Final -Data Collection instrument for the HUD Secretary Awards Nomination Template (Appendix A)

2528-0324

Expiration Date: XX-XX-XXXX

Data Collection for the HUD Secretary’s Awards including The Secretary’s Award for Public-Philanthropic Partnerships, The Secretary’s Awards for Healthy Homes, The Secretary’s Award for Excellence in Historic Preservation, The Secretary’s Planning Award, The Secretary’s Housing Design Awards, and The HUD Innovation in Affordable Housing Student Design and Planning Competition.

Title of Nominated Project/Group/Organization

Name and Business Contact Information of the person submitting the Nomination

(Business Address, City, State, Zip, Telephone, E-mail)

Brief Summary of the Project, Group, or Organization

Narrative/Summary of Entry (How nomination meets award criteria)

Project Overview/Project Description

Project Plans (Implementation of Strategy and Plan)

Project Budget

Letters of Recommendation/Letter from State Historic Preservation Office

Photographs/Digital Images of Work for Nominee

Supporting Documentation (Supporting brochures, newspapers, clippings, editorials, legislative, regulatory, or policy provisions, or review of an implementation effort)

Public reporting burden for this collection of information is estimated to average 3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a person is not required to respond to, a collection information unless that collection displays a valid OMB control number 2528-0324, expiring xx-xx-xxxx.The information requested under this collection is protected and held confidential in accordance with 42 U.S.C. 1306, 20 CFR 401 and 402, 5 U.S.C.552 (Freedom of Information Act), 5 U.S.C. 552a (Privacy Act of 1974) and OMB Circular No. A-130. As required by 5 U.S.C. 552a (Privacy Act of 1974).