HOPE VI Application

Forms and Documents

Document Name	Status
Form HUD-2880 HOPE VI Application Form	Modified
08 H6 83i_SS_2577-0208 08-30-11.docx Supporting Statement A	2011-08-30

IC Document Collections

IC ID	Document Title	Status
42117	HOPE VI Application Form	Modified

ICR Details

OMB Control No: 2577-0208	ICR Reference No: 201104-2577-010
Status: Historical Active	Previous ICR Reference No: 200804-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0208
Title: HOPE VI Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/05/2011
	Date Received in OIRA: 06/22/2011
Terms of Clearance: Previous terms of clearance are satisfied. HUD will make sure that data entered into ROCIS matches data in the supporting statement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	36 Months From Approved	09/30/2011
Responses	1,496	0	1,376
Time Burden (Hours)	26,516	0	26,237
Cost Burden (Dollars)	0	0	0

---

Abstract: The information is required to allow HUD to obligate grant funds in accordance with the HOPE VI program authorizing statute, and to manage the grants that are awarded.

---

Authorizing Statute(s): US Code: 44 USC Chapter 35, as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 18570	04/04/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 36564	06/22/2011
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
HOPE VI Application	HUD 52774, HUD 52780, HUD 52785, HUD 2994-A, HUD 52797, HUD 52790, HUD 52825-A, HUD-2880, HUD 52800, HUD 52861, HUD 96010, HUD 96011, HUD 52799, HUD 52787, SF-424, HUD 52680-A, HUD 52861, HUD 53001-a, SFLLL, HUD-52798	Applicant/Receipt Disclosure/Update Report ,   Client Comments and Suggestions ,   Hope VIDemolition Application Checklist ,   "HOPE VI Revitalization Leverage resources ,   Community and Supportive Services Plan ,   Revitalization Application Checklist/Table of Contents ,   Hope VI Application Data Form ,   Hope VI Main Street Appl Data Sheet ,   Program Outcome Logic Model ,   Facsimile Transmittal ,   Hope VI Revitalization Leverage Resources ,   Survey on Ensuring Opportunity for Applicants ,   Disclosure of Lobbying Activies ,   Relocation Guide Plan ,   Demo Grant Limitations Wrksht ,   Training/Meeting Certification ,   Readiness Certification ,   Application Data Sheet ,   Cost Certificate ,   Budget Updating

---

ICR Summary 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	1,496	1,376	0	0	120	0
Annual Time Burden (Hours)	26,516	26,237	0	0	279	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: No

Burden Reduction Due to:

Short Statement: Program Change: 1. The documentation for Workforce Partnerships, Green Jobs and Green Training is new in FY 2010 and was added to reflect the Department's increased emphasis on green jobs and workforce partnerships. This documentation is provided by the applicant. It represents 30 hours and $3,000. 2. The documentation for Early Childhood Education was added in FY09. The intent is to give points to applicants who demonstrate, among other things, a commitment to implement and/or form a significant partnership with a comprehensive, high-quality, results oriented early childhood education program that utilizes best practices. This documentation is provided by the applicant. It represents 30 hours and $3,000. 3. The documentation for Green Development and Energy Efficiency Strategies was revised in FY09 In order to further emphasize green and energy efficiency principles, the Energy Star rating factor was replaced by and expanded upon a new rating factor titled. "Green Development and Energy Efficiency Strategies." This documentation is provided by the applicant. It represents 30 hours and $3,000. 4. CSS Annual Report. Through the CSS Annual Report, grantees report on their progress in accomplishing their Supportive Services Plan (52798). It represents 240 hours and $12,000. 5. Removed 27061 Race and Ethnic Data Reporting Form as it is not used by the program. It represents 0 hours and $0. 6. Removed 27300 America's Affordable Communities Initiative as it is not used by the program. It represents 0 hours and $0. 7. Removed Documentation of Environmental and neighborhood standards as it is not used by the program. It represents 60 hours and $3,000. Adjustments: 1. The form HUD-52800, Application Checklist has been changed to reflect changes in the NOFA. There is no change in burden or cost. 2. Assurances for a HOPE VI Application. It was previously part of the burden for 52860 A. It is now broken out and represents 15 hours and $1,500. 3. Certification of Severe Physical distress. It was previously part of the burden for 52860 A. It is now broken out and represents 60 hours and $3,000.

---

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]? No

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: 06/22/2011

---