Information Collection

Promise Zones

IC 209112 under ICR 201607-2501-001 · OMB 2501-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2501-0033 can be found here:

Documents and Forms

Document Name Document Type
Form HUD xxxx Promise Zones Form and Instruction
5774-N-04 Promise Zones FR Notice of PZ Round III Selection 11-24-15.docx Instruction
HUD xxxx Promise Zone Round III MaxSurvey_Urban Example 5774-N-04 Promise Zone Round III MaxSurvey_Urban Example 11-16-15.pdf Form and Instruction
HUD xxxx Promise Zone Round III Urban Application Guide 5774-N-04 Promise Zones Round III Urban Application Guide 11-30-15.docx Form
HUD xxxx Promise Zones Round III Responses to Public Comments 5774-N-04 Promise Zones Round III Responses to Public Comments_11-30-15.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Promise Zones	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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD xxxx	Promise Zone Round III MaxSurvey_Urban Example	5774-N-04 Promise Zone Round III MaxSurvey_Urban Example 11-16-15.pdf	Yes	Yes	Fillable Fileable
Form	HUD xxxx	Promise Zone Round III Urban Application Guide	5774-N-04 Promise Zones Round III Urban Application Guide 11-30-15.docx	Yes	No	Printable Only
Instruction			5774-N-04 Promise Zones FR Notice of PZ Round III Selection 11-24-15.docx	Yes	No	Paper Only
Form and Instruction	HUD xxxx	Promise Zones Round III Responses to Public Comments	5774-N-04 Promise Zones Round III Responses to Public Comments_11-30-15.docx	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	300	0	300
Annual IC Time Burden (Hours)	18,600	200	18,400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.