Choice Neighborhoods

Forms and Documents

Document Name	Status
Form HUD Form 53150 Choice Neighborhoods Form and Instruction	Modified
83i 03 08 2011 (2).docx Supporting Statement A	2011-10-03

IC Document Collections

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

ICR Details

OMB Control No: 2577-0269	ICR Reference No: 201110-2577-001
Status: Historical Inactive	Previous ICR Reference No: 201107-2577-005
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OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 12/06/2011
	Date Received in OIRA: 10/06/2011
Terms of Clearance: The agency has requested that this collection be withdrawn.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	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? Yes

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

IC Title	Form No.	Form Name
Choice Neighborhoods	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, HUD Form 53234, HUD Form 53150, HUD Form 53231, HUD Form 53237, HUD Form 53235, HUD Form 53240	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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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:

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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: 10/06/2011

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