Promise Zones

Forms and Documents

Document Name	Status
Form HUD xxxx Promise Zones Form and Instruction	Modified
5774-N-04 Promise Zone Round III MaxSurvey_Urban Example 11-16-15.pdf Supplementary Document	2015-12-07
5774-N-04 Promise Zones Round III Responses to Public Comments_11-30-15.docx Supplementary Document	2015-12-07
5774-N-04 Promise Zones FR Notice of PZ Round III Selection 11-24-15.docx Supplementary Document	2015-12-07
5774-N-04 Promise Zones Round III Urban Application Guide 11-30-15.docx Supplementary Document	2015-12-07
30 day notice.pdf Supplementary Document	2015-12-07
Initial Privacy Assessment (IPA) PZ Rd3.doc Supplementary Document	2015-08-19
83i with supporting statement rev 30day change.docx Supporting Statement A	2015-10-28

IC Document Collections

IC ID	Document Title	Status
209112	Promise Zones Form and Instruction	Modified

ICR Details

OMB Control No: 2501-0033	ICR Reference No: 201607-2501-001
Status: Historical Active	Previous ICR Reference No: 201507-2506-002
Agency/Subagency: HUD/HUDSEC	Agency Tracking No:
Title: Promise Zones
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/05/2016
	Date Received in OIRA: 07/05/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved
Responses	300	0	300
Time Burden (Hours)	18,600	0	18,400
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required to allow HUD to conduct a competition to designate rural, tribal and urban Promise Zone designations.

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Authorizing Statute(s): US Code: 44 USC Chapter 35 as amended Name of Law: Section 3507 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:
	80 FR 49263	08/17/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 65792	10/27/2015
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
Promise Zones	HUD xxxx, HUD xxxx, HUD xxxx	Promise Zone Round III MaxSurvey_Urban Example ,   Promise Zone Round III Urban Application Guide ,   Promise Zones Round III Responses to Public Comments

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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	300	300	0	0	0	0
Annual Time Burden (Hours)	18,600	18,400	0	200	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: No changes or adjustments in hours, only in the disposition of how the hours are used.

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Annual Cost to Federal Government: $744,000

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: 10/28/2015

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