Fair Housing Initiatives Program Grant

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 27300 America's Affordable Communities Initiative	Form and Instruction	Unchanged	Available
Form HUD 904-C Bases & Issues of Reports of Discrimination	Form and Instruction	Unchanged	Available
Form HUD 904-B Bases & Issues in Test	Form and Instruction	Unchanged	Available
Form HUD 904-A Type of Closure	Form and Instruction	Unchanged	Available
Form HUD 96010 Logic Model	Form and Instruction	Unchanged	Available
Form HUD 27061 Race and Ethnic Data Reporting Form	Form and Instruction	Unchanged	Available
Form SF LLL Disclosure of Lobbying Activities	Form and Instruction	Unchanged	Available
Form 2880 Applicant/Recipient Disclusre/Update Report	Form and Instruction	Unchanged	Repair queued
Form 424CBW Grant Applicaiotn Detailed Budget Worksheet	Form and Instruction	Unchanged	Available
Form 424CB Budget Sheet	Form	Unchanged	Repair queued
Form 424 Application for Federal Assistance	Form and Instruction	Unchanged	Repair queued
30 day FR.pdf	Supplementary Document	Uploaded 2013-07-10	Available
60 day 2529-0033.pdf	Supplementary Document	Uploaded 2013-06-27	Available
PRA Renewal_Supporting Statement 2529-0033_July 8 2012.doc	Supporting Statement A	Uploaded 2013-06-27	Available
Initial Privacy Assessment IPA_7-25-12.docx	Supplementary Document	Uploaded 2012-08-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	America's Affordable Communities Initiative
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	Bases & Issues of Reports of Discrimination
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	Bases & Issues in Test
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	Type of Closure
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	Logic Model
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	Race and Ethnic Data Reporting Form
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	Disclosure of Lobbying Activities
27656	Fair Housing Initiatives Program Grant	Other-Certification of Consistency with the Consolidated Plan	Unchanged
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	Applicant/Recipient Disclusre/Update Report
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	Grant Applicaiotn Detailed Budget Worksheet
27656	Fair Housing Initiatives Program Grant	Form	Unchanged	Budget Sheet
27656	Fair Housing Initiatives Program Grant	Form and Instruction	Unchanged	Application for Federal Assistance

ICR Details

OMB Control No: 2529-0033	ICR Reference No: 201208-2529-001
Status: Historical Active	Previous ICR Reference No: 201005-2529-001
Agency/Subagency: HUD/FHEO	Agency Tracking No:
Title: Fair Housing Initiatives Program Grant
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 without change	Conclusion Date: 09/11/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/10/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved	09/30/2013
Responses	1,262	0	1,262
Time Burden (Hours)	46,420	0	46,420
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required by the grant to assist the Department in selecting the highest ranked applicants to receive funnds under the Fair Housing Initiatives Program (FHIP) to carry out fair housing enforcement and/or education and outreach activities under the following initiatives: Private Enforcement; Education and Outreach and Fair housing Organizations. The information collected from quarterly and final progress reporst and enforcement logs will enable the Department to evaluate the performance of agencies that receive funding and determine the impact of the program on preventing and eliminating discriminatory housing practices.

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Authorizing Statute(s): US Code: 42 USC 3616 Name of Law: Housing and Community Development Act of 1987
   US Code: 42 USC 3601-19 Name of Law: The Fair Housing Act-Title VIII of the Civil Rights Act of 1968
  

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:
	77 FR 55491	09/10/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 40314	07/03/2013
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
Fair Housing Initiatives Program Grant	HUD 96010, HUD 904-A, HUD 904-B, HUD 904-C, HUD 27300, 424, 424CB, 424CBW, 2880, SF LLL, HUD 27061	Application for Federal Assistance ,   Budget Sheet ,   Grant Applicaiotn Detailed Budget Worksheet ,   Applicant/Recipient Disclusre/Update Report ,   Disclosure of Lobbying Activities ,   Race and Ethnic Data Reporting Form ,   Logic Model ,   Type of Closure ,   Bases & Issues in Test ,   Bases & Issues of Reports of Discrimination ,   America's Affordable Communities Initiative

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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	1,262	1,262	0	0	0	0
Annual Time Burden (Hours)	46,420	46,420	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: 07/10/2013

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