Fellowship Placement Pilot Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF-LLL Disclosure of Lobbying Activities	Form	New	Available
Form SF-424 supplement Survey On Ensuring Equal Opportunity for Applicants	Form	New	Available
Form SF-424 Application for Federal Assistance	Form	New	Available
Rating Factors and Instructions.docx	Supplementary Document	Uploaded 2011-08-03	Available
Fellowship Placement Program RFQ.docx	Supplementary Document	Uploaded 2011-05-19	Available
PRA Justification Part A 8.3.11.docx	Supporting Statement A	Uploaded 2011-08-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197765	Fellowship Placement Pilot Program	Form	New	Disclosure of Lobbying Activities
197765	Fellowship Placement Pilot Program	Form	New	Survey On Ensuring Equal Opportunity for Applicants
197765	Fellowship Placement Pilot Program	Form	New	Application for Federal Assistance

ICR Details

OMB Control No: 2528-0272	ICR Reference No: 201105-2528-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: Fellowship Placement Pilot Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/04/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/08/2011
Terms of Clearance: HUD is approved the application and rating factors. HUD will not collect survey data under this approval at this time.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved
Responses	27	0	0
Time Burden (Hours)	448	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this notice is to inform potential applicants that the Office of Policy Development and Research (PD&R) of the Department of Housing and Urban Development (HUD) is interested in receiving preliminary applications for a grant to support the Fellowship Placement Pilot Program. Grantees are selected through a competitive process. Applicants are required to submit certain information as part of their application for assistance. Grantees are required to prepare a quarterly status report so that HUD monitors the progress of grantees.

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Authorizing Statute(s): US Code: 12 USC 1701z-1 Name of Law: Research and demonstrations
  

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:
	76 FR 57	03/24/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 105	06/01/2011
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
Fellowship Placement Pilot Program	SF-424 supplement, SF-LLL, SF-424	Application for Federal Assistance ,   Survey On Ensuring Equal Opportunity for Applicants ,   Disclosure of Lobbying Activities

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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	27	0	0	27	0	0
Annual Time Burden (Hours)	448	0	0	448	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: new collection

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Annual Cost to Federal Government: $11,708

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

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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: 06/08/2011

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