Information Collection

Choice Neighborhoods

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	50163	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form-53236	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form-53421	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 %

table that charts list of burden
	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

table that charts IC Documents
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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