COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM - HUD ADMINISTERED SMALL CITIES PROGRAM - APPLICATION FOR CDBG FUNDS AND PERFORMANCE ASSESSMENT REPORT
ICR 199105-2506-002
OMB: 2506-0020
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2506-0020 can be found here:
COMMUNITY DEVELOPMENT BLOCK
GRANT (CDBG) PROGRAM - HUD ADMINISTERED SMALL CITIES PROGRAM -
APPLICATION FOR CDBG FUNDS AND PERFORMANCE ASSESSMENT REPORT
Reinstatement with change of a previously approved collection
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.
Inventory as of this Action
Requested
Previously Approved
06/30/1993
06/30/1993
570
0
0
12,300
0
0
0
0
0
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
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:
(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;
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.