Information Collection

Choice Neighborhoods

IC 194340 under ICR 202509-2577-002 · OMB 2577-0269.

Documents and Forms

Document Name Document Type
Form 50163 Choice Neighborhoods Form and Instruction
Form 50163 Actual Choice Neighborhood Cost Certifiction Choice Neighborhoods Form and Instruction
Form HUD Form-53236 CN Implementation Budget Form Choice Neighborhoods Form and Instruction
Form HUD Form-53421 CN Planning Budget Form Choice Neighborhoods Form and Instruction
50163 Actual Choice Neighborhood Cost Certifiction Final - HUD Form-50163 Actual CN Cost Cert.pdf Form and Instruction
50163 Actual Choice Neighborhood Cost Certifiction Final - HUD Form-50163 Actual CN Cost Cert.pdf Form and Instruction
HUD Form-53236 CN Implementation Budget Form Final - HUD Form-53236 CN Implementation Budget Form.xlsx Form and Instruction
HUD Form-53236 CN Implementation Budget Form Final - HUD Form-53236 CN Implementation Budget Form.xlsx Form and Instruction
HUD Form-53421 CN Planning Budget Form Final - HUD Form-53421 CN Planning Budget Form.xlsx Form and Instruction
HUD Form-53421 CN Planning Budget Form Final - HUD Form-53421 CN Planning Budget Form.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Choice Neighborhoods	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	50163	Actual Choice Neighborhood Cost Certifiction	Final - HUD Form-50163 Actual CN Cost Cert.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form-53236	CN Implementation Budget Form	Final - HUD Form-53236 CN Implementation Budget Form.xlsx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form-53421	CN Planning Budget Form	Final - HUD Form-53421 CN Planning Budget Form.xlsx	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 207	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,141	701	440
Annual IC Time Burden (Hours)	1,158	-3,273	4,431
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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