Youth Homelessness Demonstration Program (YHDP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 50070 Certification for a Drug Free Workplace	Form and Instruction	Modified	Available
Form HUD 2991 Cetification of Consistence with Consolidated Plan	Form	Modified	Available
Form SF LLL Disclosure Lobbying	Form	Modified	Available
Form HUD 2993 Acknowlegment of Application Receipt	Form	Modified	Available
Form HUD 2880 Applicant/Recipient Update Report	Form and Instruction	Modified	Available
Form SF 424 Application for Federal Assistance	Form	Modified	Available
Form SF 424 Youth Homelessness Demonstration Program	Form	Modified	Repair queued
Form Revision Chart 2506-0210.docx	Supplementary Document	Uploaded 2025-05-08	Available
Form Revision Chart 2506-0210.docx	Supplementary Document	Uploaded 2025-05-08	Repair queued
EOrev. OMB 2506-0210 Supporting Statement. Redlined.pdf	Supplementary Document	Uploaded 2025-05-08	Available
EOrev. OMB 2506-0210 Supporting Statement. Redlined.pdf	Supplementary Document	Uploaded 2025-05-08	Repair queued
Form Revision Chart 2506-0210 (AutoRecovered).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-04-30	Available
Form Revision Chart 2506-0210 (AutoRecovered).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-04-30	Repair queued
30 Day Notice.pdf	Supplementary Document	Uploaded 2023-11-07	Available
30 Day Notice.pdf	Supplementary Document	Uploaded 2023-11-07	Repair queued
Final-EOrev.OMB 2506-0210 Supporting Statement.docx	Supporting Statement A	Uploaded 2025-05-08	Available
Final-EOrev.OMB 2506-0210 Supporting Statement.docx	Supporting Statement A	Uploaded 2025-05-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223048	Youth Homelessness Demonstration Program	Form and Instruction	Modified	Certification for a Drug Free Workplace
223048	Youth Homelessness Demonstration Program	Form	Modified	Cetification of Consistence with Consolidated Plan
223048	Youth Homelessness Demonstration Program	Form	Modified	Disclosure Lobbying
223048	Youth Homelessness Demonstration Program	Form	Modified	Acknowlegment of Application Receipt
223048	Youth Homelessness Demonstration Program	Form and Instruction	Modified	Applicant/Recipient Update Report
223048	Youth Homelessness Demonstration Program	Form	Modified	Application for Federal Assistance
223048	Youth Homelessness Demonstration Program	Form	Modified

ICR Details

OMB Control No: 2506-0210	ICR Reference No: 202504-2506-002
Status: Active	Previous ICR Reference No: 202304-2506-004
Agency/Subagency: HUD/CPD	Agency Tracking No:
Title: Youth Homelessness Demonstration Program (YHDP)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/13/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/08/2025
Terms of Clearance: Revisions made consistent with E.O. 14168 and 14151.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2026	12/31/2026	12/31/2026
Responses	300	0	300
Time Burden (Hours)	10,976	0	10,976
Cost Burden (Dollars)	0	0	0

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Abstract: YHDP will support 10 communities, at least 4 of which will be rural, in the development and implementation of a coordinated community approach to preventing and ending youth homelessness, and share that experience communities around the country. YHDP targets unaccompanied youth, including parenting youth, where no member of the household is older than 24, and will include 3 components: 1) Site selection 2) Project application and 3)Community plan development.

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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 21204	04/10/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 76842	11/07/2023
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
Youth Homelessness Demonstration Program	HUD 2880, SF 424, HUD 2991, HUD 2993, SF LLL, HUD 50070	Application for Federal Assistance ,   Applicant/Recipient Update Report ,   Acknowlegment of Application Receipt ,   Disclosure Lobbying ,   Cetification of Consistence with Consolidated Plan ,   Certification for a Drug Free Workplace

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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	300	300	0	0	0	0
Annual Time Burden (Hours)	10,976	10,976	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: $30,860

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: 05/08/2025

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