Hud 52835 Hud 52835

Local Government Statement
Comprehensive Grant Program (CGP)

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

OMB Approval No. 2577-0157
(exp. 11/30/2008)

Public reporting burden for this collection of information is estimated to average 0.5 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct
or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number.
This collection of information requires that each eligible applicant submit information to HUD in order to receive its annual formula grant. This information will
be used by HUD to determine whether the annual submission meets statutory and regulatory requirements for the annual formula grant. Responses to the
collection are required by Section 14(e)(1)(E) of the U.S. Housing Act of 1937, as amended. The information requested does not lend itself to confidentiality.

As Chief Executive Officer of the unit of general local government known as
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________,
in which the (name of Public Housing Agency (PHA))
_______________________________________________________________________________________________________________
___________________________________________________________________________________________________ operates,

I certify to the following:
3. The HA's proposed drug and crime elimination activities are coordinated with and supportive of local strategies and neighborhood improvement programs, if applicable. Under the Cooperation Agreement, the local
government is providing public services and facilities
of the same character and to the same extent to Public
housing as are furnished to other dwellings and residents of the locality. Where additional on-duty police
are being funded under the Comprehensive Grant Program, such police will only provide additional security
and protective services over and above those for which
the local government is contractually obligated to provide under the Cooperation Agreement.

1. The HA developed the Comprehensive Plan/Annual
Statement in consultation with local government officials/Indian tribal officials and with residents of the
developments covered by the Comprehensive Plan/
Annual Statement, in accordance with the requirements
of the Comprehensive Grant Program;
2. For PHAs, the Comprehensive Plan/Annual Statement
is consistent with the unit of general local government's
assessment of its low-income housing needs (as evidenced by its Consolidated Plan under 24 CFR Part 91,
if applicable), and that the unit of general local government will cooperate in providing resident programs and
services; and

Note: The Comprehensive Plan includes the Action Plan.
Name of Chief Executive Officer

Signature of Chief Executive Officer

Date

Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)
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form HUD-52835 (10/96)
ref Handbook 7485.3