HOPE VI Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-52800 HOPE VI Revitalization Application Checklist	Form and Instruction	Modified	Available
Form HUD-52861 HOPE VI Main Street Application Data Sheet	Form and Instruction	Modified	Available
Form HUD-52825-A HOPE VI Budget	Form and Instruction	Modified	Available
Form HUD-53001-A Actual HOPE VI Cost Certificate	Form and Instruction	Modified	Available
Form HUD-52799 Attachment 9 TDC/Grant Limitations Worksheet	Form and Instruction	Modified	Available
Form HUD-52790 HOPE VI Demolition Application Checklist	Form and Instruction	Modified	Available
Form HUD-52787 HOPE VI Revitalization Project Readiness Certification	Form and Instruction	Modified	Available
Form HUD-52797 HOPE VI Revitalization Leverage Resources	Form and Instruction	Modified	Available
Form HUD-52785 HOPE VI revitalization Resident Training and Public Meeting Certification	Form and Instruction	Modified	Available
Form HUD-52780 HOPE VI Demolition Grant Limitations Worksheet	Form and Instruction	Modified	Available
Form HUD-52774 HOPE VI Relocation Plan	Form and Instruction	Modified	Available
83-I.docx	Supporting Statement A	Uploaded 2014-11-06	Available
IPA Forms.doc	Supplementary Document	Uploaded 2014-11-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
42117	HOPE VI Application	Form and Instruction	Modified	HOPE VI Revitalization Application Checklist
42117	HOPE VI Application	Form and Instruction	Modified	HOPE VI Main Street Application Data Sheet
42117	HOPE VI Application	Form and Instruction	Modified	HOPE VI Budget
42117	HOPE VI Application	Form and Instruction	Modified	Actual HOPE VI Cost Certificate
42117	HOPE VI Application	Form and Instruction	Modified	Attachment 9 TDC/Grant Limitations Worksheet
42117	HOPE VI Application	Form and Instruction	Modified	HOPE VI Demolition Application Checklist
42117	HOPE VI Application	Form and Instruction	Modified	HOPE VI Revitalization Project Readiness Certification
42117	HOPE VI Application	Form and Instruction	Modified	HOPE VI Revitalization Leverage Resources
42117	HOPE VI Application	Form and Instruction	Modified	HOPE VI revitalization Resident Training and Public Meeting Certification
42117	HOPE VI Application	Form and Instruction	Modified	HOPE VI Demolition Grant Limitations Worksheet
42117	HOPE VI Application	Form and Instruction	Modified	HOPE VI Relocation Plan

ICR Details

OMB Control No: 2577-0208	ICR Reference No: 201405-2577-004
Status: Historical Active	Previous ICR Reference No: 201104-2577-010
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0208
Title: HOPE VI Application
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/22/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/20/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2018	36 Months From Approved
Responses	1,496	0	0
Time Burden (Hours)	26,516	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required to allow HUD to obligate grant funds in accordance with the HOPE VI program authorizing statute, and to manage the grants that are awarded.

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Authorizing Statute(s): US Code: 44 USC Chapter 35, as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

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:
	79 FR 55822	09/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 68904	11/19/2014
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
HOPE VI Application	HUD-52785, HUD-52780, HUD-52787, HUD-52799, HUD-53001-A, HUD-52825-A, HUD-52861, HUD-52800, HUD-52774, HUD-52797, HUD-52790	HOPE VI Relocation Plan ,   HOPE VI Demolition Grant Limitations Worksheet ,   HOPE VI revitalization Resident Training and Public Meeting Certification ,   HOPE VI Revitalization Leverage Resources ,   HOPE VI Revitalization Project Readiness Certification ,   HOPE VI Demolition Application Checklist ,   Attachment 9 TDC/Grant Limitations Worksheet ,   Actual HOPE VI Cost Certificate ,   HOPE VI Budget ,   HOPE VI Main Street Application Data Sheet ,   HOPE VI Revitalization Application Checklist

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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	1,496	0	0	0	0	1,496
Annual Time Burden (Hours)	26,516	0	0	0	0	26,516
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: 11/20/2014

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