Information Collection

Promise Zone Reporting Tool

IC 223685 under ICR 202202-2501-002 · OMB 2501-0035.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-XXXX Promise Zone Reporting Tool	Form and Instruction
HUD-XXXX PZ Non-Federal Investments HUD form - Appendix E_PZ Federal Investments Form.xlsx	Form and Instruction
HUD-XXXX PZ Non-Federal Investments HUD form - Appendix E_PZ Federal Investments Form.xlsx	Form and Instruction
HUD-XXXX PZ Neighborhood Amentities HUD form - Appendix E_PZ Neighborhood Amenities.xlsx	Form and Instruction
HUD-XXXX PZ Neighborhood Amentities HUD form - Appendix E_PZ Neighborhood Amenities.xlsx	Form and Instruction
HUD-XXXX PZ Quarterly Report HUD form - Appendix E_PZ Quarterly Report Form_Updated.xlsx	Form and Instruction
HUD-XXXX PZ Quarterly Report HUD form - Appendix E_PZ Quarterly Report Form_Updated.xlsx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-XXXX	PZ Non-Federal Investments	HUD form - Appendix E_PZ Federal Investments Form.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-XXXX	PZ Neighborhood Amentities	HUD form - Appendix E_PZ Neighborhood Amenities.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-XXXX	PZ Quarterly Report	HUD form - Appendix E_PZ Quarterly Report Form_Updated.xlsx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-406	406
Annual IC Time Burden (Hours)	-2,296	2,296
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.