Choice Neighborhoods

Forms and Documents

Document Name	Status
Form HUD xxxx Choice Neighborhoods Form and Instruction	Modified
Initial Privacy Assessment (IPA).doc Supplementary Document	2015-03-12
Published 60-day FR Notice.pdf Supplementary Document	2015-03-12
83i 03 08 2011 (2).docx Supporting Statement A	2011-12-14

IC Document Collections

IC ID	Document Title	Status
194340	Choice Neighborhoods Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0269	ICR Reference No: 201411-2577-001
Status: Historical Active	Previous ICR Reference No: 201112-2577-003
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0269
Title: Choice Neighborhoods
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/06/2015
	Date Received in OIRA: 01/28/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	04/30/2015
Responses	531	0	150
Time Burden (Hours)	9,924	0	6,864
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required to allow HUD to conduct competitions to award and obligate Choice Neighborhood grant funds in accordance with the appropriations act and to manage/report on the grants that are awarded.

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Authorizing Statute(s): PL: Pub.L. 111 - 117 24 Name of Law: Consolidated Appropriations Act
  

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 68460	11/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 4587	01/28/2015
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
Choice Neighborhoods	HUD 53153, HUD 53151, HUD 53231, HUD 53232, HUD 53233, HUD 53234, HUD 53235, HUD xxxx, HUD 53150, HUD 53152, HUD 53154, HUD 53156, HUD 53236, HUD 53237, HUD 53238, HUD 53239, HUD 53240	Actual Choice Neighborhoods Cost Certificate ,   CN Implementation Grants - Budget Form ,   CN Extraordinary Site Costs Certification ,   CN Implementation Grants One-for-One Replacement Certification ,   CN Implementation Leverage Resources - Attachment 45 ,   CN Application Certifications - Implementation Grants ,   CN Planning Grants Resident Involvement Certification ,   CN Inadequate Schools Form ,   CN Implementation Grants Resident and Community Involvement Certification ,   CN Certification of Severe Physical Distress ,   CN Implementation Grants Application Information ,   CN Attachment 2: Existing Units, Occupancy, and Vacancy ,   CN FY 2014 Implementation Grant Sizing Worksheet ,   Choice Neighborhoods Planning Grant ,   CN Planning Grants Application Information ,   CN Planning Grant Match/Leverage Resources ,   CN Application Certifications - Planning Grants

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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	531	150	0	0	381	0
Annual Time Burden (Hours)	9,924	6,864	0	0	3,060	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: 1. The previous collection was based on anticipated submittals. The actual submittal of implementation and planning grants was less than anticipated. Accordingly, the collection has been adjusted to reflect the actual submittals of approximately 25 and 50 submittals respectively. 2. HUD form numbers that were given to forms after the prior collection approval have been added to the relevant documents. 3. The NOFAs continue to focus on evaluating eligibility, capacity, need, plan/strategy, soundness of approach, and match/leverage. Adjustments have been made to reflect the way information is organized/titled. 4. The prior approval for information collection was for the NOFAs/applications since the program was just beginning. Now, under "Non-NOFA Collections," documentation related to program management and reporting has been added. 5. These adjustments equate to 3,060 additional burden hours requested

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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: 01/28/2015

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