OMB
.report
Search
Assisted Living Conversion Program (ALCP)
Assisted Living Conversion Program (ALCP)
OMB: 2502-0542
IC ID: 27325
OMB.report
HUD/OH
OMB 2502-0542
ICR 200309-2502-003
IC 27325
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0542 can be found here:
2013-08-23 - Extension without change of a currently approved collection
2013-03-07 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Assisted Living Conversion Program (ALCP)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HUD-2880
Yes
Yes
Form
HUD-424B
Yes
Yes
Form
HUD-92045
Yes
Yes
Form
HUD-50080-ALCP
Yes
Yes
Form
SF-424
Yes
Yes
Form
SF-269
Yes
Yes
Form
HUD-2991
Yes
Yes
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
50 %
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
135
0
0
-125
0
260
Annual IC Time Burden (Hours)
2,550
0
0
-1,750
0
4,300
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.