View Information Collection Request (ICR) Package
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View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2577-0281
ICR Reference No:
202509-2577-003
Status:
Active
Previous ICR Reference No:
202205-2577-002
Agency/Subagency:
HUD/PIH
Agency Tracking No:
2577-0281
Title:
Jobs Plus Pilot Program
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/09/2026
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/25/2025
Terms of Clearance:
The agency is advised that the Supporting Statement A insufficiently discusses the information collection elements required under this OMB Control Number. Prior to resubmission, the agency will revise the necessary documentation consistent with OMB correspondence.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2029
36 Months From Approved
04/30/2026
Responses
103
0
103
Time Burden (Hours)
6,432
0
6,573
Cost Burden (Dollars)
0
0
0
Abstract:
The information is required to allow HUD to conduct a competition to award and obligate Jobs Plus grant funds in accordance with the FY 2014 Appropriations Act, which permits HUD to use up to $15M of the appropriation for Jobs Plus Initiative
Authorizing Statute(s):
US Code:
44 USC Chapter 35 as amended
Name of Law: Section 3507 of the Paperwork Reduction Act of 1995
Citations for New Statutory Requirements:
US Code: 9 USC 1437q Name of Law: U.S. Housing Act of 1937
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
90 FR 34293
07/21/2025
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 46232
09/25/2025
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Jobs Plus Pilot Program
HUD Form 50070, HUD Form 50144, HUD Form 1044, SFLLL, HUD Form 50153, HUD Form 424B, HUD Form 2880, HUD Form 2991, HUD Form 2996
Certification of Consistency with Promise Zone Goal and Implementation
,
Applicant and Recipient Assurances and Certifications
,
Applicant/Recipient Disclosure/Update Report
,
Certification of Consistency with the Consolidated Plan
,
Certification for Opportunity Zones Preference Points
,
Certification for a Drug-Free Workplace
,
Jobs Plus Budget
,
Assistance Award/Amendment
,
Disclosure or Lobbying Activities
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
103
103
0
0
0
0
Annual Time Burden (Hours)
6,432
6,573
0
-141
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
These information collections have no impact on small businesses or other small entities (small businesses are not eligible applicants). However, in general efforts have been made to minimize the burden placed on all applicants, while at the same time ensuring that sufficient information is provided for program purposes.
Annual Cost to Federal Government:
$313,688
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
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?
No
Agency Contact:
Leigh van Rij 202 401-8812 ext. 5788 Leigh_e._vanrij@hud.gov
Common Form ICR:
No
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:
09/25/2025
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