Information Collection

Continuum of Care Homeless Assistance Grant Application

IC 27416 under ICR 200803-2506-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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-2991 Continuum of Care Homeless Assistance Grant Application	Form
General Extrapolation Tool 3-19-08.xls	Instruction
Subpopulation Extrapolation Tool - Random Sample 3-19-08.xls	Other-workbook guide - random
Subpopulation Extrapolation Tool - Stratified Sample 3-19-08.xls	Other-workbook guide - stratified
e-HIC Instructions_CoC2008.pdf	Instruction
eHIC_CoC2008.xls	Other-eHIC Charts
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-92041 Sponsor's Conflict of Interest Resolution 92041.pdf	Form
SF 424 Applicaiton for Federal Assistance sf424.doc	Form and Instruction
SF 424 Supp Voluntary Survey on Ensuring Equal Opportunity sf424sup.pdf	Form and Instruction
SF LLL Disclusure of Lobbying Activities sflllin.pdf	Form and Instruction
HUD 2991 Cert of Consistency with Concolidate Plan 2991.pdf	Form and Instruction
HUD 40090-3A CoC Technical SHP 40090-3A.doc	Form and Instruction
HUD 40090-3b CoC Technical Submission SR Tech 40090-3b.doc	Form and Instruction
Burden Hours Screen Shot.doc Burden Hours Screen Shot	IC Document
2008 NOFA - APR worksheet 3-13-08.xls APR Performance Workbook	IC Document

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 882.300(d)(1) 24 CFR 583.300(g)

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	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-92041	Sponsor's Conflict of Interest Resolution	92041.pdf	No		Fillable Printable
Form and Instruction	SF 424	Applicaiton for Federal Assistance	sf424.doc	Yes	Yes	Fillable Fileable
Form and Instruction	SF 424 Supp	Voluntary Survey on Ensuring Equal Opportunity	sf424sup.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF LLL	Disclusure of Lobbying Activities	sflllin.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 2991	Cert of Consistency with Concolidate Plan	2991.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 40090-3A	CoC Technical SHP	40090-3A.doc	Yes	No	Fillable Printable
Form and Instruction	HUD 40090-3b	CoC Technical Submission SR Tech	40090-3b.doc	Yes	No	Fillable Printable
Instruction			General Extrapolation Tool 3-19-08.xls	Yes	No	Paper Only
Other-workbook guide - random			Subpopulation Extrapolation Tool - Random Sample 3-19-08.xls	Yes	No	Paper Only
Other-workbook guide - stratified			Subpopulation Extrapolation Tool - Stratified Sample 3-19-08.xls	Yes	No	Paper Only
Instruction			e-HIC Instructions_CoC2008.pdf	Yes	Yes	Paper Only
Other-eHIC Charts			eHIC_CoC2008.xls	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,510

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	22,900	9,400	13,500
Annual IC Time Burden (Hours)	184,812	-16,865	201,677
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Hours Screen Shot	Burden Hours Screen Shot.doc	03/25/2008
APR Performance Workbook	2008 NOFA - APR worksheet 3-13-08.xls	03/25/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.