Information Collection

Choice Neighborhoods

IC 194340 under ICR 201105-2577-009 · OMB 2577-0269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0269 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD Form 53150 Choice Neighborhoods	Form and Instruction
HUD Form 53150 Choice Neighborhoods Planning Grant Application Checklis HUD 53150 CN Planning App Checklist Table of Contents.doc	Form and Instruction
HUD Form 53151 Choice Neighborhoods Planning Grants Resident Involvemen HUD 53151 CN Planning Resident Involv Cert.doc	Form and Instruction
HUD Form 53152 Choice Neighborhoods Planning Grants Application Informa HUD 53152 CN Planning Application Key Eligibility form.xls	Form and Instruction
HUD Form 53153 Choice Neighborhoods Inadequate Schools Form HUD 53153 CN School form.doc	Form and Instruction
HUD Form 53154 Choice Neighborhoods Planning Match Leverage Resources HUD 53154 CN Planning Match Leverage Resources.xls	Form and Instruction
HUD Form 53230 Choice Neighborhoods Implementation Grant Application Ch HUD 53230 CN Implementation Grant Application Checklist TOC.doc	Form and Instruction
HUD Form 53231 Choice Neighborhoods Implementation Grants Resident and HUD 53231 CN Implementation Resident Comm Involv Cert.doc	Form and Instruction
HUD Form 53232 Choice Neighborhoods - Certification of Severe Physical HUD 53232 CN Severe distress Cert.doc	Form and Instruction
HUD 53233 Choice Neighborhoods Implementation Grants Application I HUD 53233 CN Implementation Application Key Eligibility form.xls	Form and Instruction
HUD Form 53234 Choice Neighborhoods Application Data Form: Existing Uni HUD 53234 CN Implementation Application Data Forms.xls	Form and Instruction
HUD Form 53235 Choice Neighborhoods Implementation Grants Sizing Worksh HUD 53235 CN Implementation Grant Sizing Worksheet.xls	Form and Instruction
HUD Form 53236 Choice Neighborhoods Implementation Grants Application D HUD 53236 CN Implementation budget sources uses.xls	Form and Instruction
HUD Form 53237 Choice Neighborhoods - Extraordinary Site Costs Certific HUD 53237 - CN Extraordinary Site Costs Certification.doc	Form and Instruction
HUD Form 53238 Choice Neighborhoods - Implementation Grants One-for-One HUD 53238 CN Implementation One-for-One Cert.doc	Form and Instruction
HUD Form 53240 Choice Neighborhoods Application Certifications- Impleme HUD 53240 CN Implementation Application Certs Attachment.doc	Form and Instruction
HUD Form 53239 Attachment 38: Neighborhood Resources HUD 53239 CN Implementation Leverage Resources.xls	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Choice Neighborhoods

Agency IC Tracking Number:

2577-0269

Is this a Common Form? No

IC Status: Modified

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 and Instruction	HUD Form 53150	Choice Neighborhoods Planning Grant Application Checklist Table of Contents	HUD 53150 CN Planning App Checklist Table of Contents.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53151	Choice Neighborhoods Planning Grants Resident Involvement Certification	HUD 53151 CN Planning Resident Involv Cert.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53152	Choice Neighborhoods Planning Grants Application Information	HUD 53152 CN Planning Application Key Eligibility form.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53153	Choice Neighborhoods Inadequate Schools Form	HUD 53153 CN School form.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53154	Choice Neighborhoods Planning Match Leverage Resources	HUD 53154 CN Planning Match Leverage Resources.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53230	Choice Neighborhoods Implementation Grant Application Checklist Table of Contents	HUD 53230 CN Implementation Grant Application Checklist TOC.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53231	Choice Neighborhoods Implementation Grants Resident and Community Involvement Certification	HUD 53231 CN Implementation Resident Comm Involv Cert.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53232	Choice Neighborhoods - Certification of Severe Physical Distress	HUD 53232 CN Severe distress Cert.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD 53233	Choice Neighborhoods Implementation Grants Application Information	HUD 53233 CN Implementation Application Key Eligibility form.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53234	Choice Neighborhoods Application Data Form: Existing Units, Occupancy, and Vacancy	HUD 53234 CN Implementation Application Data Forms.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53235	Choice Neighborhoods Implementation Grants Sizing Worksheet	HUD 53235 CN Implementation Grant Sizing Worksheet.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53236	Choice Neighborhoods Implementation Grants Application Data Form: Sources and Uses, Page 1	HUD 53236 CN Implementation budget sources uses.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53237	Choice Neighborhoods - Extraordinary Site Costs Certification	HUD 53237 - CN Extraordinary Site Costs Certification.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53238	Choice Neighborhoods - Implementation Grants One-for-One Replacement Certification	HUD 53238 CN Implementation One-for-One Cert.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53240	Choice Neighborhoods Application Certifications- Implementation Grants	HUD 53240 CN Implementation Application Certs Attachment.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD Form 53239	Attachment 38: Neighborhood Resources	HUD 53239 CN Implementation Leverage Resources.xls	Yes	Yes	Fillable Printable

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: 150

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	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	150	-50	200
Annual IC Time Burden (Hours)	6,864	-2,504	9,368
Annual IC Cost Burden (Dollars)	0	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.