Limited English Proficiency Initiative (LEPI) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-424-CB Grant Application Detailed Budget	Form and Instruction	Modified	Repair queued
Form SF-424-CBW Grant Application Detailed Budget Worksheet	Form	Modified	Available
Form SF424-SUPP Survey of Ensuring Equal Opportunity for Applicants	Form and Instruction	Modified	Available
Form HUD96011 Third Party Documentation Facsimile Transmittal	Form and Instruction	Modified	Repair queued
Form HUD2993 Acknowledgment of Appplication Receipt	Form	Modified	Repair queued
Form HUD2880 Applicant/Recipient Disclossure/Update Report	Form and Instruction	Modified	Available
Form SF-424 Application for Federal Assistance	Form	Modified	Repair queued
LEPI_Form_83i_101811(1).doc	Supporting Statement A	Uploaded 2012-04-26	Repair queued
Revised Rutledge letter - Jack Malgeri.pdf	Supplementary Document	Uploaded 2011-06-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198182	Notice of Funding Avaliability (NOFA) for Fiscal Year 2010 Limited English Proficiency Initiative (LEPI) Program	Form and Instruction	Modified	Grant Application Detailed Budget
198182	Notice of Funding Avaliability (NOFA) for Fiscal Year 2010 Limited English Proficiency Initiative (LEPI) Program	Form	Modified	Grant Application Detailed Budget Worksheet
198182	Notice of Funding Avaliability (NOFA) for Fiscal Year 2010 Limited English Proficiency Initiative (LEPI) Program	Form and Instruction	Modified	Survey of Ensuring Equal Opportunity for Applicants
198182	Notice of Funding Avaliability (NOFA) for Fiscal Year 2010 Limited English Proficiency Initiative (LEPI) Program	Form and Instruction	Modified	Third Party Documentation Facsimile Transmittal
198182	Notice of Funding Avaliability (NOFA) for Fiscal Year 2010 Limited English Proficiency Initiative (LEPI) Program	Form	Modified	Acknowledgment of Appplication Receipt
198182	Notice of Funding Avaliability (NOFA) for Fiscal Year 2010 Limited English Proficiency Initiative (LEPI) Program	Form and Instruction	Modified	Applicant/Recipient Disclossure/Update Report
198182	Notice of Funding Avaliability (NOFA) for Fiscal Year 2010 Limited English Proficiency Initiative (LEPI) Program	Form	Modified	Application for Federal Assistance

ICR Details

OMB Control No: 2529-0051	ICR Reference No: 201112-2529-001
Status: Historical Active	Previous ICR Reference No: 201107-2529-002
Agency/Subagency: HUD/FHEO	Agency Tracking No:
Title: Limited English Proficiency Initiative (LEPI) Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/01/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/04/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	36 Months From Approved	04/30/2012
Responses	42	0	30
Time Burden (Hours)	2,132	0	2,132
Cost Burden (Dollars)	0	0	0

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Abstract: This collection is essential to HUD selecting qualified organizations to participate in the LEPI program. Further, this solicitation will enable the monitoring of the selected grantees' use of LEPI funds that is consistent with promoting the use of translated materials and other programs that support the assistance of persons with limited English proficiency in utilizing the services provided by the Department.

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Authorizing Statute(s): None

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 65742	10/24/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 81958	12/29/2011
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
Notice of Funding Avaliability (NOFA) for Fiscal Year 2010 Limited English Proficiency Initiative (LEPI) Program	HUD2880, SF-424-CBW, HUD-424-CB, HUD2993, SF-424, HUD96011, SF424-SUPP	Application for Federal Assistance ,   Applicant/Recipient Disclossure/Update Report ,   Acknowledgment of Appplication Receipt ,   Third Party Documentation Facsimile Transmittal ,   Survey of Ensuring Equal Opportunity for Applicants ,   Grant Application Detailed Budget Worksheet ,   Grant Application Detailed Budget

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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	42	30	0	12	0	0
Annual Time Burden (Hours)	2,132	2,132	0	0	0	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:

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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: 01/04/2012

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