HOME Investment Partnerships Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-40107A Management Reports	Form and Instruction	Modified	Available
Form HUD-20755 Direct Deposit Sign-up Form	Form and Instruction	Modified	Available
Form SF-1199A Direct Deposti Sign-up Form	Form and Instruction	Modified	Available
Form HUD-40093 HOME Investment Partnership agreement	Form and Instruction	Modified	Available
ICR 2506-0171 -.docx	Supporting Statement A	Uploaded 2009-10-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44108	HOME Investment Partnerships Program	Form and Instruction	Modified	Management Reports
44108	HOME Investment Partnerships Program	Form and Instruction	Modified	Direct Deposit Sign-up Form
44108	HOME Investment Partnerships Program	Form and Instruction	Modified	Direct Deposti Sign-up Form
44108	HOME Investment Partnerships Program	Form and Instruction	Modified	HOME Investment Partnership agreement

ICR Details

OMB Control No: 2506-0171	ICR Reference No: 200910-2506-001
Status: Historical Active	Previous ICR Reference No: 200606-2506-001
Agency/Subagency: HUD/CPD	Agency Tracking No:
Title: HOME Investment Partnerships Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/15/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/22/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	36 Months From Approved	12/31/2009
Responses	209,960	0	245,599
Time Burden (Hours)	522,762	0	522,103
Cost Burden (Dollars)	0	0	0

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Abstract: This information describes the eligibility of HOME Investment Partnerships Program (HOME) beneficiaries, the eligibility of proposed HOME activities, HOME program agreements, and HOME performance reports. The data identifies who benefits from the HOME program and how statutory and regulatory requirements are satisfied. The respondents are state and local government HOME participating jurisdictions.

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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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 143	07/28/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 202	10/21/2009
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
HOME Investment Partnerships Program	HUD-40093, SF-1199A, HUD-20755, HUD-40107A	HOME Investment Partnership agreement ,   Direct Deposti Sign-up Form ,   Direct Deposit Sign-up Form ,   Management Reports

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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	209,960	245,599	0	-35,639	0	0
Annual Time Burden (Hours)	522,762	522,103	0	659	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: 1. Explanation of Program Changes / Adjustments This is a revision of a currently approved collection. The HUD form 40107 is no longer required. There is a burden hour adjustment. The estimation of the annual reporting and recordkeeping hour burden is more concrete due to receiving more accurate program information after 18 years of program implementation.

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Annual Cost to Federal Government: $477,414

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)? No

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: 10/22/2009

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