Promise Zone Reporting Tools

Forms and Documents

Document Name	Status
Form HUD 9919 Quarterly Progress of Annual Priorities Repot Form and Instruction	New
Form HUD 9917 Quarterly Investments and Assistance Report Form and Instruction	New
Form HUD 9916 Annual Report Narrative Form and Instruction	New
Form HUD-XXXX Promise Zone Reporting Tool Form and Instruction	Removed
30-day FRN.pdf Supplementary Document	2022-02-11
Final - Supporting_statement 2501-0035.docx Supporting Statement A	2022-02-11

IC Document Collections

IC ID	Document Title	Status
251566	Quarterly Spotlights (Public Communications Materials)	New
251565	Quarterly Progress of Annual Priorities Repot Form and Instruction	New
251564	Quarterly Investments and Assistance Report Form and Instruction	New
251563	Annual Report Narrative Form and Instruction	New
223685	Promise Zone Reporting Tool Form and Instruction	Removed

ICR Details

OMB Control No: 2501-0035	ICR Reference No: 202202-2501-002
Status: Received in OIRA	Previous ICR Reference No: 201609-2501-006
Agency/Subagency: HUD/HUDSEC	Agency Tracking No:
Title: Promise Zone Reporting Tools
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/11/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	182	0
Time Burden (Hours)	1,932	0
Cost Burden (Dollars)	0	0

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Abstract: The purpose of the collection is to track the progress made by the Promise Zone community in completing the 10-year plan submitted as part of the Promise Zone application process.

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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:
	86 FR 46865	08/20/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 8028	02/11/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Annual Report Narrative	HUD 9916	Annual Report Narrative
Promise Zone Reporting Tool	HUD-XXXX, HUD-XXXX, HUD-XXXX	PZ Non-Federal Investments ,   PZ Neighborhood Amentities ,   PZ Quarterly Report
Quarterly Investments and Assistance Report	HUD 9917	Quarterly Investments and Assistance Report
Quarterly Progress of Annual Priorities Repot	HUD 9919	Quarterly Progress of Annual Priorities Report
Quarterly Spotlights (Public Communications Materials)

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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	182	0	0	182	-406	406
Annual Time Burden (Hours)	1,932	0	0	1,932	-2,296	2,296
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 is a reinstatement with change of a previously approved collections. The HUD-XXXX “New Neighborhood Amenities” form, from the original 2501-0035 OMB approval, has been removed from the collection because the form was never used. Additionally, HUD Form 9917 (Bi-annual Non-Federal Investment report) and HUD Form 9918 (Monthly Federal Grants Report) have been merged so that HUD 9917 will now collect the information previously captured in HUD 9918. HUD 9917 has therefore been reformatted to collect this new information and to be more user-friendly; HUD 9918 has been removed and retired from this collection. HUD-9917 will now be called the Quarterly Investments and Assistance Report; it will be collected quarterly and submitted cumulatively. These changes will reduce unnecessary copying and pasting, reformatting, and file management, and will ultimately reduce the burden on respondents.

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Annual Cost to Federal Government: $36,415

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: 02/11/2022

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