Section 3 Program Implementation and Coordination Grant

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 27061 Race and Ethnic Data Reporting Form	Form and Instruction	New	Available
Form HUD 2993 Acknowledgment of Application Receipt	Form	New	Repair queued
Form HUD 2990 Certification of Consistency with the RC/EZ/EC-IIs Strategic Plan	Form and Instruction	New	Repair queued
Form HUD 2880 Applicant/Recipient Disclosure/Update Report	Form and Instruction	New	Available
Form HUD 424-CB Grant Application Detailed Budget	Form and Instruction	New	Available
Form HUD 96010 Logic Model	Form and Instruction	New	Available
Form HUD 96011 Third Party Documentation	Form and Instruction	New	Available
Form HUD 40076-RHED Checklist for Forms and Certifications	Form	New	Available
Form HUD 2994-A Grant Applications Survey	Form and Instruction	New	Repair queued
Form HUD 424-CBWI Instructions for Completing the Grant Application Detailed Budget Worksheet	Form and Instruction	New	Available
Form SF LLL Disclosure of Lobbying Lobbying Activities	Form and Instruction	New	Repair queued
Form SF 424 Application for Federal Assistance	Form and Instruction	New	Repair queued
Supporting Statement_Section3 NOFA.docx	Supporting Statement A	Uploaded 2010-08-06	Available
Section3implementation(emergencyltr).pdf	Supplementary Document	Uploaded 2010-08-06	Available
Section 3 Program Emergency FR Notice.pdf	Supplementary Document	Uploaded 2010-08-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194139	Section 3 Grant Application	Form and Instruction	New	Race and Ethnic Data Reporting Form
194139	Section 3 Grant Application	Form	New	Acknowledgment of Application Receipt
194139	Section 3 Grant Application	Form and Instruction	New	Certification of Consistency with the RC/EZ/EC-IIs Strategic Plan
194139	Section 3 Grant Application	Form and Instruction	New	Applicant/Recipient Disclosure/Update Report
194139	Section 3 Grant Application	Form and Instruction	New	Grant Application Detailed Budget
194139	Section 3 Grant Application	Form and Instruction	New	Logic Model
194139	Section 3 Grant Application	Form and Instruction	New	Third Party Documentation
194139	Section 3 Grant Application	Form	New	Checklist for Forms and Certifications
194139	Section 3 Grant Application	Form and Instruction	New	Grant Applications Survey
194139	Section 3 Grant Application	Form and Instruction	New	Instructions for Completing the Grant Application Detailed Budget Worksheet
194139	Section 3 Grant Application	Form and Instruction	New	Disclosure of Lobbying Lobbying Activities
194139	Section 3 Grant Application	Form and Instruction	New	Application for Federal Assistance

ICR Details

OMB Control No: 2529-0050	ICR Reference No: 201008-2529-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/FHEO	Agency Tracking No:
Title: Section 3 Program Implementation and Coordination Grant
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 08/23/2010
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/11/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/06/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	6 Months From Approved
Responses	592	0	0
Time Burden (Hours)	32,250	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This information is required by the grant application to assist the Department in selecting the Department in selecting the highest ranked applicants to receive funds under the Section 3 Program Implementation and Coordination NOFA. The information collected from quarterly and final progress reports will enable the Department to evaluate the performance of agencies that receive funding and determine the effectiveness of the funding for increasing the capacity of recipient agencies to comply with the regulatory requirements of Section 3.

Emergency Justfication: The Department is seeking emergency review and approval of this information collection which supports the issuance of $550,000 available through the Office of Fair Housing and Equal Opportunity, Economic Opportunity Division. The Department needs to publish a Notice of Funding Availability (NOFA) immediately. The use of normal clearance procedures is reasonably likely to prevent the collection of the required information.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Section 3 Grant Application	HUD 40076-RHED, HUD 2990, HUD 96010, HUD 2880, SF 424, SF LLL , HUD 424-CBWI, HUD 2994-A, HUD 96011, HUD 424-CB, HUD 2993, HUD 27061	Application for Federal Assistance ,   Disclosure of Lobbying Lobbying Activities ,   Instructions for Completing the Grant Application Detailed Budget Worksheet ,   Grant Applications Survey ,   Checklist for Forms and Certifications ,   Third Party Documentation ,   Logic Model ,   Grant Application Detailed Budget ,   Applicant/Recipient Disclosure/Update Report ,   Certification of Consistency with the RC/EZ/EC-IIs Strategic Plan ,   Acknowledgment of Application Receipt ,   Race and Ethnic Data Reporting Form

---

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	592	0	0	592	0	0
Annual Time Burden (Hours)	32,250	0	0	32,250	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: This is a new collection.

---

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]? 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

---

Common Form ICR:  No

---

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: 08/06/2010

---