Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 92016 CA Application for Capital Advance Summary Information	Form and Instruction	Modified	Available
Form HUD 96010 Logic Model	Form and Instruction	Modified	Available
Form HUD 96011 HUD 96011	Form and Instruction	Modified	Available
Form SF424SUP Survey on Ensuring Equal opportunity for Applicants	Form	Modified	Available
Form HUD 2991 Certification of Consistency with the Consolidated Plan	Form	Modified	Available
Form HUD-2990 Certification of Consistency with the RC/EZ/EC Strategic Plan	Form	Modified	Available
Form HUD-2880 Applicant/Recipient Disclosure/Update report	Form	Modified	Available
Form SF-LLL Disclosure of Lobbying Activities	Form	Modified	Available
Form SF-424 Application for Federal Assistance	Form	Modified	Available
Form HUD-92043 Certification for Provision of Supportive Services	Form	Modified	Available
Form HUD-92042 Sponsor's Resolution for Commitment to project	Form	Modified	Available
Form HUD-92041 Sponsor's Conflict of Interest Resolution	Form	Modified	Available
Supporting Stateement A.docx	Supporting Statement A	Uploaded 2010-07-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form and Instruction	Modified	Application for Capital Advance Summary Information
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form and Instruction	Modified	Logic Model
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form and Instruction	Modified	HUD 96011
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Other-Survey	Modified
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form	Modified	Survey on Ensuring Equal opportunity for Applicants
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form	Modified	Certification of Consistency with the Consolidated Plan
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form	Modified	Certification of Consistency with the RC/EZ/EC Strategic Plan
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form	Modified	Applicant/Recipient Disclosure/Update report
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form	Modified	Disclosure of Lobbying Activities
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form	Modified	Application for Federal Assistance
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form	Modified	Certification for Provision of Supportive Services
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form	Modified	Sponsor's Resolution for Commitment to project
42068	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	Form	Modified	Sponsor's Conflict of Interest Resolution

ICR Details

OMB Control No: 2502-0462	ICR Reference No: 201006-2502-018
Status: Historical Active	Previous ICR Reference No: 200704-2502-010
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities
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: 09/24/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/27/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2013	36 Months From Approved	09/30/2010
Responses	136	0	210
Time Burden (Hours)	11,833	0	18,299
Cost Burden (Dollars)	0	0	0

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Abstract: To apply for capital advances for HUD's Section 811 program, prospective private nonprofit organizations submit completed Section 811 Supportive Housing for Persons with Disabilities Application Kits.

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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:
	75 FR 21020	04/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 44005	07/27/2010
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
Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	HUD-92041, HUD-92042, HUD-92043, HUD-2880, SF-424, SF424SUP, SF-LLL, HUD-2990, HUD 2991, HUD 96011, HUD 96010, HUD 92016 CA	Sponsor's Conflict of Interest Resolution ,   Sponsor's Resolution for Commitment to project ,   Certification for Provision of Supportive Services ,   Application for Federal Assistance ,   Disclosure of Lobbying Activities ,   Applicant/Recipient Disclosure/Update report ,   Certification of Consistency with the RC/EZ/EC Strategic Plan ,   Certification of Consistency with the Consolidated Plan ,   Survey on Ensuring Equal opportunity for Applicants ,   HUD 96011 ,   Logic Model ,   Application for Capital Advance Summary Information

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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	136	210	0	-74	0	0
Annual Time Burden (Hours)	11,833	18,299	0	-6,466	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Removed Form HUD-27300, Questionnaire for HUD’s Initiative on Removal of Regulatory Barriers, an optional form, because it is no longer required.

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Annual Cost to Federal Government: $79,016

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]? No

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: 07/27/2010

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