Choice Neighborhoods

Forms and Documents

Document Name	Status
Form HUD Form 53150 Choice Neighborhoods Form and Instruction	Unchanged
83i 03 08 2011 (2).docx Supporting Statement A	2011-12-14

IC Document Collections

IC ID	Document Title	Status
194340	Choice Neighborhoods Form and Instruction	Unchanged

ICR Details

OMB Control No: 2577-0269	ICR Reference No: 201112-2577-003
Status: Historical Active	Previous ICR Reference No: 201105-2577-009
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0269
Title: Choice Neighborhoods
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: 01/09/2012
	Date Received in OIRA: 12/20/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	01/31/2012
Responses	150	0	150
Time Burden (Hours)	6,864	0	6,864
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required to allow HUD to award and obligate grant funds in accordance with the FY 2010 HUD Appropriations Act, which permits HUD to use up to $65M of the HOPE VI appropriation for a Choice Neighborhoods Initiative.

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Authorizing Statute(s): PL: Pub.L. 111 - 117 24 Name of Law: Consolidated Appropriations Act
  

Citations for New Statutory Requirements: None

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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:
	76 FR 16437	03/23/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 27082	05/10/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Choice Neighborhoods	HUD Form 53234, HUD Form 53150, HUD Form 53231, HUD Form 53237, HUD Form 53235, HUD Form 53240, HUD Form 53236, HUD Form 53232, HUD 53233, HUD Form 53153, HUD Form 53151, HUD Form 53152, HUD Form 53230, HUD Form 53238, HUD Form 53239, HUD Form 53154	Choice Neighborhoods Planning Grant Application Checklist Table of Contents ,   Choice Neighborhoods Planning Grants Resident Involvement Certification ,   Choice Neighborhoods Planning Grants Application Information ,   Choice Neighborhoods Inadequate Schools Form ,   Choice Neighborhoods Planning Match Leverage Resources ,   Choice Neighborhoods Implementation Grant Application Checklist Table of Contents ,   Choice Neighborhoods Implementation Grants Resident and Community Involvement Certification ,   Choice Neighborhoods - Certification of Severe Physical Distress ,   Choice Neighborhoods Implementation Grants Application Information ,   Choice Neighborhoods Application Data Form: Existing Units, Occupancy, and Vacancy ,   Choice Neighborhoods Implementation Grants Sizing Worksheet ,   Choice Neighborhoods Implementation Grants Application Data Form: Sources and Uses, Page 1 ,   Choice Neighborhoods - Extraordinary Site Costs Certification ,   Choice Neighborhoods - Implementation Grants One-for-One Replacement Certification ,   Choice Neighborhoods Application Certifications- Implementation Grants ,   Attachment 38: Neighborhood Resources

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ICR Summary 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	150	150	0	0	-50	50
Annual Time Burden (Hours)	6,864	6,864	0	0	-2,504	2,504
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: No

Burden Reduction Due to:

Short Statement: Program Change: 1. Under the Implementation Grants, the original emergency submittal only included the first round of the competition, and the leveraging forms and documentation were only required for the second round of competition. Going forward there will only be one round of competition. Therefore, the leveraging forms and documentation are added to the collection. The forms added are Housing Leverage, Supportive Services Leverage, Neighborhood Leverage – Anticipatory Resources, Neighborhood Resources Leverage. Applicants will provide the backup documentation. The additional forms add 500 hours to the burden. 2. Under the planning grants, the application data form cover sheet and the application data form: existing units have been combined into one for which is now named the key eligibility data form. The combination of these two forms reduces the burden by 100 hours. Adjustment: 1. The previous collection was based on anticipated submittals. The actual submittal of implementation grants was less than anticipated; therefore the collection has been adjusted to reflect the actual submittals of approximately 50 submittals. Therefore, the burden hours have been reduced by 2,904 hrs.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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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: 12/20/2011

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