Congregate Housing Services Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0485 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-90198 Congregate Housing Services Program Form
HUD-90198 Payment Voucher HUD-90198.pdf Form
HUD-91180-A Summary Budget Grantee HUD-91180-a.pdf Form
SF-269 Financial Status Report sf269.pdf Form
HUD 91178A Annual Program Budget Grantee HUD-91178-a.pdf Form
HUD 90006 Annual Reporting Form 90006.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Congregate Housing Services Program	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 700.155(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-90198	Payment Voucher	HUD-90198.pdf	No		Fillable Printable
Form	HUD-91180-A	Summary Budget Grantee	HUD-91180-a.pdf	No		Fillable Printable
Form	SF-269	Financial Status Report	sf269.pdf	No		Fillable Printable
Form	HUD 91178A	Annual Program Budget Grantee	HUD-91178-a.pdf	No		Fillable Printable
Form and Instruction	HUD 90006	Annual Reporting Form	90006.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 63	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	504	54	450
Annual IC Time Burden (Hours)	1,103	-1,110	2,213
Annual IC Cost Burden (Dollars)	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.