Information Collection

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

IC 27327 under ICR 200610-2502-002 · OMB 2502-0542.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0542 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-424 Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)	Form
HUD-2994-A You are our Client HUD-2994-A.pdf	Form and Instruction
HUD-96011 Third Party Documenation Fascsimile Transmittal 96011.pdf	Form and Instruction
SF-424 Standard Form SF-424 sf424.pdf	Form
SF-424-SUPP. Standard Form 424-SUPP sf424sup.pdf	Form and Instruction
HUD-424-B HUD 424-B HUD-424-b (revised 2-23-04).xls	Form and Instruction
SF-LLL Standard Form LLL SF LLL.pdf	Form and Instruction
HUD-2880 HUD 2880 2880.pdf	Form and Instruction
HUD-2990-2991 HUD form 2990 2990.pdf	Form and Instruction
HUD-2530 HUD 2530 HUD 2530.pdf	Form and Instruction
HUD-96010 Logic Model HUD 96010.pdf	Form and Instruction
HUD-50080-ALCP HUD 50080-ALCP HUD 50080 ALCP.pdf	Form and Instruction
SF-269 Standard Form 269 SF-269.pdf	Form and Instruction

IC Title:

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-424	Standard Form SF-424	sf424.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2880	HUD 2880	2880.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2990-2991	HUD form 2990	2990.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-96011	Third Party Documenation Fascsimile Transmittal	96011.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2530	HUD 2530	HUD 2530.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-96010	Logic Model	HUD 96010.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-50080-ALCP	HUD 50080-ALCP	HUD 50080 ALCP.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-424-B	HUD 424-B	HUD-424-b (revised 2-23-04).xls	Yes	Yes	Fillable Fileable
Form and Instruction	SF-LLL	Standard Form LLL	SF LLL.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2994-A	You are our Client	HUD-2994-A.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF-269	Standard Form 269	SF-269.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF-424-SUPP.	Standard Form 424-SUPP	sf424sup.pdf	Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	485	485
Annual IC Time Burden (Hours)	2,120	2,120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.