Information Collection

Choice Neighborhoods

IC 194340 under ICR 201802-2577-001 · OMB 2577-0269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0269 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-53234 Choice Neighborhoods	Form and Instruction
HUD-2530 Previous Participation Certification HUD-2530.pdf	Form and Instruction
HUD-2880 Applicant/Recipient Disclosure/Update Report HUD-2880.pdf	Form and Instruction
HUD-2991 Certification of Consistency with the Consolidated Plan HUD 2991 Consistency with Con Plan.pdf	Form and Instruction
HUD-50163 Actual Choice Neighborhoods Cost Certificate HUD 50163 Actual Cost Cert.pdf	Form and Instruction
HUD-52515 Fund Application - Section 8 Tenant-Based Assistance, Re HUD-52515.pdf	Form and Instruction
HUD-53150 Choice Neighborhoods Planning Grant HUD 53150 CN Planning App Checklist Table of Contents.pdf	Form and Instruction
HUD-53151 Choice Neighborhoods - Planning Grants Resident Involvem HUD-53151 CN Planning Resident Involv Cert.pdf	Form and Instruction
HUD-53152 Choice Neighborhoods Planning Grants Key Eligibility Dat HUD 53152 CN Planning Application Key Eligibility form.pdf	Form and Instruction
HUD-53154 Choice Neighborhoods Implementation Grant HUD 53154 CN Planning leverage.pdf	Form and Instruction
HUD-53154 Choice Neighborhoods Planning Grant - Match/Leverage Res HUD 53154 CN Planning leverage.pdf	Form and Instruction
HUD-53154 Choice Neighborhoods Planning Grant Match/Leverage Resou HUD 53154 CN Planning leverage.pdf	Form and Instruction
HUD-53230 Choice Neighborhoods Implementation Grant HUD 53230 Application Checklist.pdf	Form and Instruction
HUD-53231 Choice Neighborhoods - Implementation Grants Resident an HUD 53231 Resident and Community Involvement Certification.pdf	Form and Instruction
HUD-53232 Choice Neighborhoods - Certification of Severe Physical HUD 53232 Severe Distress.pdf	Form and Instruction
HUD-53233 Choice Neighborhoods Implementation Grants Application I HUD 53233 Application information.pdf	Form and Instruction
HUD-53234 Choice Neighborhoods - Implementation Grants - Planned U HUD 53234 Current and Planned Units.pdf	Form and Instruction
HUD-53235 Choice Neighborhoods Implementation Grants - FY 2017 Gra HUD 53235 CN Implementation Grant Sizing Worksheet (2017 TDC limits).pdf	Form and Instruction
HUD-53236 Choice Neighborhoods Budget - Implementation Grants HUD 53236 Budget Form.pdf	Form and Instruction
HUD-53237 Choice Neighborhoods - Extraodinary Site Costs Certifica HUD 53237.pdf	Form and Instruction
HUD-53238 Choice Neighborhoods - Implementation Grants One-for-One HUD 53238 One on One Cert.pdf	Form and Instruction
HUD-53239 Attachment 44: Neighborhood Resources HUD 53239 CN Leverage Resources cover sheets.pdf	Form and Instruction
HUD-53421 Choice Neighborhoods Planning Grant Budget HUD-53421 CN Planning Budget Form.pdf	Form and Instruction
SF-424 Application for Federal Assistance SF424_2_1-V2.1.pdf	Form and Instruction
SF LLL Disclosure of Lobbying Activities SFLLL_1_2_P-V1.2.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Choice Neighborhoods

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-53234	Choice Neighborhoods - Implementation Grants - Planned Units	HUD 53234 Current and Planned Units.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-53235	Choice Neighborhoods Implementation Grants - FY 2017 Grant Sizing Worksheet	HUD 53235 CN Implementation Grant Sizing Worksheet (2017 TDC limits).pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-53236	Choice Neighborhoods Budget - Implementation Grants	HUD 53236 Budget Form.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-53237	Choice Neighborhoods - Extraodinary Site Costs Certification	HUD 53237.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-53238	Choice Neighborhoods - Implementation Grants One-for-One Replacement Certification	HUD 53238 One on One Cert.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-53239	Attachment 44: Neighborhood Resources	HUD 53239 CN Leverage Resources cover sheets.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-53421	Choice Neighborhoods Planning Grant Budget	HUD-53421 CN Planning Budget Form.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF-424	Application for Federal Assistance	SF424_2_1-V2.1.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF LLL	Disclosure of Lobbying Activities	SFLLL_1_2_P-V1.2.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-2530	Previous Participation Certification	HUD-2530.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-2880	Applicant/Recipient Disclosure/Update Report	HUD-2880.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-2991	Certification of Consistency with the Consolidated Plan	HUD 2991 Consistency with Con Plan.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50163	Actual Choice Neighborhoods Cost Certificate	HUD 50163 Actual Cost Cert.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52515	Fund Application - Section 8 Tenant-Based Assistance, Rental Certificate Program, Rental Voucher Program	HUD-52515.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-53150	Choice Neighborhoods Planning Grant	HUD 53150 CN Planning App Checklist Table of Contents.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-53151	Choice Neighborhoods - Planning Grants Resident Involvement Cerfification	HUD-53151 CN Planning Resident Involv Cert.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-53152	Choice Neighborhoods Planning Grants Key Eligibility Data Form	HUD 53152 CN Planning Application Key Eligibility form.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-53154	Choice Neighborhoods Implementation Grant	HUD 53154 CN Planning leverage.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-53154	Choice Neighborhoods Planning Grant - Match/Leverage Resources	HUD 53154 CN Planning leverage.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-53154	Choice Neighborhoods Planning Grant Match/Leverage Resources	HUD 53154 CN Planning leverage.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53230	Choice Neighborhoods Implementation Grant	HUD 53230 Application Checklist.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53231	Choice Neighborhoods - Implementation Grants Resident and Community Involvement Certification	HUD 53231 Resident and Community Involvement Certification.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-53232	Choice Neighborhoods - Certification of Severe Physical Distress	HUD 53232 Severe Distress.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-53233	Choice Neighborhoods Implementation Grants Application Information	HUD 53233 Application information.pdf	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 264

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	440	-91	531
Annual IC Time Burden (Hours)	4,562	-5,362	9,924
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.