Information Collection

Delta Community Capital Initiative Application and Semi-Annual Reporting

IC 209725 under ICR 201704-2506-001 · OMB 2506-0200.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 424 Delta Community Capital Initiative Application and Semi-Annual Reporting	Form
SF 424 Application for Federal Assistance SF 424 word.pdf	Form
HUD-424-CB Grant Application Detailed Budget huddoc 424 cb.pdf	Form and Instruction
HUD-424-CBW Grant Application Detrailed Budget Worksheet hud 424 CBW.pdf	Form
SFLLL Disclosure of Lobbying Activities SL-LLL.pdf	Form and Instruction
HUD 2990 Certification of Consistency with the RC/EZ/EC-lls Strat HUD-2990.pdf	Form
HUD-2991 Certification of Consistence with the Consolidted Plan HUD 2991.pdf	Form
HUD 2993 Acknowledgement of Application Receipt hud2993.pdf	Form
HUD 2994-A You are our Client! Grant Application Survey HUD-2994A.doc	Form and Instruction
HUD 273000 America's Affordable Communities Initiative hud 27300.pdf	Form

IC Title:

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	SF 424	Application for Federal Assistance	SF 424 word.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-424-CB	Grant Application Detailed Budget	huddoc 424 cb.pdf	Yes	No	Fillable Printable
Form	HUD-424-CBW	Grant Application Detrailed Budget Worksheet	hud 424 CBW.pdf	Yes	No	Fillable Printable
Form and Instruction	SFLLL	Disclosure of Lobbying Activities	SL-LLL.pdf	Yes	No	Fillable Printable
Form	HUD 2990	Certification of Consistency with the RC/EZ/EC-lls Strategic Plan	HUD-2990.pdf	Yes	No	Fillable Printable
Form	HUD-2991	Certification of Consistence with the Consolidted Plan	HUD 2991.pdf	Yes	No	Fillable Printable
Form	HUD 2993	Acknowledgement of Application Receipt	hud2993.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 2994-A	You are our Client! Grant Application Survey	HUD-2994A.doc	Yes	No	Fillable Printable
Form	HUD 273000	America's Affordable Communities Initiative	hud 27300.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	466	-36	502
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.