Delta Community Capital Initiative Application and Semi-Annual Reporting

Forms and Documents

Document	Type	Status	Availability
Form SF 424 Delta Community Capital Initiative Application and Semi-Annual Reporting	Form	Modified	Available
DCCI Supporting Statement 7-14-2017 Final.docx	Supporting Statement A	Uploaded 2017-07-14	Available
DCCI 6909 OGC IPA Form Revised 5-31-2017 -.docx	Supplementary Document	Uploaded 2017-06-23	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
209725	Delta Community Capital Initiative Application and Semi-Annual Reporting	Form	Modified

ICR Details

OMB Control No: 2506-0200	ICR Reference No: 201704-2506-001
Status: Historical Active	Previous ICR Reference No: 201312-2506-001
Agency/Subagency: HUD/CPD	Agency Tracking No:
Title: Delta Community Capital Initiative Application and Semi-Annual Reporting
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/13/2017
	Date Received in OIRA: 07/14/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved
Responses	50	0	0
Time Burden (Hours)	466	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The purpose of this submission is for applications for the Delta Community Capital Initiative (DCCI) grant process. The DCCI is funded by recaptured funds from the Rural Housing and Economic Development (RHED) program. Information is required to rate and rank competitive applications and to ensure eligibility of applicants for funding. Semi-Annual reporting is required to monitor grant management

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 17027	04/07/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 31619	07/07/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Delta Community Capital Initiative Application and Semi-Annual Reporting	SF 424 , HUD-424-CBW, SFLLL, HUD 2990, HUD-2991, HUD 2993, HUD 2994-A, HUD 273000, HUD-424-CB	Application for Federal Assistance ,   Grant Application Detailed Budget ,   Grant Application Detrailed Budget Worksheet ,   Disclosure of Lobbying Activities ,   Certification of Consistency with the RC/EZ/EC-lls Strategic Plan ,   Certification of Consistence with the Consolidted Plan ,   Acknowledgement of Application Receipt ,   You are our Client! Grant Application Survey ,   America's Affordable Communities Initiative

---

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	50	0	0	0	0	50
Annual Time Burden (Hours)	466	0	0	-36	0	502
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This is a revision of a currently approved collection. The employee wage rate was changed to reflect the current 2017 salary table; therefore, these changes are applicable to items 13 and 14. HUD Burden hours for the collection has been decreased because HUD-27061form has been removed from the collection. This data will not be collected for this project. The delay in Beachhead team approval, affected the type of change from revision to reinstatement.

---

Annual Cost to Federal Government: $14,796

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  No

---

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: 07/14/2017

---