e)(1) |
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3. |
Proof that the participants in the first group have
qualified for assistance. Include
letter/certificate of eligibility. |
1944.410(e)(2) |
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4. |
Include evidence that lots have been purchased or
optioned for first group. |
1944.410(e)(3) |
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5. |
Evidence of lot availability for remaining group(s) |
1944.410(e)(3) |
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6. |
House plans, specifications and detailed cost
estimates. Provide house plans, cost estimates, blueprints and
specifications for houses you propose to build. |
1944.410(e)(4) |
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7. |
Staffing needs and hiring schedule List the proposed staff positions needed, also give: (1) Specific qualifications, skills and experience
needed to staff the program. (job descriptions) (2) staff hiring schedule, and (3) Include resumes of prospective employees |
1944.410(e)(5) |
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8. |
Authorized representative of Applicant Give the name, address and official position of the
person authorized to work with RD. Can
be the same representative(s) named in your resolution. |
1944.410(e)(6) |
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9. |
Budget Information – Non-Construction Programs Include a 2-year budget worksheet. |
SF – 424A & Budget
Narrative 1944.410(e)(7) |
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10. |
Indirect or direct cost policy and proposed indirect
cost rate. Include your Indirect Cost Agreement or approved
Cost Allocation Plan.. |
1944.410(e)(8) |
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11. |
Monthly activities schedule Include your Housing Development Plan and
Implementation Schedule. |
1944.410(e)(10) |
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12. |
Personnel practices and procedures Include your agency’s Personnel Policies and procedures
and samples of forms to be used. |
1944.410(e)(9) |
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13. |
Authorizing Resolution Provide a copy of the resolution adopted by (The
Board of Directors or other Governing Body if public body) and authorizing
the appropriate official(s) to execute Exhibit A, “Self-Help Technical
Assistance Grant Agreement” and |
1944.411(d) |
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14. |
Assurance Agreement |
Form RD 400-4 1944.411(d) |
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15. |
Fidelity Bond Coverage Provide evidence of adequate coverage to protect the
maximum amount of money a grantee will have on hand at any one time. The policy should cover all employees that
have access to funds |
1944.411(e) |
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16. |
Evidence of interest bearing checking account and a
statement of interest repayment By grant closing, you must establish an interest bearing
checking account on which two or more bonded employees will sign checks. Include a signed statement that any
interest earned in excess of $250 annually will be submitted to Rural
Development quarterly. |
1944.411(g) |
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17. |
Group Agreement including Exhibit B-2 of 1944-I Provide a copy of the agreement incorporating
Exhibit B-2 of 4 CFR Part 1944, Subpart I, clearly showing the labor tasks
required by the participating families.
The agreement must be signed by an agency representative and each
participating family. |
1944/411(h) |
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18. |
Request for Obligation of Funds |
Form RD 1940-1 1944.412 |
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19. |
Self-Help Technical Assistance Grant Agreement Leave the date and amount blank. |
Exhibit A of 1944-I 1944.412 |
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20. |
Certificate Regarding Drug-Free Workplace Authorized representative should sign. |
Form AD-1049 RD Ins. 1940-M 1940.606(b)(2) |
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21. |
Certification Regarding Debarment, Suspension, and
other Responsibility Matters Authorized representative should sign |
Form AD-1047 RD Ins. 1940-M 1940.606(b)(1) |
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22. |
Certification Regarding Lobbying Authorized representative should sign |
Exhibit A-1 of RD instruction 1940-Q 940.810 |
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23. |
Statement of Compliance with 7 CFR Part 3015 & 3019,
if a nonprofit organization or, Part 3015 & 3016, if a State or Local
Government. Authorized representative should sign |
1944.411(c) |
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24. |
Assurances – Non-Construction Programs Authorized representative should sign |
Form SF 424B 1944.411(f) |
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25. |
Rural Development Manager’s Recommendation |
1944.410(b) |
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26. |
T&MA Contractor’s Review and Recommendation
Required Under National Office Contract with T& MA Contractor |
Required under National
Office Contract with T&MA Contractor |
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27. |
National Office Review (if over $300,000 or if
amount of new grant plus unexpended funds from previous grant total $400,000 |
1944.415(a) |
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In addition to the above information,
existing grantees submitting an application for a new grant should also
provide the following information as part of a complete application. Since this information was already provided
in the pre-application of a new grantee, they will not be required to
duplicate this information. |
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28. |
Narrative Statement (h) Amount of request (i) Areas to be served (j) Number of houses proposed (k) Housing conditions of low- income families (l) Need for self-help housing (m) Evidence of community support |
1944.410(a)(4) |
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29. |
Current Financial Statements for Applicant and any
sponsor The statement cannot be more than 12 months old and
must be signed, dated and certified by a Board Officer. Usually the
treasurer. |
1944.410(a)(3) |
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30. |
Outreach Plan for very low-income families Outline a plan of how the organization proposes to
reach very low-income families. |
1944.410(a)(5) |
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31. |
HUD Fair Housing Marketing Plan Link: http://www.hud.gov/offices/adm/hudclips/forms/files/935-2a.pdf |
HUD Form 935.2B 1944.410(a)(10) |
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32. |
Determination of TA Grant Amount Include a letter from your Rural Development Local Office
giving the current, not more than 12 months old equivalent value of a
comparable contractor-built 502 home.
Include total square feet and total living area. The letter should include the actual or
projected cost of an acceptable site and site development. Show the formula your organization used to
calculate the TA cost. |
1944.407 |
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33. |
Intergovernmental Review Submittal |
1944.409 |
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34. |
Civil Rights Impact Analysis Certification |
Form RD 2006-38, 2006-P, 2006.754(b) |
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35. |
OGC Review (if necessary) |
1944.410(b)(2) |
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Applicants and existing Self-Help
grantees applying for a new grant should submit their applications in an
original and one copy containing the above applicable items to the Rural Development
Office designated to receive the grant application as determined by the
State. Within 30 days of receipt of
the application, the designated official will review the application for
completeness, accuracy and conformance to program policy and regulation. The designated official should then make
their recommendation and forward along with a copy of the grantee’s package
to the Technical and Management Assistance (T&MA) Contractor for review. The T&MA contractor will make their
recommendations and return the package to the State Office within 15 calendar
days. The State Office will issue a
Letter of Conditions to the Grantee subject to: (1) review of the application
package by the National Office, if applicable and (2) subject to submission
of any additional items not included with the application. |
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