Information Collection

Continuum of Care Homeless Assistance Grant Application

IC 27416 under ICR 200703-2506-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form HUD-2991 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-40090-3B Technical Submission HUD40090-3b.doc Form
HUD-92041 Sponsor's Conflict of Interest Resolution 92041.pdf Form
HUD 40090-1 Exhibi Continuum of Care (CoC) Application 40090-1_Exhibit1.doc Form and Instruction
HUD 40090-2 Exhibi HUD Homeless Programs Project Application 40090-2_Exhibit 2.doc Form and Instruction

Information Collection (IC) Details

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 24 CFR 582

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	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-40090-4	Applicant Certification	40090-4AppCert.doc	No		Fillable Printable
Form	HUD-40090-3A	Technical Submission	40090-3ATechlSubmission.doc	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 and Instruction	HUD 40090-1 Exhibit 1	Continuum of Care (CoC) Application	40090-1_Exhibit1.doc	Yes	No	Fillable Printable
Form and Instruction	HUD 40090-2 Exhibit 2	HUD Homeless Programs Project Application	40090-2_Exhibit 2.doc	Yes	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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	13,500	13,500
Annual IC Time Burden (Hours)	201,677	201,677
Annual IC Cost Burden (Dollars)	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.