Forms and Documents

Document Name	Status
Form HUD 935-2 Affirmative Fair Housing Marketing Plan Form	Removed
Form SF-425 Federal Financial Report Form	Removed
Form SF-270 Request for Advance or Reimbursement Form	Removed
Form SF-424B Assurances – Nonconstruction Programs Form	Removed
Form SF-424A Budget Information Non-Construction Programs Form	Removed
Form RD 400-1 7 CFR 1944-I - Local/State & Tribal Governments Form	Removed
1944-I 2021 SuptStmt_rev.docx Supporting Statement A	2021-11-24
2021_ 1944-I Grid.xls Supplementary Document	2021-11-24

IC Document Collections

IC ID	Document Title	Status
233538	Affirmative Fair Housing Marketing Plan Form	Removed
233537	Federal Financial Report Form	Removed
233536	Request for Advance or Reimbursement Form	Removed
233535	Assurances – Nonconstruction Programs Form	Removed
233533	Budget Information Non-Construction Programs Form	Removed
233532	Amendment to the Self-Help Technical Assistance Grant Agreement	Removed
233531	Agreement Between Grantee and Families	Removed
233530	Agreement to Establish a Certified Recordkeeping System	Removed
233527	Copy of proposed option or schedule of proposed options	Removed
233526	Resolution authorizing application for a site option loan	Removed
233523	Environmental Report	Removed
233522	Predevelopment grantee closeout: Final accounting of funds	Removed
233521	Request for RHS Evaluation Review	Removed
233519	Grant Closeout – Final Grantee Evaluation	Removed
233518	Grantee audit	Removed
233517	Generate quarterly SHARES report	Removed
233516	Agreement of compliance with all applicable Federal statutes and regulations	Removed
233515	Qualification for Federal assistance	Removed
233514	Establishing Interest Bearing Accounts	Removed
233513	Authorization from the Board of Directors	Removed
233512	Personnel Information	Removed
233511	Grant Agreement	Removed
233510	Number of homes/ Factors for awards	Removed
233509	Evidence of multi-funded status/cost allocation plan	Removed
233508	Disclosure of Lobbying Activities	Removed
233507	Conflict-of-interest Disclosure	Removed
233506	Monthly activities schedule	Removed
233505	Proposed Budget	Removed
233504	Evidence of land availability	Removed
233503	Evidence of need and demand	Removed
233502	Financial statement	Removed
233501	Organizational Documents	Removed
233494	Evidence of Capacity to Operate a MSH Program	Removed
1907	7 CFR 1944-I - Local/State & Tribal Governments Form	Removed
190094	7 CFR 1944-I - Nonprofit organization Other-Written Narratives	Modified

ICR Details

OMB Control No:	ICR Reference No:
Status:	Previous ICR Reference No:
Agency/Subagency:	Agency Tracking No:
Title:
Type of Information Collection:	Common Form ICR:
Type of Review Request:	Date Received in OIRA:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract:

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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:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR?

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

	Total	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	0	0	0	0	0	0
Annual Time Burden (Hours)	0	0	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion:

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion:

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods?

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.    

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.    

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?

Is this ICR related to the Pandemic Response?

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Common Form ICR: 

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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:

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