Certification of Consistency with Promise Zones Goals and Implementation

Forms and Documents

Document Name	Status
Form HUD- 50153 Certification of Consistency Form Form	New
Form HUD xxxx Promise Zones Form and Instruction	Removed
30 day FRN.pdf Supplementary Document	2019-03-04
Promise Zones Collections Supporting Statement 2501-0033.docx Supporting Statement A	2019-02-28
Initial Privacy Assessment (IPA) PZ Rd3.doc Supplementary Document	2015-08-19

IC Document Collections

IC ID	Document Title	Status
235166	Certification of Consistency Form Form	New
209112	Promise Zones Form and Instruction	Removed

ICR Details

OMB Control No: 2501-0033	ICR Reference No: 201902-2501-001
Status: Active	Previous ICR Reference No: 201607-2501-001
Agency/Subagency: HUD/HUDSEC	Agency Tracking No:
Title: Certification of Consistency with Promise Zones Goals and Implementation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/19/2019
	Date Received in OIRA: 02/28/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved	07/31/2019
Responses	154	0	300
Time Burden (Hours)	15	0	18,600
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required to allow HUD to conduct a competition to designate rural, tribal and urban Promise Zone designations.

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Authorizing Statute(s): US Code: 44 USC Chapter 35 as amended Name of Law: Section 3507 of the Paperwork Reduction Act of 1995
  

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:
	83 FR 51693	10/12/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 3221	02/11/2019
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Certification of Consistency Form	HUD- 50153	Certificaion of Consistency Form
Promise Zones	HUD xxxx, HUD xxxx, HUD xxxx	Promise Zone Round III MaxSurvey_Urban Example ,   Promise Zone Round III Urban Application Guide ,   Promise Zones Round III Responses to Public Comments

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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	154	300	0	154	-300	0
Annual Time Burden (Hours)	15	18,600	0	15	-18,600	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Revision of a currently approved collection. Changes to the form include the following: the addition of the federal grant’s Catalog of Federal Domestic Assistance (CFDA) number to which the applicant is applying to, and language supporting the Promise Zone in receiving status updates on grants applied for that receive certification for preference points. The exact language added to the collection form is as follows: “The applicant has committed to updating the Promise Zone lead organization on the status of all grants certified and resulting activities.”

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Annual Cost to Federal Government: $643,000

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

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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: 02/28/2019

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