Form HUD Form 53150 HUD Form 53150 Choice Neighborhoods Planning Grant Application Checklis

Choice Neighborhoods Planning Grant

U.S. Department of Housing and Urban Development

OMB Approval No. 2577-0269 (exp. 2/28/2011)

The public reporting burden for this collection of information for the Choice Neighborhoods Program is estimated to average fifteen minutes, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information and preparing the application package for submission to HUD.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions to reduce this burden, to the Reports Management Officer, Paperwork Reduction Project, to the Office of Information Technology, US. Department of Housing and Urban Development, Washington, DC 20410-3600. When providing comments, please refer to OMB Approval No. 2577-0269. HUD may not conduct and sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid control number.

The information submitted in response to the Notice of Funding Availability for the Choice Neighborhoods Program is subject to the disclosure requirements of the Department of Housing and Urban Development Reform Act of 1989 (Public Law 101-235, approved December 15, 1989, 42 U.S.C. 3545).

CHOICE NEIGHBORHOODS PLANNING GRANT

APPLICATION CHECKLIST/TABLE OF CONTENTS

NARRATIVE EXHIBITS Page Number

Exhibit A: SUMMARY INFORMATION

A Executive Summary __________

Exhibit B: THRESHOLD REQUIREMENTS

B Narrative on Partnership with Planning Coordinator (if any) __________

Exhibit C: CAPACITY

C Capacity Narrative Response __________

Exhibit D: NEED

D Need- Severe Physical Distress of the PH and/or Assisted Housing __________

Exhibit E: PLAN

E.1 Plan – Planning Activities __________

E.2 Plan – Neighborhood Assets and Needs Assessments __________

E.3 Plan – Policy Priority – Educational Opportunities Planning __________

E.4 Plan – Policy Priority – Capacity Building and Knowledge Sharing __________

E.5 Plan – Resident and Community Involvement __________

ATTACHMENTS

1. Key Eligibility Data Form __________

2. Eligible Applicants Documentation __________

3. Documentation for Planning Coordinator __________

4. Eligible Housing Documentation –Severe Distress of Targeted

Project Certification __________

5. Eligible Neighborhoods Documentation –Mapping Tool Data __________

6. Eligible Neighborhoods Documentation – Substandard Housing Documentation __________

7. Eligible Neighborhoods Documentation – Low-Performing School __________

8. Resident Involvement Certification __________

9. Need - Structural Deficiencies Documentation __________

10. Need - Design Deficiencies Documentation __________

11. Need - Part I Violent Crimes Documentation __________

12. Planning Schedule __________

13. Budget __________

14. Leverage Documentation __________

15. City and Neighborhood Maps __________

16. Current Site Plan __________

17. Category Preferences Documentation __________

18. RC/EZ/EC-II Certification, if applicable __________

19. Preferred Sustainable Status Certification, if applicable __________

20. Choice Neighborhoods Application Certifications – Planning Grants __________

21. Application for Federal Assistance (SF-424) __________

22. Disclosure of Lobbying Activities (SF-LLL) __________

23. Applicant/Recipient Disclosure/Update Report (HUD-2880) __________

24. Facsimile Transmittal (HUD-96011) __________

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