Information Collection

Choice Neighborhoods

IC 194340 under ICR 201411-2577-001 · OMB 2577-0269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0269 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD xxxx Choice Neighborhoods	Form and Instruction
HUD 53150 Choice Neighborhoods Planning Grant HUD 53150 CN Planning App Checklist Table of Contents FY13.docx	Form and Instruction
HUD 53151 CN Planning Grants Resident Involvement Certification HUD 53151 CN Planning Resident Involv Cert.pdf	Form and Instruction
HUD 53152 CN Planning Grants Application Information HUD 53152 CN Planning Application Key Eligibility form.xlsx	Form and Instruction
HUD 53153 CN Inadequate Schools Form HUD 53153 CN Inadequate Schools Form.pdf	Form and Instruction
HUD 53154 CN Planning Grant Match/Leverage Resources HUD 53154 CN Planning Match Leverage Resources.xlsx	Form and Instruction
HUD 53156 CN Application Certifications - Planning Grants HUD 53156 CN Planning Application Certs Attachment.pdf	Form and Instruction
HUD 53231 CN Implementation Grants Resident and Community Involvem HUD 53231 CNI Resident & Community Involvement Certification.pdf	Form and Instruction
HUD 53232 CN Certification of Severe Physical Distress HUD 53232 CN Severe distress Cert.pdf	Form and Instruction
HUD 53233 CN Implementation Grants Application Information HUD 53233 CNI Application Information.xls	Form and Instruction
HUD 53234 CN Attachment 2: Existing Units, Occupancy, and Vacancy HUD 53234 CNI Att 2 & 3 Unit Information.xls	Form and Instruction
HUD 53235 CN FY 2014 Implementation Grant Sizing Worksheet HUD 53235 CN Implementation Grant Sizing Worksheet (2014 TDC limits) FY14.xlsx	Form and Instruction
HUD 53236 CN Implementation Grants - Budget Form HUD 53236 CNI Budget Form.xls	Form and Instruction
HUD 53237 CN Extraordinary Site Costs Certification HUD 53237 CN Extraordinary Site Costs Certification.pdf	Form and Instruction
HUD 53238 CN Implementation Grants One-for-One Replacement Certifi HUD 53238 CNI One for One Replacement Certification.pdf	Form and Instruction
HUD 53239 CN Implementation Leverage Resources - Attachment 45 HUD 53239 CNI Leverage Resources Cover sheets.xls	Form and Instruction
HUD 53240 CN Application Certifications - Implementation Grants HUD 53240 CN Appliction Certifications Implementation Grants.pdf	Form and Instruction
HUD xxxx Actual Choice Neighborhoods Cost Certificate Actual Cost Cert for CN.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Choice Neighborhoods

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 xxxx	Actual Choice Neighborhoods Cost Certificate	Actual Cost Cert for CN.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53236	CN Implementation Grants - Budget Form	HUD 53236 CNI Budget Form.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD 53237	CN Extraordinary Site Costs Certification	HUD 53237 CN Extraordinary Site Costs Certification.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53238	CN Implementation Grants One-for-One Replacement Certification	HUD 53238 CNI One for One Replacement Certification.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53239	CN Implementation Leverage Resources - Attachment 45	HUD 53239 CNI Leverage Resources Cover sheets.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD 53240	CN Application Certifications - Implementation Grants	HUD 53240 CN Appliction Certifications Implementation Grants.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53151	CN Planning Grants Resident Involvement Certification	HUD 53151 CN Planning Resident Involv Cert.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53153	CN Inadequate Schools Form	HUD 53153 CN Inadequate Schools Form.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53231	CN Implementation Grants Resident and Community Involvement Certification	HUD 53231 CNI Resident & Community Involvement Certification.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53232	CN Certification of Severe Physical Distress	HUD 53232 CN Severe distress Cert.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53233	CN Implementation Grants Application Information	HUD 53233 CNI Application Information.xls	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53234	CN Attachment 2: Existing Units, Occupancy, and Vacancy	HUD 53234 CNI Att 2 & 3 Unit Information.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD 53235	CN FY 2014 Implementation Grant Sizing Worksheet	HUD 53235 CN Implementation Grant Sizing Worksheet (2014 TDC limits) FY14.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	HUD 53150	Choice Neighborhoods Planning Grant	HUD 53150 CN Planning App Checklist Table of Contents FY13.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD 53152	CN Planning Grants Application Information	HUD 53152 CN Planning Application Key Eligibility form.xlsx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 53154	CN Planning Grant Match/Leverage Resources	HUD 53154 CN Planning Match Leverage Resources.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	HUD 53156	CN Application Certifications - Planning Grants	HUD 53156 CN Planning Application Certs Attachment.pdf	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 251

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	531	381	150
Annual IC Time Burden (Hours)	9,924	3,060	6,864
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.