View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	PIH - Choice Neighborhoods Implementation	Agency IC Tracking Number:

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
Instruction			CN-Implementation-NOFO-Content.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2996	Certification for Opportunity Zones Preference Points	HUD-2996.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53230	Application Checklist/Table of Contents	HUD-53230_Application-Table-of-Contents.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53231	Resident & Community Involvement Certification	HUD-53231_Resident&Comm-Involvement-Cert.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53232	Certification of Severe Physical Distress	HUD-53232_Severe-Distress-Cert.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53233	Key Eligibility Data Form	HUD-53233_Key-Eligibility-Data.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53234	Unit Information	HUD-53234_Unit-Information.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53235	Grant Sizing Worksheet	HUD-53235_Grant-Sizing-Worksheet.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53236	Budget	HUD-53236_Budget.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53238	One-on-One Replacement Certification	HUD-53238_One-for-One-Replacement-Cert.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	HUD-53239	Leverage	HUD-53239_Leverage.xlsx		Yes	Yes	Fillable Fileable
Instruction			Callback email text CN Implementation.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: n/a	FR Citation: 89 FR 1936

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	24	0	24	0	0	0
Annual IC Time Burden (Hours)	1,452	0	1,452	0	0	0
Annual IC Cost Burden (Dollars)	1,211	0	1,211	0	0	0

Documents for IC

Title	Document	Date Uploaded
Child-Revised_CN-Implementation	Child IC-resubmit_CN Implementation.pdf	01/05/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.