Delta Community Capital Initiative Application and Semi-Annual Reporting

Forms and Documents

Document Name	Status
Form SF 424 Delta Community Capital Initiative Application and Semi-Annual Reporting Form	New
PRA Initial Privacy Assessment (IPA) (DCCI) 12-18-2013 final draft.doc Supplementary Document	2014-02-19
30 day notice federal register.pdf Supplementary Document	2014-02-19
DCCI PRA June 24 2014 rev.docx Supporting Statement A	2014-06-25

IC Document Collections

IC ID	Document Title	Status
209725	Delta Community Capital Initiative Application and Semi-Annual Reporting Form	New

ICR Details

OMB Control No: 2506-0200	ICR Reference No: 201312-2506-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/CPD	Agency Tracking No:
Title: Delta Community Capital Initiative Application and Semi-Annual Reporting
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: 06/26/2014
	Date Received in OIRA: 03/07/2014
Terms of Clearance: As shown by the changes to the collection, HUD shall accurately account for burden.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	36 Months From Approved
Responses	50	0	0
Time Burden (Hours)	502	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this submission is for applications for the Delta Community Capital Initiative (DCCI) grant process. The DCCI is funded by recaptured funds from the Rural Housing and Economic Development (RHED) program. Information is required to rate and rank competitive applications and to ensure eligibility of applicants for funding. Semi-Annual reporting is required to monitor grant management

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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:
	78 FR 71634	11/29/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 7221	02/06/2014
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Delta Community Capital Initiative Application and Semi-Annual Reporting	SF 424 , HUD-424-CBW, SFLLL, HUD 2880, HUD 2990, HUD-2991, HUD 2993, HUD 2994-A, HUD 273000, HUD 27061, HUD-424-CB	Application for Federal Assistance ,   Grant Application Detailed Budget ,   Grant Application Detrailed Budget Worksheet ,   Disclosure of Lobbying Activities ,   Applicant/Recipient Disclosure/Update Report ,   Certification of Consistency with the RC/EZ/EC-lls Strategic Plan ,   Certification of Consistence with the Consolidted Plan ,   Acknowledgement of Application Receipt ,   You are our Client! Grant Application Survey ,   America's Affordable Communities Initiative ,   Race and Ethnic Data Reporting Form

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ICR Summary 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)	502	0	0	502	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: Changing Regulations

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: $16,722

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: 03/07/2014

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