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?
No
IC Status:
Modified
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
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-50144
Summary Job Plus Budget
Form HUD-50144.xls
Yes
Yes
Fillable Printable
Form and Instruction
HUD 2991
Certification of Consistency witth the Consolidated Plan
HUD2991 2.1.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD 50153
Certification of Consistency with Promise Zone Goals and Implementation
HUD50153 PZ 2.1.22.pdf
Yes
Yes
Fillable Fileable Signable
Instruction
sf424b_non-contstruct_programs 2.1.22.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF 425
Federal Financial Report
SF425_3_0-V3.0 2.1.22.pdf
Yes
Yes
Fillable Fileable Signable
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:
103
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
103
0
28
0
0
75
Annual IC Time Burden (Hours)
6,573
0
-830
0
0
7,403
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.