Information Collection

Community Development Block Grant National Disaster Resilience (CDBG-RDR) Phase 1 Application

IC 213038 under ICR 201411-2506-001 · OMB 2506-0203.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 96011 Community Development Block Grant National Disaster Resilience (CDBG-RDR) Phase 1 Application	Form and Instruction
Appendix A - CDBG-NDR Requirements.docx	Other-Program Requirements
HUD 96011 Third Party Documentation HUD-96011.pdf	Form and Instruction
SF LLL DISCLOSURE OF LOBBYING ACTIVITIES SL-LLL.pdf	Form
SF 424 APPLICATION FOR FEDERAL ASSISTANCE SF 424 word.pdf	Form
HUD 7082 Funding Approval/Agreement HUD 7082.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 96011	Third Party Documentation	HUD-96011.pdf	Yes	No	Fillable Printable
Form	SF LLL	DISCLOSURE OF LOBBYING ACTIVITIES	SL-LLL.pdf	Yes	No	Fillable Printable
Form	SF 424	APPLICATION FOR FEDERAL ASSISTANCE	SF 424 word.pdf	Yes	No	Fillable Printable
Other-Program Requirements			Appendix A - CDBG-NDR Requirements.docx	No		Paper Only
Form	HUD 7082	Funding Approval/Agreement	HUD 7082.pdf	No		Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,548	2,146	402
Annual IC Time Burden (Hours)	42,489	30,980	11,509
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.