The Appalachia Economic Development Initiative Application and Semi-Annual Reporting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 2880 Applicant /Recipient Disclosure/ Updated Report	Form and Instruction	New	Available
Form SF-LLL DISCLOSURE OF LOBBYING ACTIVITIES	Form and Instruction	New	Available
Form HUD 27061 Race and Ethnic Data Reporting Form	Form and Instruction	New	Available
Form HUD-2994-A You are our Client! Grant Applicant Survey	Form and Instruction	New	Available
Form HUD-2993 Acknowledgement of Application Receipt	Form	New	Available
Form HUD 2991 Certifcation of Consistence with the Consolidated Plan	Form	New	Available
Form HUD-2990 Consistency with the RC/EZ/EC-lls Strategic Plan	Form	New	Available
Form HUD-424-CBW Grant Application Detailed Budget Worksheet	Form	New	Available
Form HUD-424-CB Grant Application Detailed Budget	Form and Instruction	New	Available
Form SF 424 Application for Federal Assistance	Form and Instruction	New	Available
Form HUD-27300 Questionnaire for HUD's Initiative on Removal of Regulatory Barriers	Form	New	Available
PRA Initial Privacy Assessment (IPA) (AEDI) 12-18-2013 final draft (2) (3).doc	Supplementary Document	Uploaded 2014-02-19	Available
30 day notice federal register.pdf	Supplementary Document	Uploaded 2014-02-19	Available
AEDI PRA june 24 2014 (3) rev.docx	Supporting Statement A	Uploaded 2014-06-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form and Instruction	New	Applicant /Recipient Disclosure/ Updated Report
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form and Instruction	New	DISCLOSURE OF LOBBYING ACTIVITIES
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form and Instruction	New	Race and Ethnic Data Reporting Form
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form and Instruction	New	You are our Client! Grant Applicant Survey
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form	New	Acknowledgement of Application Receipt
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form	New	Certifcation of Consistence with the Consolidated Plan
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form	New	Consistency with the RC/EZ/EC-lls Strategic Plan
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form	New	Grant Application Detailed Budget Worksheet
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form and Instruction	New	Grant Application Detailed Budget
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form and Instruction	New	Application for Federal Assistance
209726	The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	Form	New	Questionnaire for HUD's Initiative on Removal of Regulatory Barriers

ICR Details

OMB Control No: 2506-0201	ICR Reference No: 201312-2506-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/CPD	Agency Tracking No:
Title: The Appalachia Economic Development 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
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/07/2014
Terms of Clearance: As shown by the changes to the collection, HUD shall accurately account for burden.

table that charts list comparision

	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 Appalachia Economic Development Initiative (AEDI) grant process. The AEDI 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 71635	11/29/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 7220	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

table that charts list of burden

IC Title	Form No.	Form Name
The Appalachia Economic Development Initiative Application and Semi-Annual Reporting	SF 424, HUD 2991, HUD-2993, HUD-2994-A, HUD 2880, HUD-2990, HUD-424-CB, HUD-424-CBW, HUD-27300, HUD 27061, SF-LLL	Application for Federal Assistance ,   Grant Application Detailed Budget ,   Grant Application Detailed Budget Worksheet ,   Consistency with the RC/EZ/EC-lls Strategic Plan ,   Certifcation of Consistence with the Consolidated Plan ,   Acknowledgement of Application Receipt ,   You are our Client! Grant Applicant Survey ,   Questionnaire for HUD's Initiative on Removal of Regulatory Barriers ,   Race and Ethnic Data Reporting Form ,   DISCLOSURE OF LOBBYING ACTIVITIES ,   Applicant /Recipient Disclosure/ Updated 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)	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: 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: $20,454

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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