Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 40077 Grant Progress Report	Form	Modified	Available
Form HUD 2880 Applicant/Recipient Disclosure/Update Report	Form and Instruction	Modified	Available
Form HUD 2994-A Your are our Client	Form and Instruction	Modified	Available
Form HUD 27300 America's Affordable Communities Initiative	Form and Instruction	Modified	Available
Form SF 424 sup Survey on Ensuring Equal Opportunity for Applicants	Form and Instruction	Modified	Repair queued
Form SF 424 Application for Federal Assistance	Form and Instruction	Modified	Available
Form HUD 96010 Logic Model	Form and Instruction	Modified	Available
Form HUD 424-cb Budget Worksheet	Form and Instruction	Modified	Available
Form SFLLL DISCLOSURE OF LOBBYING ACTIVITIES	Form and Instruction	Modified	Available
FY10AN-NHIA Supporting Statement- Part A .docx	Supporting Statement A	Uploaded 2010-07-01	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form	Modified	Grant Progress Report
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form and Instruction	Modified	Applicant/Recipient Disclosure/Update Report
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form and Instruction	Modified	Your are our Client
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form and Instruction	Modified	America's Affordable Communities Initiative
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form and Instruction	Modified	Survey on Ensuring Equal Opportunity for Applicants
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form and Instruction	Modified	Application for Federal Assistance
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form and Instruction	Modified	Logic Model
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form and Instruction	Modified	Budget Worksheet
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Other-Acknowledgment of Receipt	Modified
27595	Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form and Instruction	Modified	DISCLOSURE OF LOBBYING ACTIVITIES

ICR Details

OMB Control No: 2528-0206	ICR Reference No: 201006-2528-003
Status: Historical Inactive	Previous ICR Reference No: 200612-2528-001
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 09/16/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/01/2010
Terms of Clearance: The agency has requested that this information collection request be withdrawn.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved	05/31/2010
Responses	0	0	256
Time Burden (Hours)	0	0	6,196
Cost Burden (Dollars)	0	0	0

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Abstract: Grants to Alaska Native/Native Hawaiian Institutions (AN/NHI) of Higher Education to expand their role and effectiveness in addressing community development needs in their localities, including revitalization, housing, and economic development, principally for persons of low and moderate income.

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Authorizing Statute(s): PL: Pub.L. 105 - 244 Section 317 Name of Law: Higher Education Amendement of 1998
  

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 16160	03/31/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 37456	06/29/2010
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
Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	HUD 40077, HUD 424-cb, HUD 96010, HUD 27300, SFLLL, SF 424 sup, HUD 2994-A, SF 424, HUD 2880	DISCLOSURE OF LOBBYING ACTIVITIES ,   Budget Worksheet ,   Logic Model ,   Application for Federal Assistance ,   Survey on Ensuring Equal Opportunity for Applicants ,   America's Affordable Communities Initiative ,   Your are our Client ,   Applicant/Recipient Disclosure/Update Report ,   Grant Progress Report

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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: Added HUD Form 40077 - Grant Progress Report which is approved under OMB Control No. 2528-0198. The number of respondents and responses has decreased signficantly for this program.

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Annual Cost to Federal Government: $5,734

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: 07/01/2010

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