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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
Yes
Yes
Fillable Fileable
Form
HUD-2880
Applicant/Recipient Disclosure/Update Report
HUD 2880.pdf
Yes
Yes
Fillable Fileable
Form
HUD-27300
Regulatory Barriers
27300.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92041
Sponsor's Conflict of Interest Resolution
92041.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SF 424
Application For Federal Assistance
SF 424 word.pdf
Yes
No
Fillable Printable
Form
SF LLL
Disclosure of Lobbying Activities
SL-LLL.pdf
Yes
No
Fillable Printable
Form
HUD 50070
Certification for a Drug-Free Workplace
HUD 50070.pdf
Yes
No
Fillable Printable
Form and Instruction
SF 424 Supplement
Survey on Ensuring Equal Opportunity for Applicants
SF-424 SUPP.pdf
Yes
No
Fillable Printable
Form
HUD 40090.4
Application Certification
Electronic Version of HUD Form 40090-4.docx
Yes
No
Fillable Printable
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:
8,869
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
8,869
0
-43,170
0
0
52,039
Annual IC Time Burden (Hours)
201,780
0
-114,567
0
0
316,347
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.