Inspector Candidate Assessment Questionnaire

OMB Control No: 2577-0243	ICR Reference No: 201803-2577-006
Status: Active	Previous ICR Reference No: 201412-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0243
Title: Inspector Candidate Assessment Questionnaire
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/08/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/02/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2022	36 Months From Approved
Responses	235	0	0
Time Burden (Hours)	75	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Individuals interested in becoming HUD certified Uniform Physical Condition Standards (UPCS) inspections complete this form. The form is a questionnaire that provides PIH-REAC with basic background information about the individual's inspection skills and abilities to determine if the individual has the required basic skills and abilities to take the required UPCS training. In addition, state Housing Finance Agency staff may complete the form for information purposes only.

---

Authorizing Statute(s): US Code: 44 USC Chapter 35, as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995

Citations for New Statutory Requirements: None

---

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:
	83 FR 17186	04/18/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 32675	07/13/2018
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 Inspector Candidate Assessment Questionnaire HUD-50002A, HUD-50002B-HFA Inspector Candidate Assessment Questionnaire ,   Inspector Candidate Assessment Questionnaire-HFA

---

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	235	0	0	0	-370	605
Annual Time Burden (Hours)	75	0	0	0	-117	192
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: No

Burden Reduction Due to:

Short Statement: This is a re-instatement of a previously approved collection. Revisions have been made to the 83i and throughout the Supporting Statement to update the burden hours and costs to individuals associated with submitting the form. The revisions include correcting the burden hours in Box 13 to reflect the annual burden rather than the burden over three years for this collection.

---

Annual Cost to Federal Government: $8,516

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.     Yes

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? Uncollected

Agency Contact: Claudia Yarus 202 475-8830 ext. 8830

---

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: 10/02/2018

---