Information Collection

Continuum of Care Homeless Assistance Grant Application

IC 27416 under ICR 200701-2506-001 · OMB 2506-0112.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0112 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-40090-2 Continuum of Care Homeless Assistance Grant Application	Form
HUD-2991 Cert of Consistency with the Consolidated Plan HUD 2991.pdf	Form
HUD-2880 Applicant/Recipient Disclosure/Update Report HUD 2880.pdf	Form
HUD-96010 Logic Model 96010.pdf	Form
HUD-27300 Regulatory Barriers 27300.pdf	Form
HUD-40090-4 Applicant Certification 40090-4AppCert.doc	Form
HUD-40090-3A Technical Submission 40090-3ATechlSubmission.doc	Form
HUD-40090-2 Exhibit 2 Exhibit2DRAFT.doc	Form
HUD-40090-1 Exhibit 1 Exhibit1DRAFT.doc	Form and Instruction
HUD-40090-3B Technical Submission HUD40090-3b.doc	Form
HUD-92041 Sponsor's Conflict of Interest Resolution 92041.pdf	Form

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 24 CFR 582

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	HUD-40090-2	Exhibit 2	Exhibit2DRAFT.doc	No	Fillable Printable
Form	HUD-40090-4	Applicant Certification	40090-4AppCert.doc	No	Fillable Printable
Form and Instruction	HUD-40090-1	Exhibit 1	Exhibit1DRAFT.doc	No	Fillable Printable
Form	HUD-96010	Logic Model	96010.pdf	No	Fillable Printable
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-40090-3B	Technical Submission	HUD40090-3b.doc	No	Fillable Printable
Form	HUD-92041	Sponsor's Conflict of Interest Resolution	92041.pdf	No	Fillable Printable
Form	HUD-40090-3A	Technical Submission	40090-3ATechlSubmission.doc	No	Fillable Printable
Form	HUD-27300	Regulatory Barriers	27300.pdf	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,050

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,500	0	13,500
Annual IC Time Burden (Hours)	201,677	-570	202,247
Annual IC Cost Burden (Dollars)	0	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.