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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Brownfields Economic Development Initiative (BEDI) Grant Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
24 CFR 570.703
24 CFR 570.208
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
HUD-40122
Sec. 10 Loan Guarantee Certification
40122.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-40123
Brownfields Economic Development Application
40123.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SF-424
Applicaiton for Federal Assistance
sf424.doc
Yes
Yes
Fillable Fileable
Form and Instruction
SF-424S
Survey on Ensuring Equal Opportunity for Applicants
sf424sup.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SF-LLL
Disclosure of Lobbying Activities
sflllin.pdf
Yes
Yes
Fillable Printable
Form and Instruction
HUD-424-B
Applicant Assurance and Certification
424-b.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-2880
Applicant/Recipient Disclusre/Update Report
2880.doc
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-96010-I
Logic Model
96010.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-2993
Acknowledgement of Application
2993.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-2990
Certificaiton of Consistency with the RC/EZ/EC Strategic Plan
2990.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
50
0
0
0
0
50
Annual IC Time Burden (Hours)
2,000
0
0
0
0
2,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.