COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM - HUD ADMINISTERED SMALL CITIES PROGRAM - APPLICATION FOR CDBG FUNDS AND PERFORMANCE ASSESSMENT REPORT

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
144962	COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM - HUD ADMINISTERED SMALL CITIES PROGRAM - APPLICATION FOR CDBG FUNDS AND PERFORMANCE ASSESSMENT REPORT	Form	Migrated

ICR Details

OMB Control No: 2506-0020	ICR Reference No: 199105-2506-002
Status: Historical Active	Previous ICR Reference No: 198904-2506-009
Agency/Subagency: HUD/CPD	Agency Tracking No:
Title: COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM - HUD ADMINISTERED SMALL CITIES PROGRAM - APPLICATION FOR CDBG FUNDS AND PERFORMANCE ASSESSMENT REPORT
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/31/1991
	Date Received in OIRA: 05/21/1991
Terms of Clearance: Approved by OMB under the following conditions: 1) HUD shall place the expiration date on HUD Form 4124.1 in accordanc with 5 CFR 1320.4 (a) in the next printing of the form. This expiration date shall be printed on each part of HUD Form 4124, including the Instructions, Part I- V and the Performance Assessment Report. 2) HUD shall print the required burden statement of 8 hours of the Performance Assessment Report, pursuant to 5 CFR 1320.4, in the next printing of the form. 3) HUD shall include an explanation of the recordkeeping requirements in the supporting statement. OMB has added therecordkeeping burden to this current terms of clearance consistent with the SF83. 3) In its next submission, HUD should provide greater detail on the actual number of jurisdictions that must respond to HUD Form 4124. 4) HUD shall not require applicants to resubmit information that is required by the Comprehensive Housing Affordability Strategy, if the applicant to the CDBG Small Cities Program is completing a CHAS for FY92. In its instructions to HUD Form 4052 HUD shall specify these information collections that may be duplicated by the CHAS (i.e. Part VI Maps (b)- location of area with minorities). If there is any duplication with the information collection requirements in the CHAS, HUD shall not require duplication in this program.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1993	06/30/1993
Responses	570	0	0
Time Burden (Hours)	12,300	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: TWO STATES, NEW YORK AND HAWAII, HAVE NOT ELECTED TO ASSUME ADMINISTRATIVE RESPONSIBILITY FOR THE NON-ENTITLED CDBG PROGRAM. HUD IS STATUTORILY MANDATED TO ADMINISTER THE PROGRAM IN THESE STATES. HUD FORM 4124 SERVES AS THE APPLICATION FOR CDBG FUNDS FOR NON-ENTITLE UNITS OF GENERAL LOCAL GOVERNMENT IN THESE STATES AND HUD FORM 4052 COLLECTS INFORMATION ON THE FINANCIAL AND PHYSICAL DEVELOPMENT STATUS

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM - HUD ADMINISTERED SMALL CITIES PROGRAM - APPLICATION FOR CDBG FUNDS AND PERFORMANCE ASSESSMENT REPORT	HUD-4124, HUD-4052

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	570	0	0	0	570	0
Annual Time Burden (Hours)	12,300	0	0	0	12,300	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/21/1991

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