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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Continuum of Care Homeless Assistance Grant Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
24 CFR 882.300(d)(1)
24 CFR 583.300(g)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HUD-2991
Cert of Consistency with the Consolidated Plan
HUD 2991.pdf
No
Fillable Printable
Form
HUD-2880
Applicant/Recipient Disclosure/Update Report
HUD 2880.pdf
No
Fillable Printable
Form
HUD-96010
Logic Model
96010.pdf
No
Fillable Printable
Form
HUD-27300
Regulatory Barriers
27300.pdf
No
Fillable Printable
Form
HUD-92041
Sponsor's Conflict of Interest Resolution
92041.pdf
No
Fillable Printable
Form and Instruction
SF 424
Applicaiton for Federal Assistance
sf424.doc
Yes
Yes
Fillable Fileable
Form and Instruction
SF 424 Supp
Voluntary Survey on Ensuring Equal Opportunity
sf424sup.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SF LLL
Disclusure of Lobbying Activities
sflllin.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 2991
Cert of Consistency with Concolidate Plan
2991.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 40090-3A
CoC Technical SHP
40090-3A.doc
Yes
No
Fillable Printable
Form and Instruction
HUD 40090-3b
CoC Technical Submission SR Tech
40090-3b.doc
Yes
No
Fillable Printable
Instruction
General Extrapolation Tool 3-19-08.xls
Yes
No
Paper Only
Other-workbook guide - random
Subpopulation Extrapolation Tool - Random Sample 3-19-08.xls
Yes
No
Paper Only
Other-workbook guide - stratified
Subpopulation Extrapolation Tool - Stratified Sample 3-19-08.xls
Yes
No
Paper Only
Instruction
e-HIC Instructions_CoC2008.pdf
Yes
Yes
Paper Only
Other-eHIC Charts
eHIC_CoC2008.xls
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10,510
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
95 %
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
22,900
0
9,400
0
0
13,500
Annual IC Time Burden (Hours)
184,812
0
-16,865
0
0
201,677
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Burden Hours Screen Shot
Burden Hours Screen Shot.doc
03/25/2008
APR Performance Workbook
2008 NOFA - APR worksheet 3-13-08.xls
03/25/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.