HUD-Owned Real Estate - Good Neighbor Next Door program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 9549 Good Neighbor Next Door Sales Progam Personal Information Questionnaire	Form and Instruction	Modified	Available
Form HUD 9548-a Certification of Law Enforcement Officer / Teacher / Firefighter / Emergency Medical Technician	Form and Instruction	Modified	Available
Form HUD 9549-E Verificaiton of Participant Employment	Form and Instruction	Modified	Available
Form HUD 9549-D Annual Certifiction of Continuing Eligibility	Form and Instruction	Modified	Available
Form HUD 9549-C Firefighter/Emergency Responder Pre-Qualification Questionnaire	Form and Instruction	Modified	Available
Form HUD 9549-B Teacher Pre-Qualification Questionnaire	Form and Instruction	Modified	Available
Form HUD 9549-A Officer Pre-Qualificaiton Questionnaire	Form and Instruction	Modified	Available
Supporting Statement.doc	Supporting Statement A	Uploaded 2014-03-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182286	Good Neighbor Next Door Program	Form and Instruction	Modified	Good Neighbor Next Door Sales Progam Personal Information Questionnaire
182286	Good Neighbor Next Door Program	Form and Instruction	Modified	Certification of Law Enforcement Officer / Teacher / Firefighter / Emergency Medical Technician
182286	Good Neighbor Next Door Program	Form and Instruction	Modified	Verificaiton of Participant Employment
182286	Good Neighbor Next Door Program	Form and Instruction	Modified	Annual Certifiction of Continuing Eligibility
182286	Good Neighbor Next Door Program	Form and Instruction	Modified	Firefighter/Emergency Responder Pre-Qualification Questionnaire
182286	Good Neighbor Next Door Program	Form and Instruction	Modified	Teacher Pre-Qualification Questionnaire
182286	Good Neighbor Next Door Program	Form and Instruction	Modified	Officer Pre-Qualificaiton Questionnaire

ICR Details

OMB Control No: 2502-0570	ICR Reference No: 201310-2502-014
Status: Historical Active	Previous ICR Reference No: 201010-2502-015
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: HUD-Owned Real Estate - Good Neighbor Next Door 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 without change	Conclusion Date: 07/31/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/28/2014
Terms of Clearance: Previous terms of clearance remain in effect.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved	07/31/2014
Responses	5,786	0	5,786
Time Burden (Hours)	205	0	205
Cost Burden (Dollars)	0	0	0

---

Abstract: This collection of information will be used in binding contracts between the purchaser and HUD in implementing the Good Neighbor next Door program. The respondents are purchasers of HUD-owned properties, teachers, law enforcement officers, and firefighters/emergency responders.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 70958	11/27/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 23367	04/28/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Good Neighbor Next Door Program	HUD 9549-D, HUD 9549-E, HUD 9549-C, HUD 9549-B, HUD 9549-A, HUD 9549, HUD 9548-a	Officer Pre-Qualificaiton Questionnaire ,   Teacher Pre-Qualification Questionnaire ,   Firefighter/Emergency Responder Pre-Qualification Questionnaire ,   Annual Certifiction of Continuing Eligibility ,   Verificaiton of Participant Employment ,   Certification of Law Enforcement Officer / Teacher / Firefighter / Emergency Medical Technician ,   Good Neighbor Next Door Sales Progam Personal Information Questionnaire

---

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	5,786	5,786	0	0	0	0
Annual Time Burden (Hours)	205	205	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:

---

Annual Cost to Federal Government: $4,290

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

---

Common Form ICR:  No

---

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: 04/28/2014

---