Jobs Plus Pilot Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SFLLL Disclosure or Lobbying Activities	Form and Instruction	Modified	Available
Form HUD Form 1044 Assistance Award/Amendment	Form and Instruction	Modified	Available
Form HUD Form 50144 Jobs Plus Budget	Form and Instruction	Modified	Available
Form HUD Form 50070 Certification for a Drug-Free Workplace	Form and Instruction	Modified	Available
Form HUD Form 2996 Certification for Opportunity Zones Preference Points	Form and Instruction	Modified	Available
Form HUD Form 2991 Certification of Consistency with the Consolidated Plan	Form and Instruction	Modified	Available
Form HUD Form 2880 Applicant/Recipient Disclosure/Update Report	Form and Instruction	Modified	Available
Form HUD Form 424B Applicant and Recipient Assurances and Certifications	Form and Instruction	Modified	Available
Form HUD Form 50153 Certification of Consistency with Promise Zone Goal and Implementation	Form and Instruction	Modified	Available
Form HUD Form 50153 Jobs Plus Pilot Program	Form and Instruction	Modified	Repair queued
published 30-day 2577-0281 Jobs Plus.pdf	Supplementary Document	Uploaded 2026-01-21	Available
PC_202509-2577-003_100325_093647_1.pdf	Public Comments	Uploaded 2025-10-03	Available
Final - OMB 2577-0281 Jobs Plus Supporting Statement.docx	Supporting Statement A	Uploaded 2025-09-23	Available
Final - OMB 2577-0281 Jobs Plus Supporting Statement.docx	Supporting Statement A	Uploaded 2025-09-23	Available
2577-0281 published 60-day Jobs Plus.pdf	Supplementary Document	Uploaded 2025-09-09	Available
2577-0281 published 60-day Jobs Plus.pdf	Supplementary Document	Uploaded 2025-09-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Disclosure or Lobbying Activities
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Assistance Award/Amendment
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Jobs Plus Budget
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Certification for a Drug-Free Workplace
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Certification for Opportunity Zones Preference Points
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Certification of Consistency with the Consolidated Plan
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Applicant/Recipient Disclosure/Update Report
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Applicant and Recipient Assurances and Certifications
212823	Jobs Plus Pilot Program	Form and Instruction	Modified	Certification of Consistency with Promise Zone Goal and Implementation
212823	Jobs Plus Pilot Program	Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0281	ICR Reference No: 202509-2577-003
Status: Active	Previous ICR Reference No: 202205-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0281
Title: Jobs Plus Pilot Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/09/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/25/2025
Terms of Clearance: The agency is advised that the Supporting Statement A insufficiently discusses the information collection elements required under this OMB Control Number. Prior to resubmission, the agency will revise the necessary documentation consistent with OMB correspondence.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2029	36 Months From Approved	04/30/2026
Responses	103	0	103
Time Burden (Hours)	6,432	0	6,573
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required to allow HUD to conduct a competition to award and obligate Jobs Plus grant funds in accordance with the FY 2014 Appropriations Act, which permits HUD to use up to $15M of the appropriation for Jobs Plus Initiative

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Authorizing Statute(s): US Code: 44 USC Chapter 35 as amended Name of Law: Section 3507 of the Paperwork Reduction Act of 1995
  

Citations for New Statutory Requirements: US Code: 9 USC 1437q Name of Law: U.S. Housing Act of 1937

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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:
	90 FR 34293	07/21/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 46232	09/25/2025
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
Jobs Plus Pilot Program	HUD Form 50070, HUD Form 50144, HUD Form 1044, SFLLL, HUD Form 50153, HUD Form 424B, HUD Form 2880, HUD Form 2991, HUD Form 2996	Certification of Consistency with Promise Zone Goal and Implementation ,   Applicant and Recipient Assurances and Certifications ,   Applicant/Recipient Disclosure/Update Report ,   Certification of Consistency with the Consolidated Plan ,   Certification for Opportunity Zones Preference Points ,   Certification for a Drug-Free Workplace ,   Jobs Plus Budget ,   Assistance Award/Amendment ,   Disclosure or Lobbying Activities

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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	103	103	0	0	0	0
Annual Time Burden (Hours)	6,432	6,573	0	-141	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: These information collections have no impact on small businesses or other small entities (small businesses are not eligible applicants). However, in general efforts have been made to minimize the burden placed on all applicants, while at the same time ensuring that sufficient information is provided for program purposes.

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Annual Cost to Federal Government: $313,688

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.     Yes

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: 09/25/2025

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