Information Collection

HUD-4139 Community Compass Work Plan

IC 283236 under ICR 202610-2528-004 · OMB 2528-0348.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-4139 HUD-4139 Community Compass Work Plan HUD-4139 Community Compass Work Plan	Form and Instruction
Form SF 424 Key Contacts Form HUD-4139 Community Compass Work Plan	Form and Instruction
Form SF 425 Federal Financial Report HUD-4139 Community Compass Work Plan	Form and Instruction
HUD-4139 HUD-4139 Community Compass Work Plan HUD-4139 Community Compass Work Plan_2023.docx	Form and Instruction
SF 424 Key Contacts Form SF 424.pdf grants.gov/forms/forms-repository/post-award-reporting-forms	Form and Instruction
SF 425 Federal Financial Report SF 425.pdf grants.gov/forms/forms-repository/post-award-reporting-forms	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-4139		Yes	Yes	Fillable Fileable
Form and Instruction	SF 424	https://grants.gov/forms/forms-repository/post-award-reporting-forms	Yes	Yes	Fillable Fileable
Form and Instruction	SF 425	https://grants.gov/forms/forms-repository/post-award-reporting-forms	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	6,300	6,300
Annual IC Cost Burden (Dollars)	491,022	491,022

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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