View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Jobs Plus Pilot Program
Agency IC Tracking Number:
2577-NEW
Is this a Common Form?
Yes
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
HUD-424-CB
Grant Application Detailed Budget
HUD-424-CB.pdf
Yes
Yes
Fillable Printable
Form and Instruction
SF-424
Application for Federal Assistance
SF424.pdf
Yes
Yes
Fillable Printable
Form and Instruction
HUD 50144
Jobs Plus Summary Budget
HUD-50144 Jobs Plus Summary Budget.xls
Yes
Yes
Fillable Printable
Form and Instruction
HUD-424CBW-I
Instructions for Completing the Grant Application Detailed Budget Worksheet
HUD-424CBW-I.doc
Yes
Yes
Fillable Fileable
Form and Instruction
SF-LLL
Disclosure of Lobbying Activities
SF-LLL.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-2880
Application/Recipient Disclosure/Update Report
HUD-2880.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-2993
Acknowledgment of Application Receipt
HUD-2993.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-96011
Facsimile Transmittal
HUD-96011.pdf
Yes
Yes
Fillable Printable
Form and Instruction
HUD-242 CBW
Grant Application Detailed Budget Worksheet
HUD 424-cbw.xls
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
125
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
125
125
0
0
0
0
Annual IC Time Burden (Hours)
8,959
8,959
0
0
0
0
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.