Builder's Certification of Plans, Specifications, and Site

Forms and Documents

Document Name	Status
Form HUD-92541 Builder's Certification of Plans, Specifications, and Site Form	Modified
OMB 83C - Form HUD-92541 10.11.2024.pdf Justification for No Material/Nonsubstantive Change	2024-10-29
Form HUD-92541 Builders Certification-Clean 10.10.24.pdf Supplementary Document	2024-10-22
Form HUD-92541 Builders Certification-Redline 10.10.24.pdf Supplementary Document	2024-10-22
SS 2502-0496 (F).docx Supporting Statement A	2022-07-27
30-day Notice.pdf Supplementary Document	2022-07-15

IC Document Collections

IC ID	Document Title	Status
27238	Builder's Certification of Plans, Specifications, and Site Form	Modified

ICR Details

OMB Control No: 2502-0496	ICR Reference No: 202410-2502-002
Status: Received in OIRA	Previous ICR Reference No: 202207-2502-006
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Builder's Certification of Plans, Specifications, and Site
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/07/2024

	Requested	Previously Approved
Expiration Date	06/30/2026	06/30/2026
Responses	201,736	201,736
Time Burden (Hours)	15,130	15,130
Cost Burden (Dollars)	0	0

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Abstract: Agency form number(s) HUD-92541 Annual reporting and recordkeeping hour burden Number of respondents 166,080 Total annual responses 201,736 Percent of these responses collected electronically 95% Total annual hours 15,130 Tota annual hours Difference Explanation of difference Program change Adjustment Other changes: This request is for a non-substantial change to include: • add a date field to collect the Building Permit Application Date • change the references for Box 1.A.3(iii) • change the field description for Box 4 • change the references for Box 8, and • update the form revision date at the bottom of all pages.

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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:
	87 FR 14027	03/11/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 35990	06/14/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Builder's Certification of Plans, Specifications, and Site	HUD-92541	Builder's Certification of Plans, Specifications, & Site

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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	201,736	201,736	0	0	0	0
Annual Time Burden (Hours)	15,130	15,130	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $10,496

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: 11/07/2024

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