Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 4155 HOPWA New consolidated data elements	Form	Modified	Repair queued
Form HUD-4154 HIV Housing Care Continuum Model	Form	Modified	Repair queued
Form HUD 4153 Housing as an Intervention to Fight AIDS (HIFA) Model	Form	Modified	Repair queued
Form HUD-40110-D HOPWA Consolidated Annual Performance and Evaluation Report (CAPER)	Form and Instruction	Modified	Repair queued
Form HUD-40110-C HOPWA Annual Progress Report (APR) Measuring Performance Outcomes	Form and Instruction	Modified	Repair queued
Form HUD-40110-B HOPWA Competitive Application & Renewal of Permanent Supportive Housing Project	Form	Modified	Available
Form HUD-40110-B Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance...	Form	Modified	Repair queued
final- HOPWA Supporting Statement 2506-0133.docx	Supporting Statement A	Uploaded 2021-06-23	Repair queued
30 Day Notice.pdf	Supplementary Document	Uploaded 2021-06-15	Repair queued
HOPWA Data Fields OMB PRA_FINAL_3-10-2021.docx	Supplementary Document	Uploaded 2021-04-07	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27434	Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance...	Form	Modified	HOPWA New consolidated data elements
27434	Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance...	Form	Modified	HIV Housing Care Continuum Model
27434	Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance...	Form	Modified	Housing as an Intervention to Fight AIDS (HIFA) Model
27434	Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance...	Form and Instruction	Modified	HOPWA Consolidated Annual Performance and Evaluation Report (CAPER)
27434	Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance...	Form and Instruction	Modified	HOPWA Annual Progress Report (APR) Measuring Performance Outcomes
27434	Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance...	Form	Modified	HOPWA Competitive Application & Renewal of Permanent Supportive Housing Project
27434	Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance...	Form	Modified

ICR Details

OMB Control No: 2506-0133	ICR Reference No: 202012-2506-002
Status: Historical Active	Previous ICR Reference No: 202003-2506-003
Agency/Subagency: HUD/CPD	Agency Tracking No:
Title: Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance
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: 12/03/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2024	36 Months From Approved	11/30/2023
Responses	882	0	552
Time Burden (Hours)	39,988	0	26,713
Cost Burden (Dollars)	0	0	0

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Abstract: The Competitive/Renewal Grant Project Budget Summary form is required annually of all expiring permanent supportive renewal grants and for solicited new competitive grant applications and provides detailed funding requests by budget line item activity for the three year grant period. The Grantee Performance Reporting requirements (APR for competitive and CAPER for formula grantees) are required annually to assess and report on individual grantee program outputs and program beneficiary outcomes..

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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:
	85 FR 68912	10/30/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 31522	06/14/2021
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
Housing Opportunities for Persons with AIDS (HOPWA) Program: Comeptitive Grant Application; Annual Progress Report (APR) for (Competitive Grantees); Consolidated Annual Performance...	HUD 4155, HUD-4154, HUD 4153, HUD-40110-B, HUD-40110-C, HUD-40110-D	HOPWA Competitive Application & Renewal of Permanent Supportive Housing Project ,   HOPWA Annual Progress Report (APR) Measuring Performance Outcomes ,   HOPWA Consolidated Annual Performance and Evaluation Report (CAPER) ,   Housing as an Intervention to Fight AIDS (HIFA) Model ,   HIV Housing Care Continuum Model ,   HOPWA New consolidated data elements

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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	882	552	0	330	0	0
Annual Time Burden (Hours)	39,988	26,713	0	13,275	0	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: This submission is to request a revision of a currently approved collection for the application submission and reporting burden associated with the Housing Opportunities for Persons With AIDS (HOPWA) program. This submission is requesting an increase in burden hours to account for the two added reporting forms for new competitive SPNS grants under this approval. There is also an increase in the number of new competitive grants that can be funded through the HOPWA program accounting for the increase of 26 new grantee responses. It is projected that the proposed revisions will increase the overall burden requirement shown below

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Annual Cost to Federal Government: $426,607

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? No

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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: 06/23/2021

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