Community Compass TA and Capacity Building Program NOFA

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 4138 Community Compass Monthly Report	Form	Modified	Available
Form HUD 4134 Experience Chart	Form	Modified	Available
Form HUD 4133 Community Compass High Wage Rate Worksheet	Form	Modified	Available
Form HUD 4136 Community Compass Property Statement	Form	Modified	Available
Form HUD 4135 Community Compass Closeout of Award	Form	Modified	Available
Form HUD 4132 Capacity and Interest Chart	Form	Modified	Available
Form HUD 4131 Application Summary Excel	Form and Instruction	Modified	Available
Form HUD Form 50070 Certification for a Drug Free Workplace	Form	Modified	Available
Form SF LLL Disclosure of Lobbying Activities	Form	Modified	Available
Form HUD 424- CB Grant Application Budget Detailed Budget Form	Form and Instruction	Modified	Available
Form HUD 424 CBW Grant Application Detailed Budget Worksheet	Form	Modified	Available
Form HUD 2880 Applicant /Recipient Disclosure/ Update Report	Form and Instruction	Modified	Available
83c.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2020-03-25	Available
30 day notice.pdf	Supplementary Document	Uploaded 2019-12-03	Available
PTA CPD NOFA and Awards 2019 11062019.docx	Supplementary Document	Uploaded 2019-11-19	Available
final supporting statement 12-18-19.doc	Supporting Statement A	Uploaded 2019-12-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form	Modified	Community Compass Monthly Report
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form	Modified	Experience Chart
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form	Modified	Community Compass High Wage Rate Worksheet
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form	Modified	Community Compass Property Statement
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form	Modified	Community Compass Closeout of Award
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form	Modified	Capacity and Interest Chart
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form and Instruction	Modified	Application Summary Excel
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form	Modified	Certification for a Drug Free Workplace
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form	Modified	Disclosure of Lobbying Activities
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form and Instruction	Modified	Grant Application Budget Detailed Budget Form
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form	Modified	Grant Application Detailed Budget Worksheet
206479	Application for OneCPD Technical Assistance and Capacity Building Program NOFA	Form and Instruction	Modified	Applicant /Recipient Disclosure/ Update Report

ICR Details

OMB Control No: 2506-0197	ICR Reference No: 202003-2506-002
Status: Historical Active	Previous ICR Reference No: 201908-2506-001
Agency/Subagency: HUD/CPD	Agency Tracking No: NOFA
Title: Community Compass TA and Capacity Building Program NOFA
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/28/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/25/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	03/31/2023	03/31/2023
Responses	1,170	0	1,170
Time Burden (Hours)	22,600	0	22,600
Cost Burden (Dollars)	0	0	0

---

Abstract: Application for technical assistance funds with which CPD grantees will engage providers to supply expertise to shape their resources into effective, coordinated, neighborhood and community development strategies to revitalize and physically, socially and economically strengthen their communities. These actions reduce burden because information will be collected using forms instead of narrative.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 35414	07/23/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 56830	10/23/2019
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Application for OneCPD Technical Assistance and Capacity Building Program NOFA	HUD Form 50070, HUD 424 CBW, HUD 424- CB, HUD 2880, SF LLL, HUD 4133, HUD 4132, HUD 4131, HUD 4135, HUD 4136, HUD 4134, HUD 4138	Applicant /Recipient Disclosure/ Update Report ,   Grant Application Detailed Budget Worksheet ,   Grant Application Budget Detailed Budget Form ,   Disclosure of Lobbying Activities ,   Certification for a Drug Free Workplace ,   Application Summary Excel ,   Capacity and Interest Chart ,   Community Compass Closeout of Award ,   Community Compass Property Statement ,   Community Compass High Wage Rate Worksheet ,   Experience Chart ,   Community Compass Monthly Report

---

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	1,170	1,170	0	0	0	0
Annual Time Burden (Hours)	22,600	22,600	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:

---

Annual Cost to Federal Government: $1,377,000

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

---

Common Form ICR:  No

---

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: 03/25/2020

---