# 30-Day Notice of Proposed Information Collection: Jobs Plus Pilot Program
**AGENCY:**
Office of the Chief Information Officer, HUD.
**ACTION:**
Notice.
**SUMMARY:**
HUD submitted the proposed information collection requirement described below to the Office of Management and Budget (OMB) for review, in accordance with the Paperwork Reduction Act. The purpose of this notice is to allow for 30 days of public comment.
**DATES:**
*Comments Due Date:* February 9, 2018.
**ADDRESSES:**
Interested persons are invited to submit comments regarding this proposal. Comments should refer to the proposal by name and/or OMB Control Number and should be sent to: HUD Desk Officer, Office of Management and Budget, New Executive Office Building, Washington, DC 20503; fax:202-395-5806, Email: *OIRA [email protected].*
**FOR FURTHER INFORMATION CONTACT:**
Colette Pollard, Reports Management Officer, QMAC, Department of Housing and Urban Development, 451 7th Street SW, Washington, DC 20410; email *[email protected],* or telephone 202-402-3400. This is not a toll-free number. Person with hearing or speech impairments may access this number through TTY by calling the toll-free Federal Relay Service at (800) 877-8339.
Copies of available documents submitted to OMB may be obtained from Ms. Pollard.
**SUPPLEMENTARY INFORMATION:**
This notice informs the public that HUD is seeking approval from OMB for the information collection described in Section A.
The *Federal Register* notice that solicited public comment on the information collection for a period of 60 days was published on October 11, 2017 at 82 FR 47240.
**A. Overview of Information Collection**
*Title of Information Collection:* Jobs Plus Pilot Program.
*OMB Approval Number:* 2577-0281.
*Type of Request:* Reinstatement, with change, of a previously approved collection.
*Form Number:* SF-424, SF-LLL, HUD-2880, HUD-2993, HUD-50144, HUD 96011.
*Description of the Need for the Information and Proposed Use:* The Jobs Plus Pilot Program Information Collection represents a revision to an existing information request. The OMB approval number for this collection is 2577-0281. The information provided by the eligible applicants will be reviewed and evaluated by HUD. The information to be collected by HUD will be used to preliminarily rate applications, to determine eligibility for the Jobs Plus Grant Competition and to establish grant amounts. The Jobs Plus Pilot Grant Competition Application will be used to determine eligibility and funding for recipients. Respondents of this information collection will be public housing agencies. Although OMB approved Forms are used for information collection, applicants will provide quantitative and qualitative data as well as narrative information for evaluation.
| Information collection | Number of | Responses | Total annual | Estimated | Total hours | Hourly cost | Annual cost |
| --- | --- | --- | --- | --- | --- | --- | --- |
| | | | | | | | |
| SF-424 Application for Federal Assistance (2501-0017) | 75 | 1 | 75 | 0.75 | 56.25 | $42 | $2,365 |
| SF-LLL—Lobbying (0348-0046) | 75 | 1 | 75 | 0.17 | 12.75 | 42 | 536 |
| HUD-2880 Applicant Disclosure (2510-0011) | 75 | 1 | 75 | 0.17 | 12.75 | 42 | 536 |
| HUD-2991 Certification of Consistency with Consolidated Plan (2506-0112) | 75 | 1 | 75 | 0.25 | 18.75 | 42 | 788 |
| HUD-2993 Acknowledgement of Application Receipt (2577-0259) | 75 | 1 | 75 | 0.5 | 37.5 | 42 | 1,577 |
| Map of Proposed Site | 75 | 1 | 75 | 0.25 | 18.75 | 42 | 788 |
| Signed MOU between PHA and WIB | 75 | 1 | 75 | 2 | 150 | 42 | 6,308 |
| Match/Leverage Commitment Letters | 75 | 1 | 75 | 14 | 1,050 | 42 | 44,153 |
| Rating Factor 1—Capacity | 75 | 1 | 75 | 10 | 750 | 42 | 31,538 |
| Rating Factor 2—Need | 75 | 1 | 75 | 8 | 600 | 42 | 25,230 |
| Rating Factor 3—Soundness of Approach | 75 | 1 | 75 | 12 | 900 | 42 | 37,845 |
| Applicant's Detailed Program Budget | 75 | 1 | 75 | 3.2 | 240 | 42 | 10,092 |
| Form HUD-50144—Summary Jobs Plus Budget | 75 | 1 | 75 | 2 | 150 | 42 | 6,308 |
| Narrative to Program Budget | 75 | 1 | 75 | 4 | 300 | 42 | 12,615 |
| Rating Factor 4—Match/Leveraging Table | 75 | 1 | 75 | 2 | 150 | 42 | 6,308 |
| Rating Factor 5—Bonus Points Documentation (HUD-2995) | 75 | 1 | 75 | 0.5 | 37.5 | 42 | 1,577 |
| | 75 | 1 | 75 | 59.79 | 4,484.25 | 42 | 188,562.71 |
| | | | | | | | |
| Code of Conduct (if not on HUD website, if recently updated, if not previously submitted) | 36 | 1 | 36 | 1 | 36 | 42 | 1,514 |
| | 36 | 1 | 36 | 1 | 36 | 42 | 1,513.80 |
| | | | | | | | |
| Quarterly Performance Reports | 36 | 4 | 144 | 8 | 1,152 | 42 | 48,442 |
| Annual Performance Reports | 36 | 4 | 144 | 6 | 864 | 42 | 36,331 |
| Workplan Submission | 36 | 1 | 36 | 10 | 360 | 42 | 15,138 |
| Federal Financial Report (Form SF-425) | 36 | 1 | 36 | 2 | 72 | 42 | 3,028 |
| Final Financial Status Report (Form SF-269-A) | 36 | 1 | 36 | 4 | 144 | 42 | 6,055 |
| | 36 | 1 | 36 | 24 | 2,592 | 42 | 108,993.60 |
| | | | | | | | |
| Monitoring and Reporting | 36 | 1 | 36 | 10 | 10 | 42 | 421 |
| | 36 | 1 | 36 | 10 | 360 | 42 | 15,138.00 |
| Grand Totals | | | | | 7,472 | 42 | 314,208 |
**B. Solicitation of Public Comment**
This notice is soliciting comments from members of the public and affected parties concerning the collection of information described in Section A on the following:
(1) Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility;
(2) The accuracy of the agency's estimate of the burden of the proposed collection of information;
(3) Ways to enhance the quality, utility, and clarity of the information to be collected; and
(4) Ways to minimize the burden of the collection of information on those who are to respond: Including through the use of appropriate automated collection techniques or other forms of information technology, *e.g.,* permitting electronic submission of responses.
HUD encourages interested parties to submit comment in response to these questions.
**Authority:**
Section 3507 of the Paperwork Reduction Act of 1995, 44 U.S.C. Chapter 35.
Dated: December 19, 2017.
Colette Pollard,
Department Reports Management Officer, Office of the Chief Information Officer.