HUD-Administered Small Cities Program Performance Assessment Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 4052 HUD-Administered Small Cities Program Performance Assessment Report	Form and Instruction	Modified	Available
SS-HUD Adminstered Small Cities Program-2019 final.doc	Supporting Statement A	Uploaded 2019-08-29	Available
30 day notice.pdf	Supplementary Document	Uploaded 2019-08-19	Available
PTA Small Cities Program signed.pdf	Supplementary Document	Uploaded 2019-07-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27395	HUD-Administered Small Cities Program Performance Assessment Report	Form and Instruction	Modified

ICR Details

OMB Control No: 2506-0020	ICR Reference No: 201907-2506-001
Status: Active	Previous ICR Reference No: 201604-2506-001
Agency/Subagency: HUD/CPD	Agency Tracking No:
Title: HUD-Administered Small Cities Program Performance Assessment Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/12/2019
	Date Received in OIRA: 08/29/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2022	36 Months From Approved	11/30/2019
Responses	40	0	40
Time Burden (Hours)	160	0	160
Cost Burden (Dollars)	0	0	0

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Abstract: Annual Performance Report on financial and physical development progress for HUD-administered Small Cities Program funds for non-entitlement Community Development Block Grant (CDBG) funding for CDBG funds awarded prior to FY2000 in the State of New York.

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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 22890	05/20/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 37908	08/02/2019
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
HUD-Administered Small Cities Program Performance Assessment Report	HUD 4052	Instructions for Completing the CDBG Small Cities Performance Assessment Report (PAR

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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	40	40	0	0	0	0
Annual Time Burden (Hours)	160	160	0	0	0	0
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:

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Annual Cost to Federal Government: $3,289

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: 08/29/2019

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