OMB 83-i

Paperwork Reduction Act Submission
Please read the instruction before completing this form. For additional forms or assistance in completing this forms, contact your agency’s Paperwork
Reduction Officer. Send two copies of this form, the collection instrument to be reviewed, the Supporting Statement, and any additional documentation
to: Office of Information and Regulatory Affairs, Office of Management and Budget, Docket Library, Room 10102, 725 Seventeenth St. NW, Washington,
DC 20503.
1. Agency/Subagency Originating Request:
U.S. Department of Housing and Urban Development
Office of Business Transformation, Grants Management and Oversight Division
3. Type of information collection: (check one)
a.
New Collection
b.
Revision of a currently approved collection
c.
Extension of a currently approved collection
d.
Reinstatement, without change, of previously approved
collection for which approval has expired
e.
Reinstatement, with change, of previously approved collection
for which approval has expired
f.
Existing collection in use without an OMB control number
For b-f, note item A2 of Supporting Statement instructions.

2. OMB Control Number:
a. 2501-0034

b.

None

4. Type of review requested: (check one)
a.
Regular
b.
Emergency - Approval requested by
c.
Delegated
5. Small entities: Will this information collection have a significant
economic impact on a substantial number of small entities?
Yes
No
6. Requested expiration date:
a.
Three years from approval date

b.

Other (specify)

7. Title: Standards for Success Reporting
8. Agency form number(s): (if applicable)
HUD-PRL
9. Keywords:
Standards for Success Reporting
10. Abstract:
This request is for the continued clearance of data collection and reporting requirements to enable the U.S. Department of Housing and Urban
Development (HUD) Office of Business Transformation (OBT) to better assess the effectiveness of discretionary-funded programs included in this information
collection request (ICR). The discretionary-funded programs included in this ICR are the Multifamily Housing Service Coordinator Grant Program, the
Multifamily Housing Budget-Based Service Coordinator Program, and the Resident Opportunity and Self Sufficiency Service Coordinator Grant Program
(ROSS).
This proposed collection, titled Standards for Success, has three key tenets which vastly improve data collection and reporting for participating
programs. First is the standardization of data collection and reporting requirements across programs which increases data comparability and utilization.
Second is the ability to report on measurable outcomes and aligning them with higher-level agency objectives. And third is the collection of record-level data,
instead of aggregate data. Collecting de-identified data at the level of the service recipient allows for more meaningful analysis, improved management, and
the ability to demonstrate the progress and achievements of the funding recipients and the programs. Standards for Success accepts data submission by
direct data input through the HUD-funded GrantSolutions online data collection and reporting tool (OLDC) and by data file upload, accommodating file
formats in Microsoft Excel or Extensible Markup Language (XML).
11. Affected public: (mark primary with “P” and all others that apply with “X”)
12. Obligation to respond: (mark primary with “P” and all others that apply with “X”)
a. x Individuals or households
e. x Farms
a. x Voluntary
b. x Business or other for-profit
f. x Federal Government
b. P Required to obtain or retain benefits
c. P Not-for-profit institutions
g. x State, Local or Tribal Government
c. x Mandatory
13. Annual reporting and recordkeeping hour burden:
a. Number of respondents
b. Total annual responses
Percentage of these responses collected electronically
c. Total annual hours requested
d. Current OMB inventory
e. Difference (+,-)
f. Explanation of difference:
1. Program change:
2. Adjustment:

14. Annual reporting and recordkeeping cost burden: (in thousands of dollars)
a. Total annualized capital/startup costs
N/A
b. Total annual costs (O&M)
N/A
c. Total annualized cost requested
N/A
d. Current OMB inventory
x
e. Difference
x
f. Explanation of difference:
1. Program change:
x
2. Adjustment:

4,821
501,384
100
167,128
x
x
x

15. Purpose of Information collection: (mark primary with “P” and all others that apply
with “X”)

a. P Application for benefits
b. x Program evaluation
c. x General purpose statistics
d. x Audit

e. x Program planning or management
f. x Research
g. x Regulatory or compliance

17. Statistical methods:
Does this information collection employ statistical methods?

Yes

OMB 83-I

No

16. Frequency of recordkeeping or reporting: (check all that apply)
a.
Recordkeeping
b.
Third party disclosure
c.
Reporting:
1.
On occasion
2.
Weekly
3.
Monthly
4.
Quarterly
5.
Semi-annually
6.
Annually
7.
Bi-annually
8.
Other (describe)

18. Agency contact: (person who can best answer questions regarding the content of this
submission)

Name: Thaddeus Wincek
Phone: 212-542-7375

10/95

19. Certification for Paperwork Reduction Act Submissions
On behalf of this Federal Agency, I certify that the collection of information encompassed by this request complies with 5
CFR 1320.9.
Note: The text of 5 CFR 1320.9, and the related provisions of 5 CFR 1320/8(b)(3). Appear at the end of the instructions.
The certification is to be made with reference to those regulatory provisions as set forth in the instructions.
The following is a summary of the topics, regarding the proposed collections 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 terminology 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):
(i) Why the information is being collected;
(ii) Use of the 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 (see note in item 19 of the instructions);
(i) It uses effective and efficient statistical survey methodology; and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item below and explain the reason in
item 18 of the Supporting Statement.
Signature of Program Official:

Date:

X

Signature of Senior Officer or Designee:

Date:

Colette Pollard, Departmental Reports Management Officer
Office of Investment Strategies, Policy, and Management, Office of the Chief Information Officer

OMB 83-I

10/95