HUD 52790 Hope VIDemolition Application Checklist

HOPE VI Demolition Application Checklist

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

OMB Approval No. 2577-0208 (exp.4/30/2008)

Public reporting burden for this collection of information is estimated to average 15 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 applicant submit information to enable HUD to review applications for HOPE VI grant funding. The information will be used by HUD to determine which applicants should be funded. Response to this collection of information is mandatory to obtain a benefit. Responses to the collection are required by the HOPE VI NOFA. The information requested does not lend itself to confidentiality.

The information submitted in response to the Notice of Funding Availability for the HOPE VI Program is subject to the disclosure requirements of the Department of Housing and Urban Development Reform Act of 1989 (Public Law 101-235, approved December 15, 1989, 42 U.S.C. 3545).

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)

HOPE VI DEMOLITION

APPLICATION CHECKLIST

PHA Name: ___________________________________________________________________

Development Name: ___________________________________________________________

PHA CHECKOFF HUD VERIFICATION

__________ HOPE VI Demolition Application Checklist __________

__________ HOPE VI Demolition Application Receipt (HUD-2993-A) __________

__________ Application for Federal Assistance (HUD-424) __________

__________ Applicant Assurances and Certifications (HUD-424B) __________

Exhibit A: Priority Group and Documentation of Eligibility:

_________ Priority 1: HUD’s letter to PHA approving Section 202

Conversion Plan __________

_________ Priority 2A: PHA’s letter transmitting

Section 202 Conversion Plan to HUD __________

_________ Priority 2B: Documentation of HUD’s Determination

of Section 202 Status __________

_________ Priority 3: HUD’s letter to PHA approving Section 18

demolition application __________

__________ Exhibit B: Application Information __________

_________ Exhibit C: Program Schedule __________

_________ Exhibit D: Grant Limitations Worksheet __________

_________ Exhibit E: HOPE VI Budget __________

_________ Exhibit F: Housing Choice Voucher (Section 8) Application __________

__________ Exhibit G: Nondwelling Structures Certification __________

Form HUD-52790 (12-2003)