Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-2880 Applicant/Recipient Disclosure/Update Report	Form and Instruction	New	Available
Form SF-LLL Disclosure of Lobbying Activities	Form and Instruction	New	Available
Form HUD-96011 Third Party Documentation Facsimile Transmittal	Form and Instruction	New	Available
Form HUD-2993 Acknowledgement of Application Receipt	Form	New	Available
Form HUD 424-CB Grant Application Detailed Budget	Form and Instruction	New	Repair queued
Form SF-424 Application for Federal Assistance	Form and Instruction	New	Repair queued
Choice NOFA OMB Justification 12-13 clean.docx	Supporting Statement A	Uploaded 2012-01-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
199454	Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research Program	Form and Instruction	New	Applicant/Recipient Disclosure/Update Report
199453	Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research Program	Form and Instruction	New	Disclosure of Lobbying Activities
199453	Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research Program	Form and Instruction	New	Third Party Documentation Facsimile Transmittal
199453	Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research Program	Form	New	Acknowledgement of Application Receipt
199453	Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research Program	Form and Instruction	New	Grant Application Detailed Budget
199453	Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research Program	Form and Instruction	New	Application for Federal Assistance

ICR Details

OMB Control No: 2528-0280	ICR Reference No: 201109-2528-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research 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: 01/08/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/08/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved
Responses	50	0	0
Time Burden (Hours)	970	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Department of the Housing and Urban Development (HUD) intends to make funding available from the FY 2012 Transformation Initiative for Research Grants related to the Choice Neighborhoods Demonstration. This information collection is for applications for funding, and reporting requirements for funded applications.

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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 76	04/20/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 68774	11/07/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research Program	SF-424, HUD-2993, HUD-96011, HUD 424-CB, SF-LLL	Application for Federal Assistance ,   Grant Application Detailed Budget ,   Acknowledgement of Application Receipt ,   Third Party Documentation Facsimile Transmittal ,   Disclosure of Lobbying Activities
Transformation Initiative: Choice Neighborhoods Demonstration, Small Grants Research Program	HUD-2880	Applicant/Recipient Disclosure/Update Report

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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	50	0	0	50	0	0
Annual Time Burden (Hours)	970	0	0	970	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: $9,540

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: 11/08/2011

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