Multifamily Housing Service Coordinator Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-2530 Previous Participation Certification	Form and Instruction	Modified	Repair queued
Form HUD-1044 Assistance Award/Amendment	Form and Instruction	Modified	Repair queued
Form HUD-2880 Applicant/Recipient Disclosure/Update Report	Form	Modified	Repair queued
Form HUD-91186-A Multifamily Housing Service Coordinator One Year Budget	Form and Instruction	Modified	Repair queued
Form HUD-91186 Multifamily Housing Service Coordinator First-Time Funding Request	Form and Instruction	Modified	Repair queued
Form SF-LLL DISCLOSURE OF LOBBYING ACTIVITIES	Form	Modified	Repair queued
Form HUD-50080-SCMF LOCCS/VRS Payment Voucher, Service Coordinators for Multifamily Housing	Form and Instruction	Modified	Repair queued
Form SF 424 supp Survey	Form and Instruction	Modified	Repair queued
Form SF 424 supp Multifamily Housing Service Coordinator Program	Form and Instruction	Modified	Repair queued
Form SF 424 Application for Federal Assistance	Form and Instruction	Modified	Repair queued
LOCCSGUIDE-HUD-50080.pdf	Supplementary Document	Uploaded 2019-05-15	Repair queued
2502-0447 - PTA (Signed by Privacy Office)a.pdf	Supplementary Document	Uploaded 2019-05-15	Available
2502-0447 - Supporting Statement .docx	Supporting Statement A	Uploaded 2019-05-15	Repair queued
2502-0447 Laws, regs, etc.zipx	Supplementary Document	Uploaded 2015-07-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27201	Multifamily Housing Service Coordinator Program	Form and Instruction	Modified	Previous Participation Certification
27201	Multifamily Housing Service Coordinator Program	Form and Instruction	Modified	Assistance Award/Amendment
27201	Multifamily Housing Service Coordinator Program	Form	Modified	Applicant/Recipient Disclosure/Update Report
27201	Multifamily Housing Service Coordinator Program	Form and Instruction	Modified	Multifamily Housing Service Coordinator One Year Budget
27201	Multifamily Housing Service Coordinator Program	Form and Instruction	Modified	Multifamily Housing Service Coordinator First-Time Funding Request
27201	Multifamily Housing Service Coordinator Program	Form	Modified	DISCLOSURE OF LOBBYING ACTIVITIES
27201	Multifamily Housing Service Coordinator Program	Form and Instruction	Modified	LOCCS/VRS Payment Voucher, Service Coordinators for Multifamily Housing
27201	Multifamily Housing Service Coordinator Program	Form and Instruction	Modified	Survey
27201	Multifamily Housing Service Coordinator Program	Form and Instruction	Modified
27201	Multifamily Housing Service Coordinator Program	Form and Instruction	Modified	Application for Federal Assistance
27201	Multifamily Housing Service Coordinator Program	Other-Glossary	Modified

ICR Details

OMB Control No: 2502-0447	ICR Reference No: 201801-2502-005
Status: Historical Active	Previous ICR Reference No: 201503-2502-005
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Multifamily Housing Service Coordinator Program
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: 08/02/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/11/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2024	36 Months From Approved
Responses	9,420	0	0
Time Burden (Hours)	8,560	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The requested information will assist HUD in evaluating grant applicants for the Housing Service Coordinator Program. Information is needed to determine how well grant funds meet stated program goals and how well the public was served.

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Authorizing Statute(s): None

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:
	84 FR 6433	02/27/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 42002	08/16/2019
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Multifamily Housing Service Coordinator Program	SF 424 supp, HUD-50080-SCMF, HUD-2880, SF-LLL, HUD-91186, HUD-91186-A, HUD-1044, HUD-2530, SF 424	Application for Federal Assistance ,   Survey ,   LOCCS/VRS Payment Voucher, Service Coordinators for Multifamily Housing ,   DISCLOSURE OF LOBBYING ACTIVITIES ,   Multifamily Housing Service Coordinator First-Time Funding Request ,   Multifamily Housing Service Coordinator One Year Budget ,   Applicant/Recipient Disclosure/Update Report ,   Assistance Award/Amendment ,   Previous Participation Certification

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ICR Summary of Burden

table that charts list 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	9,420	0	0	0	-6,370	15,790
Annual Time Burden (Hours)	8,560	0	0	0	-38,034	46,594
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: No

Burden Reduction Due to:

Short Statement: This is a request to reinstate with change, of a previously approved collection. The following changes include: • Number of respondents decreased from 9,770 to 4,230 • Total annual responses decreased from 15,790 to 9,420 • Burden hours decreased from 46,594 to 8,560 The significant decline in burden hours is a result of previous errors. Under this current submission, recipients of funds burden have been reduced due to the Departments automation efforts under GrantSolutions and Standard for Success (SfS). Starting in January 2019, SfS will replace the Semi-Annual Performance Report (form HUD-92456), which is being deleted in this submission. Form HUD-92456, Semi-Annual Performance Report, was required for each assisted Multifamily housing project designated for the elderly and/or people with disabilities that has Service Coordinators paid for with HUD funds. The collection of information tied to new submissions is likely limited to budget-based awards since current appropriation levels does not allow for new funding under the grant program. However, in the event of funding availability, the burden associated with new submissions remains accounted for.

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Annual Cost to Federal Government: $62,722

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.     Yes

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.     Yes

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? No

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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: 03/11/2021

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