HUD Standardized Grant Application Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF-424 Application for Federal Assistance	Form and Instruction	Modified	Available
Form HUD-96010 Third Party Fax Transmittal	Form and Instruction	Modified	Available
Form HUD-424 SUPP Faith Based EEO Survey	Form and Instruction	Modified	Repair queued
Form HUD-424-M Funding Matrix	Form and Instruction	Modified	Available
Form HUD 424 m Funding Matrix	Form and Instruction	Modified	Available
Form HUD-424-CBW Grant Application Detailed Budget Worksheet	Form and Instruction	Modified	Available
Form HUD 424-cb Grant Application Detailed Budget	Form and Instruction	Modified	Available
Form HUD 424-cbw Detailed Description of Budget	Form and Instruction	Modified	Available
60 day FRN.pdf	Supporting Statement B	Uploaded 2016-03-01	Available
Updated PRA HUD Standard forms rev. 3.1.16.doc	Supporting Statement A	Uploaded 2016-03-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
26958	HUD Standardized Grant Application Forms	Form and Instruction	Modified	Application for Federal Assistance
26958	HUD Standardized Grant Application Forms	Form and Instruction	Modified	Third Party Fax Transmittal
26958	HUD Standardized Grant Application Forms	Form and Instruction	Modified	Faith Based EEO Survey
26958	HUD Standardized Grant Application Forms	Form and Instruction	Modified	Funding Matrix
26958	HUD Standardized Grant Application Forms	Form and Instruction	Modified	Funding Matrix
26958	HUD Standardized Grant Application Forms	Form and Instruction	Modified	Grant Application Detailed Budget Worksheet
26958	HUD Standardized Grant Application Forms	Form and Instruction	Modified	Grant Application Detailed Budget
26958	HUD Standardized Grant Application Forms	Form and Instruction	Modified	Detailed Description of Budget
26958	HUD Standardized Grant Application Forms	Other-Certification	Modified

ICR Details

OMB Control No: 2501-0017	ICR Reference No: 201509-2501-001
Status: Historical Active	Previous ICR Reference No: 201306-2501-001
Agency/Subagency: HUD/HUDSEC	Agency Tracking No:
Title: HUD Standardized Grant Application Forms
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/02/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/16/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	03/31/2016
Responses	1,201	0	1
Time Burden (Hours)	3,060	0	1
Cost Burden (Dollars)	0	0	0

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Abstract: The subject information collection is required to for the competitive grant applications and to ensure eligibility of applicants for funding. This extension further standardizes the format of information previously included in the information collections for grant applications, but does not significantly increase the information burden.

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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:
	80 FR 56489	09/18/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 73807	11/25/2015
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
HUD Standardized Grant Application Forms	HUD-424-CBW, HUD-424-M, HUD 424 m, HUD 424-cbw, HUD 424-cb, HUD-424 SUPP, HUD-96010, SF-424	Detailed Description of Budget ,   Grant Application Detailed Budget ,   Grant Application Detailed Budget Worksheet ,   Funding Matrix ,   Funding Matrix ,   Faith Based EEO Survey ,   Third Party Fax Transmittal ,   Application for Federal Assistance

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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	1,201	1	0	1,200	0	0
Annual Time Burden (Hours)	3,060	1	0	3,059	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: The subject information collection is required to rate and rank competitive grant applications and to ensure eligibility of applicants for funding. HUD’s method for electronic collection of Federal Financial Assistance application budget data is standardizes the format for information collection requirements for the applicants.

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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: 12/16/2015

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