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Continuum of Care Homeless Assistance Grant Application
Continuum of Care Homeless Assistance Grant Application
OMB: 2506-0112
IC ID: 27416
OMB.report
HUD/CPD
OMB 2506-0112
ICR 200703-2506-001
IC 27416
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0112 can be found here:
2021-10-05 - Revision of a currently approved collection
2019-02-28 - Revision of a currently approved collection
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
URL
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
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:
9,050
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
13,500
0
0
0
0
13,500
Annual IC Time Burden (Hours)
201,677
0
0
0
0
201,677
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.