Information Collection

Jobs Plus Pilot Program

IC 212823 under ICR 202509-2577-003 · OMB 2577-0281.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD Form 50153 Jobs Plus Pilot Program	Form and Instruction
Form HUD Form 50153 Certification of Consistency with Promise Zone Goal and Implementation Jobs Plus Pilot Program	Form and Instruction
Form HUD Form 424B Applicant and Recipient Assurances and Certifications Jobs Plus Pilot Program	Form and Instruction
Form HUD Form 2880 Applicant/Recipient Disclosure/Update Report Jobs Plus Pilot Program	Form and Instruction
Form HUD Form 2991 Certification of Consistency with the Consolidated Plan Jobs Plus Pilot Program	Form and Instruction
Form HUD Form 2996 Certification for Opportunity Zones Preference Points Jobs Plus Pilot Program	Form and Instruction
Form HUD Form 50070 Certification for a Drug-Free Workplace Jobs Plus Pilot Program	Form and Instruction
Form HUD Form 50144 Jobs Plus Budget Jobs Plus Pilot Program	Form and Instruction
Form HUD Form 1044 Assistance Award/Amendment Jobs Plus Pilot Program	Form and Instruction
Form SFLLL Disclosure or Lobbying Activities Jobs Plus Pilot Program	Form and Instruction
HUD Form 50153 Certification of Consistency with Promise Zone Goal and Final - HUD Form - 50153.pdf	Form and Instruction
HUD Form 50153 Certification of Consistency with Promise Zone Goal and Final - HUD Form - 50153.pdf	Form and Instruction
HUD Form 424B Applicant and Recipient Assurances and Certifications Final - HUD Form 424B-v2.pdf	Form and Instruction
HUD Form 424B Applicant and Recipient Assurances and Certifications Final - HUD Form 424B-v2.pdf	Form and Instruction
HUD Form 2880 Applicant/Recipient Disclosure/Update Report Final - HUD Form 2880.pdf	Form and Instruction
HUD Form 2880 Applicant/Recipient Disclosure/Update Report Final - HUD Form 2880.pdf	Form and Instruction
HUD Form 2991 Certification of Consistency with the Consolidated Plan Final - HUD Form 2991.pdf	Form and Instruction
HUD Form 2991 Certification of Consistency with the Consolidated Plan Final - HUD Form 2991.pdf	Form and Instruction
HUD Form 2996 Certification for Opportunity Zones Preference Points Final - HUD Form 2996.pdf	Form and Instruction
HUD Form 2996 Certification for Opportunity Zones Preference Points Final - HUD Form 2996.pdf	Form and Instruction
HUD Form 50070 Certification for a Drug-Free Workplace Final - HUD Form 50070.pdf	Form and Instruction
HUD Form 50070 Certification for a Drug-Free Workplace Final - HUD Form 50070.pdf	Form and Instruction
HUD Form 50144 Jobs Plus Budget Final - HUD Form 50144 JobPlus Budget _.xlsx	Form and Instruction
HUD Form 50144 Jobs Plus Budget Final - HUD Form 50144 JobPlus Budget _.xlsx	Form and Instruction
HUD Form 1044 Assistance Award/Amendment Final - HUD Form-1044 Form.pdf	Form and Instruction
HUD Form 1044 Assistance Award/Amendment Final - HUD Form-1044 Form.pdf	Form and Instruction
SFLLL Disclosure or Lobbying Activities Final - SFLLL.pdf	Form and Instruction
SFLLL Disclosure or Lobbying Activities Final - SFLLL.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Jobs Plus Pilot Program

Agency IC Tracking Number:

2577-NEW

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	HUD Form 50153	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form 424B	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form 2880	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form 2991	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form 2996	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form 50070	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form 50144	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD Form 1044	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SFLLL	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 103

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	Previously Approved
Annual Number of Responses for this IC	103	0	103
Annual IC Time Burden (Hours)	6,432	-141	6,573
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].