Eviction Protection Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 424 CBW Grant application detailed Budget Worksheet	Form and Instruction	Removed	Available
Form SF LLL Disclosure of Lobbying Activities	Form and Instruction	Removed	Available
Form SF 424 Application for Federal Assistance	Form and Instruction	Removed	Available
Form HUD 2880 Application Recipient Disclosure update report	Form and Instruction	Removed	Available
Form HUD 2880 NOFO	Form and Instruction	Removed	Repair queued
Form Revision Chart - EPGP EO 14168 update.docx	Supplementary Document	Uploaded 2025-03-03	Repair queued
V2 HUD 52698 Household Services and Outcomes Report EO 14168 redline.pdf	Supplementary Document	Uploaded 2025-03-19	Repair queued
HUD-Form-52698a-Household-Services-and-Outcomes-Submission-Report EO 14168 redline.xlsx	Supplementary Document	Uploaded 2025-03-19	Repair queued
V2 EPGP 2528-0331 Part A Supporting Statement EO 14168 redline.pdf	Supplementary Document	Uploaded 2025-03-19	Repair queued
30-Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2024-12-09	Available
30-Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2024-12-09	Repair queued
60-Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2024-12-09	Available
60-Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2024-12-09	Repair queued
Pew_2528_0331.pdf	Public Comments	Uploaded 2024-01-16	Repair queued
NMIC_2528_0331.docx	Public Comments	Uploaded 2024-01-12	Repair queued
NHLP_2528_0331.pdf	Public Comments	Uploaded 2024-01-15	Repair queued
National Center for State Courts_2528-0331.docx	Public Comments	Uploaded 2024-01-15	Repair queued
Legal Services of New Jersey_2528_0331.pdf	Public Comments	Uploaded 2024-01-16	Repair queued
Legal Services of Eastern MO_2528_0331.pdf	Public Comments	Uploaded 2024-01-16	Repair queued
Community Legal Aid_2528_0331.pdf	Public Comments	Uploaded 2024-01-12	Repair queued
Final - EOrev EPGP 2528-0331 Supporting Statement.docx	Supporting Statement A	Uploaded 2025-03-03	Repair queued
EPGP 2528-0331 Part A Supporting Statement.docx	Supporting Statement A	Uploaded 2024-12-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
272900	Grant Voucher Detailed Worksheet, 52700	Other-Voucher worksheet	New
272899	Benchmarks Plan and Report, 52699	Other-Reporting Document	New
272898	Household Services and Outcomes Submission Report 52698(a)	Instruction	New
251335	Household Services and Outcomes Report, 52698	Other-Client Reporting	Modified
248106	Grant Reporting		Modified
248105	Detailed Budget Worksheet, 424 CBW	Other-	Modified
248091	Grant Work Plan		Modified
248090	NOFO	Form and Instruction	Removed	Grant application detailed Budget Worksheet
248090	NOFO	Form and Instruction	Removed	Disclosure of Lobbying Activities
248090	NOFO	Form and Instruction	Removed	Application for Federal Assistance
248090	NOFO	Form and Instruction	Removed	Application Recipient Disclosure update report
248090	NOFO	Form and Instruction	Removed

ICR Details

OMB Control No: 2528-0331	ICR Reference No: 202412-2528-004
Status: Active	Previous ICR Reference No: 202201-2528-001
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: Eviction Protection Grant Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/18/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/11/2024
Terms of Clearance: The agency responded to public comments, made minor modifications to the supporting statement, and made revisions consistent with EO 14168.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2028	36 Months From Approved	04/30/2025
Responses	21,378	0	20,220
Time Burden (Hours)	5,733	0	9,774
Cost Burden (Dollars)	351,606	0	0

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Abstract: The 2021 Consolidated Appropriations Act, Div. L, Title II - HUD Appropriations Act, 2021, provided $20,000,000 for competitive grants to nonprofit or governmental entities to provide legal assistance (including assistance related to pretrial activities, trial activities, post-trial activities and alternative dispute resolution) at no cost to eligible low-income tenants at risk of or subject to eviction. The collection of information in association with the Notice of Funding Opportunity (NOFO) will be used by the Office of Policy Development and Research to meet its program monitoring obligations under the Act, including ensuring that eligible tenants living in rural areas are served. The House of Representatives Explanatory Statement of the Consolidated Appropriations Act, 2021 Congressional Record 166, no. 218, book IV, at H8828, December 21, 2020, further emphasized the importance of implementing and overseeing this grant as a “demonstration program.” Accordingly, the collection of information enables HUD to meet its research and demonstration obligations under the Housing and Urban Development Act of 1970, section 501 (12 U.S.C. §â€¯1701z-1) for this new program. This revision is being submitted because ongoing program execution has revealed grantee reporting questions and challenges, and the need for additional standardization, fillable formats, and data point clarifications and revisions. The forms are also revised to integrate the new Office of Management and Budget (OMB) race and ethnicity data standards. HUD is also seeking approval to implement a revised version of HUD Form 52698 and three additional forms. While these forms will require additional time to complete, they are expected to reduce confusion and corrections of administrative requirements, benefitting both HUD and grantees.

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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:
	88 FR 78776	11/16/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 57925	07/16/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Benchmarks Plan and Report, 52699
Detailed Budget Worksheet, 424 CBW
Grant Reporting
Grant Voucher Detailed Worksheet, 52700
Grant Work Plan
Household Services and Outcomes Report, 52698
Household Services and Outcomes Submission Report 52698(a)
NOFO	HUD 2880, SF 424, SF LLL, 424 CBW	Application Recipient Disclosure update report ,   Application for Federal Assistance ,   Disclosure of Lobbying Activities ,   Grant application detailed Budget Worksheet

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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	21,378	20,220	0	1,258	-100	0
Annual Time Burden (Hours)	5,733	9,774	0	471	-4,512	0
Annual Cost Burden (Dollars)	351,606	0	0	351,606	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: Reporting requirements for the program have been refined to ensure that HUD is collecting sufficient information to monitor and evaluate the program. In addition, the NOFO and other associated application documents are now covered under a separate approval number.

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Annual Cost to Federal Government: $40,286

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? Yes

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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: 12/11/2024

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