Final - Data Collection instrument for the HUD Secretary Awards Nomination Template (Appendix A)

2528-0324

Expiration Date: xx-xx-xxxx

Data Collection for the HUD Secretary’s Awards including The Secretary’s Award for Public-Philanthropic Partnerships, The Secretary’s Awards for Healthy Homes, The Secretary’s Award for Excellence in Historic Preservation, The Secretary’s Planning Award, The Secretary’s Housing Design Awards, The Secretary’s Award for Tribal Housing Impact, and The HUD Innovation in Affordable Housing Student Design and Planning Competition.

Title of Nominated Project/Group/Organization

Name and Business Contact Information of the person submitting the Nomination

(Business Address, City, State, Zip, Telephone, E-mail)

Brief Summary of the Project, Group, or Organization

Narrative/Summary of Entry (How nomination meets award criteria)

Project Overview/Project Description

Project Plans (Implementation of Strategy and Plan)

Project Budget

Letters of Recommendation/Letter from State Historic Preservation Office

Photographs/Digital Images of Work for Nominee

Supporting Documentation (Supporting brochures, newspapers, clippings, editorials, legislative, regulatory, or policy provisions, or review of an implementation effort)

Public reporting burden for this collection of information is estimated to average 6 hours per response, including the time for reviewing instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions to reduce this burden the Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street SW, Room 4176, Washington, DC 20410–5000. This agency may not conduct or sponsor, and a person is not required to respond to, a collection information unless that collection displays a valid OMB control number 2528-0324, expiring 01-31-2026. You are not required to respond to this request for information; the collection is voluntary. The information requested under this collection will not be held confidential. HUD collects this information to determine the winners of the various Secretary’s Awards.