Jobs Plus Pilot Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF 425 Federal Financial Report	Form and Instruction	Modified	Available
Form HUD 50153 Certification of Consistency with Promise Zone Goals and Implementation	Form and Instruction	Modified	Available
Form HUD 2991 Certification of Consistency witth the Consolidated Plan	Form and Instruction	Modified	Available
Form HUD-50144 Summary Job Plus Budget	Form and Instruction	Modified	Available
Form HUD-2880 Application/Recipient Disclosure/Update Report	Form and Instruction	Modified	Available
Form SF-LLL Disclosure of Lobbying Activities	Form and Instruction	Modified	Available
Form SF-424 Jobs Plus Pilot Program	Form and Instruction	Modified	Repair queued
2577-0281 30 Day FR.pdf	Supplementary Document	Uploaded 2022-05-24	Repair queued
2577-0281 Suppoorting Statement.docx	Supporting Statement A	Uploaded 2022-05-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Federal Financial Report
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Certification of Consistency with Promise Zone Goals and Implementation
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Certification of Consistency witth the Consolidated Plan
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Summary Job Plus Budget
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Application/Recipient Disclosure/Update Report
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Disclosure of Lobbying Activities
212823	Jobs Plus Pilot Program	Form and Instruction	Modified
212823	Jobs Plus Pilot Program	Instruction	Modified

ICR Details

OMB Control No: 2577-0281	ICR Reference No: 202205-2577-002
Status: Historical Active	Previous ICR Reference No: 201706-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0281
Title: Jobs Plus Pilot Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/30/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/26/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2025	36 Months From Approved	09/30/2022
Responses	103	0	75
Time Burden (Hours)	6,573	0	7,403
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required to allow HUD to conduct a competition to award and obligate Jobs Plus grant funds in accordance with the FY 2014 Appropriations Act, which permits HUD to use up to $15M of the appropriation for Jobs Plus Initiative

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Authorizing Statute(s): US Code: 44 USC Chapter 35 as amended Name of Law: Section 3507 of the Paperwork Reduction Act of 1995
  

Citations for New Statutory Requirements: US Code: 9 USC 1437q Name of Law: U.S. Housing Act of 1937

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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:
	87 FR 13747	03/10/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 30254	05/18/2022
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
Jobs Plus Pilot Program	HUD 50153, SF 425, HUD 2991, SF-424, SF-LLL, HUD-2880, HUD-50144	Disclosure of Lobbying Activities ,   Application/Recipient Disclosure/Update Report ,   Summary Job Plus Budget ,   Certification of Consistency witth the Consolidated Plan ,   Certification of Consistency with Promise Zone Goals and Implementation ,   Federal Financial Report

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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	103	75	0	28	0	0
Annual Time Burden (Hours)	6,573	7,403	0	-830	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: Miscellaneous Actions

Short Statement: The annual cost to respondents decreased by $8,655.73 ($310,937-$302,280.77). The total number of hours requested decreased by 830.505 hours (7,403.25-6,572.75), reflecting an 11 percent decrease from the previously approved PRA. Program Changes: N/A Adjustments: • Organized the table in Item 12 into two categories NOFO/Application Collections (information needed to apply for and award funding) and Non-NOFO/Application Collections (information needed for program/grant management). • The salary amounts were increased to reflect the 2022 general schedule pay table. • The number of applications was reduced from 75 to 55 (the program has received fewer applications in recent years). The number of grantees was increased from 36 to 48 to reflect changes in number of active grants. • Reduced number of respondents for the Code of Conduct from 36 to 8 as it is rare that grantees need to submit this information and it is only needed at the time of grant funding. • The following forms were removed as they are no longer used: HUD-2993 Acknowledgement of Application Receipt (2577-0259) and Final Financial Status Report (Form SF-269-A). • Burden hours were added to the following forms (.25 hour for each form). These are standard forms all HUD programs use (not specific to Jobs Plus) but burden hours had not been included: SF-424 Application for Federal Assistance (2501-0017); HUD-2880 Applicant Disclosure (2510-0011); SF-LLL- Lobbying (0348-0046); Certification Regarding Lobbying (new to NOFOs, required by HUD); SF424B (new to NOFOs, required by HUD). • Adjusted some burden hours per response to • Added the following as new parts of the NOFO: Schedule, organizational chart and Executive summary documentation. • Added Budget (HUD-50144) for clarity to Non-NOFO section (it used annually for budget updates).

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Annual Cost to Federal Government: $406,138

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.     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

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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: 05/26/2022

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