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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.