OMB Control No:  2577-0269 
ICR Reference No: 
202109-2577-002 
 
Status:  Received in OIRA 
Previous ICR Reference No:  201802-2577-001  
 
Agency/Subagency:  HUD/PIH 
Agency Tracking No:  2577-0269 
 
Title:  Choice Neighborhoods 
 
Type of Information Collection: 
Revision of a currently approved collection 
Common Form ICR:   No 
 
Type of Review Request:  Regular 
Date Submitted to OIRA: 
09/22/2021 
 
  
Requested 
Previously Approved 
 
Expiration Date  
36 Months From Approved 
10/31/2021 
 
Responses  
440 
440 
 
Time Burden (Hours)  
4,431 
4,562 
 
Cost Burden (Dollars)  
0 
0 
 
 
 
Abstract:  The information is required to allow
HUD to conduct competitions to award and obligate Choice
Neighborhood grant funds in accordance with the appropriations act
and to manage/report on the grants that are awarded. 
 
 
 
Authorizing Statute(s):   PL:
Pub.L. 111 - 117 24  Name of Law: Consolidated Appropriations
Act 
   
 
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:  
 
  
86 FR
30328  
06/07/2021 
 
30-day Notice:  
Federal Register Citation:  
Citation Date:  
 
 
86 FR
46002  
08/17/2021 
 
Did the Agency receive public comments on
this ICR?  No 
 
 
 
Number of Information Collection (IC) in this
ICR:  1  
 
IC Title 
Form No. 
Form Name 
 
Choice
Neighborhoods  
HUD-53152, HUD-53154, HUD-53234, HUD-53421, HUD-2530,
HUD-50163, HUD-52515, HUD-53154, HUD-53231, HUD-53236, HUD-53239,
SF LLL, HUD-2991, HUD-53232, HUD-53233, HUD-53235, HUD-53237,
HUD-53230, HUD-53154, SF-424, HUD-2880, HUD-53150, HUD-53151,
HUD-53238, HUD-53156, SF-424B, SF-424D 
Previous
Participation Certification  ,   Applicant/Recipient
Disclosure/Update Report  ,   Certification of Consistency
with the Consolidated Plan  ,   Actual Choice Neighborhoods
Cost Certificate  ,   Fund Application - Section 8
Tenant-Based Assistance, Rental Certificate Program, Rental Voucher
Program  ,   Choice Neighborhoods Planning
Grants Key Eligibility Data Form  ,   Choice Neighborhoods
Implementation Grant  ,   Choice Neighborhoods Planning
Grant - Match/Leverage Resources  ,   Choice Neighborhoods Planning
Grant Match/Leverage Resources  ,   Choice Neighborhoods
Implementation Grant  ,   Choice Neighborhoods -
Implementation Grants Resident and Community Involvement
Certification  ,   Choice Neighborhoods -
Certification of Severe Physical Distress  ,   Choice Neighborhoods
Implementation Grants Application Information  ,   Choice Neighborhoods -
Implementation Grants - Planned Units  ,   Choice Neighborhoods
Implementation Grants - FY 2017 Grant Sizing Worksheet  ,  
Choice Neighborhoods
Budget - Implementation Grants  ,   Choice Neighborhoods -
Extraodinary Site Costs Certification  ,   Attachment 44: Neighborhood
Resources  ,   Choice Neighborhoods Planning
Grant Budget  ,   Application for Federal
Assistance  ,   Disclosure of Lobbying
Activities  ,   Choice Neighborhoods Planning
Grant  ,   Resident Involvement
Certification  ,   One-for-One Replacement
Certification  ,   APPLICATION CERTIFICATIONS –
PLANNING GRANTS  ,   Assurances - Non-Construction
Programs  ,   Assurances - Construction
Programs  
 
 
 
 
 
ICR Summary of Burden 
  
Total Request 
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 
440 
440 
0 
0 
0 
0 
 
Annual Time Burden (Hours) 
4,431 
4,562 
0 
-131 
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:  Yes 
 
Burden Reduction Due to:  Changing Forms 
 
Short Statement:  The SF-424 B and D forms were
added. The salary amount was increased to reflect the 2021 general
schedule pay table. Adding these forms and updating the salary
amount resulted in a decrease in burden hours. Otherwise no changes
have been made. 
 
 
 
Annual Cost to Federal Government:  $0 
 
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. 
    Yes 
 
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.     
Yes 
 
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 
 
Agency Contact:  Leigh van Rij 202 401-8812 ext.
5788 [email protected]