Information Collection

Brownfields Economic Development Initiative (BEDI) Grant Application

IC 27456 under ICR 201103-2506-002 · OMB 2506-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0153 can be found here:

2011-06-08 - Reinstatement without change of a previously approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-40122 Sec. 10 Loan Guarantee Certification Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
Form HUD-40123 Brownfields Economic Development Application Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
Form SF-424 Applicaiton for Federal Assistance Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
Form SF-424S Survey on Ensuring Equal Opportunity for Applicants Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
Form SF-LLL Disclosure of Lobbying Activities Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
Form HUD-424-B Applicant Assurance and Certification Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
Form HUD-2880 Applicant/Recipient Disclusre/Update Report Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
Form HUD-96010-I Logic Model Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
Form HUD-2993 Acknowledgement of Application Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
Form HUD-2990 Certificaiton of Consistency with the RC/EZ/EC Strategic Plan Brownfields Economic Development Initiative (BEDI) Grant Application	Form and Instruction
HUD-40122 Sec. 10 Loan Guarantee Certification 40122.pdf	Form and Instruction
HUD-40123 Brownfields Economic Development Application 40123.pdf	Form and Instruction
SF-424 Applicaiton for Federal Assistance sf424.doc	Form and Instruction
SF-424S Survey on Ensuring Equal Opportunity for Applicants sf424sup.pdf	Form and Instruction
SF-LLL Disclosure of Lobbying Activities sflllin.pdf	Form and Instruction
HUD-424-B Applicant Assurance and Certification 424-b.pdf	Form and Instruction
HUD-2880 Applicant/Recipient Disclusre/Update Report 2880.doc	Form and Instruction
HUD-96010-I Logic Model 96010.pdf	Form and Instruction
HUD-2993 Acknowledgement of Application 2993.pdf	Form and Instruction
HUD-2990 Certificaiton of Consistency with the RC/EZ/EC Strategic 2990.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Brownfields Economic Development Initiative (BEDI) Grant Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 570.703 24 CFR 570.208

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-40122	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-40123	Yes	Yes	Fillable Fileable
Form and Instruction	SF-424	Yes	Yes	Fillable Fileable
Form and Instruction	SF-424S	Yes	Yes	Fillable Fileable
Form and Instruction	SF-LLL	Yes	Yes	Fillable Printable
Form and Instruction	HUD-424-B	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2880	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-96010-I	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2993	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2990	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	2,000	2,000
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].