Information Collection

Rural Innovation Fund Grant Program

IC 195356 under ICR 201011-2506-006 · OMB 2506-0188.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 424-cb Rural Innovation Fund Grant Program	Form
Form 424-CBWI.doc	Instruction
424-cb Grant Application Detailed Budget Form 424-cb.xls	Form
HUD 27054 Voice Response System Form 27054.pdf	Form and Instruction
HUD 27054 - A LOCCS Access Authorization Security Form 27054-a.pdf	Form and Instruction
HUD 27061 Race and Ethnic Data Form 27061.pdf	Form and Instruction
HUD 2990 Certification of Consistency with RC/EZ/EC-IIs Strategic Form HUD 2990.pdf	Form
HUD 2991 Certification of Consistency with the Consolidated Plan Form HUD 2991.pdf	Form
HUD 60002 Economic Opportunities for Low- and Very Low-Income Pers Form HUD 60002.pdf	Form and Instruction
HUD 424 CBW Grant Application Detailed Budget Worksheet Form HUD_424_CBW_Rev090729.xls	Form
SF 425 Federal Financial Worksheet Form SF-425.pdf	Form
SF 1199A Direct Deposit Form SF 1199A.pdf	Form and Instruction
SF PPR-E Activity Based Expenditures Form SFPPR-E.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	424-cb	Grant Application Detailed Budget	Form 424-cb.xls	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 27054	Voice Response System	Form 27054.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 27054 - A	LOCCS Access Authorization Security	Form 27054-a.pdf	Yes	No	Fillable Printable
Form	HUD 424 CBW	Grant Application Detailed Budget Worksheet	Form HUD_424_CBW_Rev090729.xls	Yes	No	Printable Only
Instruction			Form 424-CBWI.doc	Yes	No	Printable Only
Form and Instruction	HUD 27061	Race and Ethnic Data	Form 27061.pdf	Yes	No	Fillable Printable
Form	HUD 2991	Certification of Consistency with the Consolidated Plan	Form HUD 2991.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 60002	Economic Opportunities for Low- and Very Low-Income Persons	Form HUD 60002.pdf	Yes	No	Printable Only
Form	SF 425	Federal Financial Worksheet	Form SF-425.pdf	Yes	No	Fillable Printable
Form and Instruction	SF 1199A	Direct Deposit	Form SF 1199A.pdf	Yes	No	Fillable Printable
Form	SF PPR-E	Activity Based Expenditures	Form SFPPR-E.docx	Yes	No	Fillable Printable
Form	HUD 2990	Certification of Consistency with RC/EZ/EC-IIs Strategic Plan	Form HUD 2990.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 335

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	335	335
Annual IC Time Burden (Hours)	24,770	24,770
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.