Child IC-OLHCHH All Competitive NOFOs

OMB Number: 2501-0044
Expirafion Date: 02/28/2027
Link to Parent Supporfing Statement

Request for Approval under the Generic Solufion for Solicitafion for Compefifive Discrefionary Funding
Opportunity Announcements
Funding Opportunity Announcement Title:
Healthy Homes Producfion Program (HHP) - FR-6800-N-44
Older Adults Modificafion Home Modificafion Grant Program - FR-6800-N-69
Lead Hazard Reducfion Grant Program - FR-6800-N-13
Lead Hazard Reducfion Capacity Building Program - FR-6800-N-31
Radon Tesfing and Mifigafion Demonstrafion Grant Program - FR-6700-N-80
Healthy Homes Weatherizafion Cooperafion Demonstrafion Grant Program - FR-6800-N-62
Lead Technical and Healthy Homes Technical Studies Grant Program - FR-6800-N-15
Lead Safe and Healthy Homes Fund Demonstrafion Grant Progam - FR-6800-N-nn
HUD Program Office/Agency: Office of Lead Hazard Control and Healthy Homes
Other:
HUD Program Office/Agency Point of Contact (person complefing this form):
Brenda Reyes
Alignment with Informafion Collecfion Package: (Check one)
Funding Opportunity for Exisfing Program.
Funding Opportunity for New Program.
Purpose
Briefly describe the program. Include specific statutes and regulafions. Explain the informafion to be collected to
clearly describe to OMB the requirements and burden on the respondents. The descripfion must align with and
provide detail on the informafion included in the parent supporfing statement. For example, if the respondent
burden table below shows 50 burden hours for project summary, provide addifional detail elaborafing on what
the respondents are required to provide to meet that requirement. For exisfing programs, the informafion
included here may resemble the informafion you would have submifted in quesfion number 1 in your
exisfing/previously approved ICR. Also, include and clearly label any excepfions to the acfivifies described in the
parent supporfing statement. If revising an approved collecfion, highlight key changes to the collecfion.
Grants are issued by the Department of Housing and Urban Development (HUD) Office of Lead Hazard Control
and Healthy Homes (OLHCHH) to accomplish the public purpose of support or sfimulafion authorized by Federal
statutes (secfions 1011, 1051, and 1052 of Title X of the Housing and Community Development Act of 1992
(hftps://uscode.house.gov/view.xhtml?req=(fitle:42%20secfion:4852%20edifion:prelim),
hftps://uscode.house.gov/view.xhtml?req=(fitle:42%20secfion:4854%20edifion:prelim), and
hftps://uscode.house.gov/view.xhtml?req=(fitle:42%20secfion:4854a%20edifion:prelim), respecfively); and
secfions 501 and 502 of the Housing and Urban Development Act of 1970
(hftps://uscode.house.gov/view.xhtml?req=(fitle:12%20secfion:1701z-1%20edifion:prelim) and
hftps://uscode.house.gov/view.xhtml?req=(fitle:12%20secfion:1701z-2%20edifion:prelim), respecfively).
Under secfion 503(b)(2)(C) of fitle 31 of the U.S. Code
(hftps://uscode.house.gov/view.xhtml?req=(fitle:31%20secfion:503%20edifion:prelim)), as created by secfion
202(b) of the Chief Financial Officers Act of 1990
(hftps://uscode.house.gov/statviewer.htm?volume=104&page=2839), the Office of Management and Budget
(OMB) established general management policies for execufive agencies relafing to grants, including its Uniform
2/2024

administrafive requirements, cost principles, and audit requirements for Federal awards, fitle 2 of the Code of
Federal Regulafions (CFR) part 200 (hftps://www.ecfr.gov/current/fitle-2/subfitle-A/chapter-II/part-200), which
HUD applied to its awards (including grants and cooperafive agreements) to non-Federal enfifies in adopfing 2
CFR 2400.101, Applicable regulafions (hftps://www.ecfr.gov/current/fitle-2/subfitle-A/chapter-II/part-200). In
parficular, 2 CFR 200.204, Nofices of funding opportunifies (hftps://www.ecfr.gov/current/fitle-2/secfion200.204), requires, for discrefionary grants and cooperafive agreements that are competed, that HUD, as a
Federal awarding agency, must announce specific funding opportunifies by providing the specific informafion in
a public nofice. With OMB having published a revision to 2 CFR 200 on April 22, 2024 (89 FR 30046-30208,
hftps://www.federalregister.gov/d/2024-07496), the OLHCHH will be choosing to apply the revised guidance
starfing on July 1, 2024 (i.e., not earlier than the June 21, 2024, earliest date the revision allows) to enhance
administrafive and monitoring consistency among its grants executed in or before fiscal year 2024 and grants
executed in or after fiscal year 2025.
The OLHCHH requires informafion from some of its grantees and contractors on project-specific acfions that
will be taken to ensure the quality and validity of data that they collect and analyze. The OLHCHH specifically
requires this from grantees conducfing research or significant evaluafion acfivifies. This includes grantees
funded under the Office’s Lead Technical Studies or Healthy Homes Technical Studies Grant Programs, and may
be required of other grant programs, such as the Healthy Homes and Weatherizafion Cooperafion
Demonstrafion grant program as well as by the Office’s contractors conducfing research and evaluafion
acfivifies under the Office’s direcfion.
Requiring certain grantees and contractors to use quality assurance plan (QAP) templates to summarize their
quality assurance acfivifies helps to ensure that the acfivifies are sufficiently thorough and well-integrated into
project acfivifies. It also standardizes the presentafion of these acfivifies, which facilitates more efficient and
effecfive review by OLHCHH staff.
Because HUD may disseminate findings from grant- and contract-supported research and evaluafion projects,
the QAP requirements help the OLHCHH to ensure adherence with the Department’s Informafion Quality
Guidelines (67 Federal Register 69642-69651; November 18, 2002. hftps://www.federalregister.gov/d/0229195). The Informafion Quality Guidelines fulfill the requirements of Secfion 515 of the Treasury Department
Appropriafions Act, 2001 (hftps://www.congress.gov/bill/106th-congress/house-bill/4577/text), which
requires OMB (hftps://www.whitehouse.gov/wpcontent/uploads/legacy_drupal_files/omb/assets/OMB/fedreg/reproducible2.pdf), and, thereafter, federal
agencies to issue implemenfing guidelines for ensuring and maximizing the quality, objecfivity, ufility, and
integrity of informafion they disseminate.
Since the last renewal of this informafion collecfion request (2539-0015), the OLHCHH has added a number of
grant programs and increased its funding announced in its NOFOs as being available for its grant programs;
these have increased the number of respondents. The OLHCHH has ended some of its grant programs, and no
longer will require pre-applicafions for certain programs, offsefting that increase, leaving, in essence, as
discussed below, only the cost of living increase to account for the overall increased applicant and grantee
burden.
• Programs which have been added include the Older Adults Home Modificafion Program, Radon Tesfing and
Mifigafion Demonstrafion in Public Housing program, Lead Risk Assessment Demonstrafion in Public Housing
program, Lead Hazard Reducfion Capacity Building program, and Healthy Homes and Weatherizafion
Cooperafion Demonstrafion program,
• Programs for which no new NOFOs are being issued include the Lead Hazard Reducfion Program for High
Impact Neighborhoods program, Asthma Intervenfions in Public and Assisted Mulfifamily Housing program, and
Healthy Homes Producfion for Tribal Housing program.
• Programs that have confinued include the Lead-Based Paint Hazard Reducfion program, the Lead Hazard
Reducfion Demonstrafion program, the Healthy Homes Producfion program, the Lead Technical Studies
program, and the Healthy Homes Technical Studies program.
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During the period that this ICR will, if approved, cover, one or more grant programs may be added and one or
more may be ended; the burden esfimates here are conservafively high.
Short summary of OLHCHH programs:
• The Healthy Homes Producfion Program enables grantees to address mulfiple housing-related hazards in a
comprehensive fashion, instead of one hazard at a fime.
• The Older Adults Modificafion Home Modificafion Grant Program funding will help grantees provide adapfive
home adjustments through maintenance and repair projects on the primary residence of eligible, low-income
senior renters and homeowners who are at least 62 years old.
• The Lead Hazard Reducfion Grant Program assists states, cifies, counfies/parishes, Nafive American Tribes or
other units of local government in developing and implemenfing comprehensive programs to idenfify and
control lead-based paint hazards in eligible low-income privately-owned rental and owner-occupied housing.
• The Lead Hazard Reducfion Capacity Building Program will prepare communifies to apply for future rounds of
full lead hazard grant program funding. The program will focus on developing the infrastructure to idenfify and
control lead-based paint hazards in privately-owned rentals or owner-occupied housing.
• The Radon Tesfing and Mifigafion Demonstrafion Grant Program will test public housing units and mifigate
idenfified elevated radon levels.
• The Healthy Homes Weatherizafion Cooperafion Demonstrafion Grant Program demonstrates strategies for
effecfive cooperafion between HUD’s HHP and DOE’s Weatherizafion Assistance Program to maximize program
efficiencies and benefits in low-income communifies.
• The Lead Technical and Healthy Homes Technical Studies Grant Program is to gain knowledge to improve the
efficacy and cost-effecfiveness of methods for evaluafion and control of residenfial lead-based paint hazards.
Burden for applicants:
Informafion collected in applicafions:
Applicants for grants must respond to the Nofice of Funding Opportunity (NOFO) for the fiscal year published in
the Federal Register in order to receive a grant award. The NOFOs for Lead Hazard Control and Healthy Homes
programs are generally issued on an annual basis (the list of NOFOs is posted at
hftps://www.hud.gov/program_offices/cfo/gmomgmt/grantsinfo/fundingopps). Applicants submit their
applicafions packages electronically through Grants.gov, an e-government inifiafive managed by the
Department of Health and Human Services under OMB governance (hftps://www.grants.gov/support/aboutgrants-gov).
Applicants must complete certain of the following submissions, as specified in the grant program’s NOFO:
Collecfions applying to all programs:
•
Standard Form (SF) 424 (SF 424) Applicafion for Federal Assistance (OMB Approval 4040-0004)
•
SF 424B Applicant and Recipient Assurances and Cerfificafions (OMB Approval 4040-0007)
•
SF LLL Disclosure of Lobbying Acfivifies (OMB Approval 4040-0013)
•
Form HUD-2880 Applicant/Recipient Disclosure/Update Report (OMB Approval 2501-0044)
•
Form HUD-2991 Cerfificafion of Consistency with the Consolidated Plan (OMB Approval 2501-0044)
•
Form HUD-2993 Acknowledgement of Applicafion Receipt (OMB Approval 2501-0044)
•
Form HUD-424-B Applicant and Recipient Assurances and Cerfificafions (OMB Approval 2501-0044)
•
Form HUD-424-CBW Grant Applicafion Detailed Budget Worksheet (OMB Approval 2501-0044)
•
Form HUD-50070 Cerfificafion for a Drug-Free Workplace (OMB Approval 2501-0044)
•
Project Abstract Summary (OMB Approval 4040-0019)
•
Program specific requirements and rafing factors (OMB Approval 2539-0015)
•
Form HUD-96008 Work Plan Development Worksheet With Minimum Benchmark Performance
Standards for 36-Month Period of Performance (OMB Approval 2539-0015)
•
Form HUD-96009 Work Plan Development Worksheet With Minimum Benchmark Performance
Standards for 42-Month Period of Performancen (OMB Approval 2539-0015)
2/2024

•
Form HUD-96009-A Work Plan Development Worksheet With Minimum Benchmark Performance
Standards for 48-Month Period of Performance (As noted in the two items above, OMB Approval 2539-0015
covered forms HUD-96008 and HUD-96009, for 36- and 42-month grants, respecfively; form HUD-96009-A is for
48-month grants and is found as an addifional tab in the forms' aftached spreadsheet, with two addifional grant
quarter columns for the 6-month-longer grant period for this form than for the 42-month grants form. OMB
approval of this form is pending; no OLHCHH FY 2024 NOFOs will require submission of the form for 48-month
grants. (The burden esfimate regarding the form HUD-96009-A is an intenfional overesfimate in assuming that
the form will be used starfing with FY 2024 OLHCHH NOFOs. The narrafive responses to the rafing factors
incorporate currently relevant porfions of the substance of former forms HUD-96012, HUD-96013, HUD-96014,
and HUD-96015, which will no longer be used as stand-alone forms; forms HUD-96011 and HUD-96016 are no
longer applicable.)
If related policy preferences apply:
•
Form HUD-50153 Cerfificafion of Consistency with Promise Zone Goals and Implementafion (OMB
Approval 2501-0044)
•
Rural Partners Cerfificafion form (OMB Approval 2501-0044)
For research grant programs:
•
Quality Assurance Plan (OMB Approval 2539-0015)
Program specific requirements, rafing factors, and narrafives:
The required narrafive responses to the rafing factors, which may include three or more of the following, as
specified in each NOFO: Capacity of the Applicant and Relevant Organizafional Experience, Jusfificafion of
Applicant Need, Need for the Research, Soundness of Approach, Budget, and Achieving Results and Project
Management, and, in addifion, for some NOFOs, jusfificafions for preference points and/or bonus points. The
program narrafive incorporates currently relevant porfions of the substance of formerly used forms HUD-96012
(Factor 1 -- Capacity and Experience), HUD-96013 (Factor 2 -- Need/Extent of the Problem), HUD-96014
(Factor 3 -- Soundness of Approach), and HUD-96015 (Factor 4 -- Leveraging Resources), which will no longer be
used as stand-alone forms; formerly used forms HUD-96011 (Third Party Documentafion Facsimile Transmiftal)
and HUD-96016 (Factor 5 -- Healthy Homes Demo Need/Extent of the Problem) are no longer applicable.
To specify their quarterly performance and financial benchmarks for the applicafion review, applicants will use
form HUD-96008 if their grant’s period of performance is 36 months, form HUD-96009, if 42 months, or form
HUD-96009-A, if 48 months, using the parficular form (in its own spreadsheet tab) applicable to the durafion of
the period of performance of their grant. Applicants will enter their proposed target quanfifies or dollars for
the whole grant in a cell in each perfinent row of the spereadsheets applicable to the period of performance of
the grant. The forms' spreadsheets have been revised to reduce the amount of effort required of grant
applicants by having them need to enter only their overall grant target for a specified topic (e.g., target number
of housing units made lead safe or healthy), and having the spreadsheet cells' formulas calculate the
corresponding quarterly benchmarks for use in applicafion review. The forms are aftached to this supporfing
statement as individual tabs in a consolidated spreadsheet file; the file also has the forms' Paperwork
Reducfion Acfion Statement and the informafion collecfion Warning Statement and Cerfificafion in an
addifional tab cited by each form's tab.
The informafion listed above submifted by the applicants will be evaluated by the grant program’s applicafion
review panel (typically OLHCHH or other HUD staff (such as from the Office of Policy Development and
Research), and, somefimes, staff of collaborafing agencies, such as the Centers for Disease Control and
Prevenfion or the Environmental Protecfion Agency) as part of the selecfion process for grant award. The
review is conducted using the OLHCHH's Healthy Homes Grant Management System (HHGMS; OMB approval
2539-0008). During the inifial, threshold, review of the applicafions by OLHCHH, certain informafion missing
from an applicafion (specifically, informafion whose presence or absence would not affect the applicafion's
rafing) will be sought from the applicant through an emailed request; the burden for this infrequent occurrence
2/2024

is accounted for in the burdens for the various forms and for the program narrafive, below.
Applicants selected for grant award (esfimated at 80 percent of the number of applicants) are nofified of their
selecfion by email and that OLHCHH will be negotafing the terms and condifions of the grant in preparafion for
execufing the grant (note the Negofiafion segment below). These applicants are required to prepare and
submit the following forms to establish the grant program shortly after their grant is executed, for, respecfively,
having grant reimbursement payments deposited directly in a grantee account, and for appropriate grantee
personnel to gain access to HUD’s electronic Line of Credit Control System (eLOCCS), through which HUD and
the grantee manage the grantee’s account.
•
•

SF 1199A, Direct Deposit Sign-Up Form (OMB Approval 1530-0006)
Form HUD-27054E, eLOCCS Access Authorizafion Form (OMB Approval 2535-0102)

Award:
Applicafions that meet all the threshold requirements will be eligible to be reviewed and scored. Applicafions
scoring 75 points or more will be eligible to receive an award. Awards will then be made in rank order within
the limits of funding availability; however, for the 2-3 applicafions with the lowest scores among the highestranked applicafions within the limits of funding availability that differ in score by one point or less, the
Applicafion Review Panel will make a funding recommendafion based on which applicafion(s) it judges to be
most likely to use the grant to help create or significantly expand a sustainable model of inter-program
coordinafion.
Negofiafion:
OLHCHH requires that the selected applicants parficipate in negofiafion for execufion of the grant, which may
involve the applicant's providing documentafion in support of its negofiafing posifion to determine the specific
terms of the grant's implementafion, staffing, subcontracfing/subgranfing, and budget. If, based on the results
of the negofiafion, the applicant accepts the terms and condifions of the grant, the applicant must sign the
grant agreement by the date specified during the negofiafion. In cases where OLHCHH cannot successfully
conclude negofiafions with a selected applicant or where a selected applicant fails to provide OLHCHH
requested informafion, the grant with that applicant will not be executed. In this instance, OLHCHH may offer
an award, and proceed with negofiafions, with the next highest-ranking applicant. Applicants are advised that
if they are selected for mulfiple OLHCHH awards, they must ensure they have sufficient resources to provide
the promised leveraging for the mulfiple awards. During negofiafions, if the applicant is selected for mulfiple
awards, it will be required to provide alternafive leveraged resources, if necessary, before any of the grants can
be executed. This is required in order to avoid commifting the same leveraged resources to more than one
OLHCHH grant.
The Quality Assurance Plan reporfing requirement applies to the Lead Technical Studies and Healthy Homes
Technical Studies grantees, and to contractors that are conducfing research or formal project evaluafions. The
submifted informafion is reviewed by OLHCHH staff to ensure that the implemenfing organizafions have
incorporated appropriate and sufficient quality assurance/quality control (QA/QC) procedures into their
projects. This requirement helps HUD ensure the quality, objecfivity, ufility, and integrity of the informafion
that is generated by these sponsored projects.
Changes Since Previous Approval (include changes since OMB previous approval):
If programs, the informafion included here may resemble the informafion in quesfion 5 in your
exisfing/previously approved ICR.
None
2/2024

Announcement Dates (Start and End Dates for Applicafions): May 27, 2024 to July 29, 2024
Type of Collecfion (Federal Award Instrument): (Check all that apply)
Grant
Cooperafive agreement
Other:
How will informafion collected be submifted to the HUD Office/Agency? (Check all that apply)
Grants.gov
esnaps.hud.gov
Other:
Does the HUD Office/Agency need to collect informafion beyond the scope of the supporfing statement for the
generic ICR?
Yes
No
If yes, will the HUD Office/Agency submit a regular ICR package?
Yes
No
How does this collecfion minimize the burden on small businesses/enfifies, if applicable?
For exisfing programs, the informafion included here may resemble the informafion in quesfion 5 in your
exisfing/previously approved ICR.
Potenfial applicants to most Lead Hazard Control and Healthy Homes programs include not-for-profit
insfitufions and for-profit firms located in the U.S, as well as state, local, and tribal governments. (The several
Lead Hazard Reducfion grant programs are statutorily open only to state and local governments
(hftps://uscode.house.gov/view.xhtml?req=(fitle:42%20secfion:4852%20edifion:prelim)), and the radon and
lead risk assessment demonstrafion programs are programmafically, per their appropriafions (e.g.,
Consolidated Appropriafions Act, 2024 (P.S. 118-42), Div. F, Ttl. II, sec. 203;
hftps://www.congress.gov/bill/118th-congress/house-bill/4366/text?format=txt) and implemenfing NOFOs,
open only to public housing agencies.) The NOFOs include comprehensive guidance, electronic forms, and
ready-to-fill tables to facilitate responding to them.
A small business awarded a grant or contract to conduct research or formal project evaluafions is required to
submit a QAP (as is any other grantee). Burden reducfion is reflected in the formats of the OLHCHH’s QAP
template. The OLHCHH created the template by streamlining exisfing QAP formats used by other federal
agencies in order to reduce the burden on grantees and contractors, including small businesses.
If the collecfion requires a systems of records nofice (SORN) or privacy impact assessment (PIA), those should
be cited and described here.
Consult your Privacy Act Officer before responding to this item. The informafion included here may resemble the
informafion in quesfion 10 in your exisfing/previously approved ICR.
Not applicable. The collecfion does not require a SORN nor a PIA.
Sensifive Informafion:
Is the agency asking any quesfions of a sensifive nature? If yes, provide addifional jusfificafion for any
quesfions of a sensifive nature, such as sexual behavior and aftitudes, religious beliefs, and other mafters that
are commonly considered private. Include the reasons jusfifying why the agency considers the quesfions
necessary, the specific uses to be made of the informafion, the explanafion to be given to persons from whom
the informafion is requested, and any steps to be taken to obtain their consent.
Consult your Privacy Act Officer and the FHEO before responding to this item. For exisfing programs, the
informafion included here may resemble the informafion in quesfion 11 in your exisfing/previously approved
ICR.
2/2024

Yes
No
If yes, addifional informafion:
No quesfions of a sensifive nature are asked during either the applicafion or post-award process.
Cerfificafion:
I cerfify the informafion contained in this document to be true and accurate:
Yes
No
Respondent Burden Hours, Formats, and Reporfing
Include in the table the collecfion items and burden amounts associated with responding to a nofice of funding
opportunity (NOFO) and other pre-award acfivifies. The burden included in this chart must align with the parent
supporfing statement. If preparing a new form, indicate “new” under the Form Number column. Exisfing forms
number can remain unchanged, but the actual forms need to be updated with the OMB approval number for
this generic collecfion. Also include the burden associated with responding to the rafing factors and complefing
other narrafives requested via the NOFO or other pre-award acfivifies.
For exisfing programs, the informafion added here may resemble the informafion you would have submifted in
quesfion number 12 in your exisfing/previously approved ICR. All forms must accompany this Template for
submission to OMB for approval. Do not list the required standard forms from the generic support statement;
however, please list opfional standard forms from the parent supporfing statement. For the opfional standard
forms, do not include burden informafion, unless the burden is unique to the program.
Grant Applicafions: While most of the collecfion acfivifies are undertaken for all or almost all grant
applicafions, for certain acfivifies, only some applicants undertake them. These are for preparing the Rural
Partners Cerfificafion form (few OLHCHH applicants will be Rural Partners Network Community Network “Host
Enfifies” or Partner Organizafions), the Promise Zone cerfificafion (some OLHCHH applicants make this
cerfificafion), the Empowerment zone (EZ) cerfificafion, or urban or rural renewal community (RC) cerfificafion
(again, some OLHCHH applicants make one or both of these cerfificafions). The esfimated costs to applicants
are based on an esfimated labor rate of $56.16 (GS-13, Step 5 equivalent for the Office of Personnel
Management's (OPM’s) “Rest of United States” (reflecfing the geographic dispersity of applicants to OLHCHH
grant programs) General Schedule pay table for 2024 (hftps://www.opm.gov/policy-data-oversight/payleave/salaries-wages/salary-tables/24Tables/html/RUS_h.aspx), assuming, conservafively, that senior
professionals within the applicant organizafions will be preparing the applicafions).
Negofiafions: OLHCHH requires that the selected applicants parficipate in negofiafions to determine the specific
terms and condifions of the grant and budget. OLHCHH Grant Officers conduct the negofiafions for HUD, with
support from the Applicafion Review Panel that reviewed an applicafion for which the applicant is selected for
award.
Quality Assurance Plans (QAPs): For the Lead Technical Studies and Healthy Homes Technical Studies grantees,
and contractors conducfing research and evaluafion acfivifies, preparafion of the QAP, as described above, is
performed by applicants for which their grant has been executed (i.e., not all Technical Studies applicants and
contract offerors).
Brief descripfion of
informafion being collected
(project summary, charts,
narrafive response)
Work Plan Development
Worksheet With Minimum

Forms
number

Number of
Number of
Respondents Responses
per
respondent

Total Annual Burden
Responses
hours per
responses

HUD-96008

34

34

1

0.25
2/2024

Benchmark Performance
Standards for 36-Month
Period of Performance (OMB
Approval 2539-0015)
fimeline and performance
chart showing the project
benchmarks for unit work
and LOCCS draws; for 36month grant period of
performance.
Work Plan Development
Worksheet With Minimum
Benchmark Performance
Standards for 42-Month
Period of Performance Same as above for 42
months.
Work Plan Development
Worksheet With Minimum
Benchmark Performance
Standards for 48-Month
Period of Performance (OMB
approval requested;
aftached) - Same as above for
48 months.
Program specific
requirements and rafing
factors (narrafive and other
aftachments) - a narrafive
descripfion of the full
applicafion following the
requirements of the NOFO.
Negofiafion with selected
applicants to achieve grant
execufion (revised narrafives,
revised aftachments, revised
budget and/or milestone
spreadsheets.
Quality Assurance Plan to
assure quality of the
technical studies grant or
contract data collected.
Applicafion for Federal
Assistance
Applicant and Recipient
Assurances and Cerfificafions
Disclosure of Lobbying
Acfivifies

HUD-96009

236

1

236

0.25

HUD-96009-A

68

1

68

0.25

N/A

420

1

420

60.00

N/A

336

1

336

44.00

N/A

66

1

66

24.00

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

SF 424 (OMB
Approval
4040-0004)
SF 424B (OMB
Approval
4040-0007)
SF LLL (OMB
Approval
4040-0013)

2/2024

Applicant/Recipient
Disclosure/Update Report

Cerfificafion of Consistency
with the Consolidated Plan

Acknowledgement of
Applicafion Receipt

Applicant and Recipient
Assurances and Cerfificafions

Grant Applicafion Detailed
Budget Worksheet

Cerfificafion for a Drug-Free
Workplace
Cerfificafion of Consistency
with Promise Zone Goals and
Implementafion
Cerfificafion of consistency
with Rural Partners Network
Community Network goals
and implementafion
Brief presentafion of the
essenfial goals, approach,
and method of the proposed
project

Direct Deposit Sign-Up Form

eLOCCS Access Authorizafion
Form

TOTAL

Form HUD2880 (OMB
Approval
2501-0044)
Form HUD2991 (OMB
Approval
2501-0044)
Form HUD2993 (OMB
Approval
2501-0044)
Form HUD424-B (OMB
Approval
2501-0044)
Form HUD424-CBW
(OMB
Approval
2501-0044)
Form HUD50070 (OMB
Approval
2501-0044)
Form HUD50153 (OMB
Approval
2501-0044)
Rural Partners
Cerfificafion
form (OMB
Approval
2501-0044)
Project
Abstract
Summary
(OMB
Approval
4040-0019)
SF 1199A
(OMB
Approval
1530-0006)
Form HUD27054E (OMB
Approval
2535-0102)

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A
2/2024

2/2024

Federal Burden Hours, Formats, and Reporfing
Include in the table the collecfion items and burden amounts associated with HUD’s review of the collected item
for NOFOs and other pre-award acfivifies. Include burden associated with reviewing eligibility as well as rafing
factors. For exisfing programs, the informafion added here may resemble the informafion you would have
submifted in quesfion number 14 in your exisfing/previously approved ICR.
Grant Applicafions: Each grant applicafion received is reviewed by two people (esfimated at GS-13, step 5)
who consfitute the Applicafion Review Panel team for the applicafion. The cost of their review is based on
$64.06 per hour for OPM’s Washington, DC - Balfimore (DCB) pay area for 2024
(hftps://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salarytables/24Tables/html/DCB_h.aspx).
Negofiafions: As noted above, OLHCHH requires that the selected applicants parficipate in negofiafions to
determine the specific terms of the grant and budget. OLHCHH Grant Officers (esfimated at GS-13, step 5)
conduct the negofiafions for HUD, with support from the Applicafion Review Panel team that reviewed an
applicafion for which the applicant has been selected for award. The cost of their review is based on $64.06
per hour for OPM’s DCB pay area for 2024.
Quality Assurance Plans: As noted above, for the Lead Technical Studies and Healthy Homes Technical
Studies grantees, and contractors conducfing research and evaluafion acfivifies, their Quality Assurance
Plans will be reviewed by a qualified senior Governmental Technical Representafive (GTR) or Governmental
Technical Monitor (GTM) (esfimated at GS-14, Step 4). The cost of their review is based on $73.47 per hour
for OPM’s DCB pay area for 2024.
Brief descripfion of informafion being
collected (project summary, charts, narrafive
responses, etc.)
Benchmark performance standards for 36month grants - See table above for the
descripfion of the form.
Benchmark performance standards for 42month grants - See table above for the
descripfion of the form.
Benchmark performance standards for 48month grants - See table above for the
descripfion of the form.
Program specific requirements and rafing
factors - See table above for the descripfion
of the collecfion.
Negofiafion with selected applicants - See
table above for the descripfion of the
collecfion.
Quality Assurance Plan - See table above for
the descripfion of the collecfion.
Applicafion for Federal Assistance
Applicant and Recipient Assurances and
Cerfificafions

Forms
number

Number of
Number of Total Annual
Respondents Responses Responses
per
respondent

Burden
hours per
responses

HUD-96008

34

1

34

0.50

HUD-96009

236

1

236

0.75

HUD96009-A

68

1

68

1.00

NA

420

1

420

10.00

NA

336

1

336

24.00

NA

66

1

66

6.00

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

SF 424
(OMB
Approval
4040-0004)
SF 424B
(OMB

2/2024

Disclosure of Lobbying Acfivifies

Applicant/Recipient Disclosure/Update
Report

Cerfificafion of Consistency with the
Consolidated Plan

Acknowledgement of Applicafion Receipt

Applicant and Recipient Assurances and
Cerfificafions

Grant Applicafion Detailed Budget
Worksheet

Cerfificafion for a Drug-Free Workplace

Cerfificafion of Consistency with Promise
Zone Goals and Implementafion

Cerfificafion of consistency with Rural
Partners Network Community Network goals
and implementafion

Brief presentafion of the essenfial goals,
approach, and method of the proposed
project

Direct Deposit Sign-Up Form

Approval
4040-0007)
SF LLL
(OMB
Approval
4040-0013)
Form HUD2880 (OMB
Approval
2501-0044)
Form HUD2991 (OMB
Approval
2501-0044)
Form HUD2993 (OMB
Approval
2501-0044)
Form HUD424-B (OMB
Approval
2501-0044)
Form HUD424-CBW
(OMB
Approval
2501-0044)
Form HUD50070
(OMB
Approval
2501-0044)
Form HUD50153
(OMB
Approval
2501-0044)
Rural
Partners
Cerfificafion
form (OMB
Approval
2501-0044
Project
Abstract
Summary
(OMB
Approval
4040-0019)
SF 1199A
(OMB

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A
2/2024

eLOCCS Access Authorizafion Form

TOTAL

Approval
1530-0006
Form HUD27054E
(OMB
Approval
2535-0102)

N/A

N/A

N/A

N/A

N/A

2/2024