Emergency Choice Neighborhoods

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD Form 53239 Attachment 38: Neighborhood Resources	Form and Instruction	Modified	Repair queued
Form HUD Form 53240 Choice Neighborhoods Application Certifications- Implementation Grants	Form and Instruction	Modified	Available
Form HUD Form 53238 Choice Neighborhoods - Implementation Grants One-for-One Replacement Certification	Form and Instruction	Modified	Available
Form HUD Form 53237 Choice Neighborhoods - Extraordinary Site Costs Certification	Form and Instruction	Modified	Available
Form HUD Form 53236 Choice Neighborhoods Implementation Grants Application Data Form: Sources and Uses, Page 1	Form and Instruction	Modified	Available
Form HUD Form 53235 Choice Neighborhoods Implementation Grants Sizing Worksheet	Form and Instruction	Modified	Available
Form HUD Form 53234 Choice Neighborhoods Application Data Form: Existing Units, Occupancy, and Vacancy	Form and Instruction	Modified	Available
Form HUD 53233 Choice Neighborhoods Implementation Grants Application Information	Form and Instruction	Modified	Repair queued
Form HUD Form 53232 Choice Neighborhoods - Certification of Severe Physical Distress	Form and Instruction	Modified	Available
Form HUD Form 53231 Choice Neighborhoods Implementation Grants Resident and Community Involvement Certification	Form and Instruction	Modified	Available
Form HUD Form 53230 Choice Neighborhoods Implementation Grant Application Checklist Table of Contents	Form and Instruction	Modified	Available
Form HUD Form 53154 Choice Neighborhoods Planning Match Leverage Resources	Form and Instruction	Modified	Available
Form HUD Form 53153 Choice Neighborhoods Inadequate Schools Form	Form and Instruction	Modified	Available
Form HUD Form 53152 Choice Neighborhoods Planning Grants Application Information	Form and Instruction	Modified	Available
Form HUD Form 53151 Choice Neighborhoods Planning Grants Resident Involvement Certification	Form and Instruction	Modified	Available
Form HUD Form 53150 Choice Neighborhoods Planning Grant Application Checklist Table of Contents	Form and Instruction	Modified	Available
supporting_Statement1_Choice1.doc	Supporting Statement A	Uploaded 2011-07-29	Available
Emergency FR Notice - Choice Neighborhoods (2).docx	Supplementary Document	Uploaded 2011-05-19	Available
Emergency Letter.pdf	Supplementary Document	Uploaded 2011-05-19	Repair queued
Emergency FR-5376-N-85(2577-pending).doc	Supplementary Document	Uploaded 2010-08-20	Available
Choice Neighborhoods.PDF	Supplementary Document	Uploaded 2010-08-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194340	Choice Neighborhoods	Form and Instruction	Modified	Attachment 38: Neighborhood Resources
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Application Certifications- Implementation Grants
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods - Implementation Grants One-for-One Replacement Certification
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods - Extraordinary Site Costs Certification
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Implementation Grants Application Data Form: Sources and Uses, Page 1
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Implementation Grants Sizing Worksheet
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Application Data Form: Existing Units, Occupancy, and Vacancy
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Implementation Grants Application Information
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods - Certification of Severe Physical Distress
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Implementation Grants Resident and Community Involvement Certification
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Implementation Grant Application Checklist Table of Contents
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Planning Match Leverage Resources
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Inadequate Schools Form
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Planning Grants Application Information
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Planning Grants Resident Involvement Certification
194340	Choice Neighborhoods	Form and Instruction	Modified	Choice Neighborhoods Planning Grant Application Checklist Table of Contents

ICR Details

OMB Control No: 2577-0269	ICR Reference No: 201107-2577-005
Status: Historical Inactive	Previous ICR Reference No: 201105-2577-009
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0269
Title: Emergency Choice Neighborhoods
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 09/23/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/29/2011
Terms of Clearance: Previous terms of clearance remain in effect. HUD must complete the short statement explaining paperwork burden changes prior to submission.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	36 Months From Approved	01/31/2012
Responses	150	0	150
Time Burden (Hours)	6,864	0	6,864
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required to allow HUD to award and obligate grant funds in accordance with the FY 2010 HUD Appropriations Act, which permits HUD to use up to $65M of the HOPE VI appropriation for a Choice Neighborhoods Initiative.

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Authorizing Statute(s): PL: Pub.L. 111 - 117 24 Name of Law: Consolidated Appropriations Act
  

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 16437	03/03/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 29005	05/19/2011
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
Choice Neighborhoods	HUD Form 53230, HUD Form 53238, HUD Form 53239, HUD Form 53154, HUD Form 53234, HUD Form 53150, HUD Form 53231, HUD Form 53237, HUD Form 53235, HUD Form 53240, HUD Form 53236, HUD Form 53232, HUD 53233, HUD Form 53153, HUD Form 53151, HUD Form 53152	Choice Neighborhoods Planning Grant Application Checklist Table of Contents ,   Choice Neighborhoods Planning Grants Resident Involvement Certification ,   Choice Neighborhoods Planning Grants Application Information ,   Choice Neighborhoods Inadequate Schools Form ,   Choice Neighborhoods Planning Match Leverage Resources ,   Choice Neighborhoods Implementation Grant Application Checklist Table of Contents ,   Choice Neighborhoods Implementation Grants Resident and Community Involvement Certification ,   Choice Neighborhoods - Certification of Severe Physical Distress ,   Choice Neighborhoods Implementation Grants Application Information ,   Choice Neighborhoods Application Data Form: Existing Units, Occupancy, and Vacancy ,   Choice Neighborhoods Implementation Grants Sizing Worksheet ,   Choice Neighborhoods Implementation Grants Application Data Form: Sources and Uses, Page 1 ,   Choice Neighborhoods - Extraordinary Site Costs Certification ,   Choice Neighborhoods - Implementation Grants One-for-One Replacement Certification ,   Choice Neighborhoods Application Certifications- Implementation Grants ,   Attachment 38: Neighborhood Resources

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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:

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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

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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: 07/29/2011

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