Information Collection

Congressional Earmark Grants

IC 186839 under ICR 200810-2506-001 · OMB 2506-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0179 can be found here:

Documents and Forms

Document Name Document Type
Form SF 424 Congressional Earmark Grants Form
SF 424 Application For Fderal Assistance SF 424 Application for Assistance.pdf Form
SF LLL Disclosure of Lobbying Activities sflll.pdf Form
SF 1199 Direct Deposit Sign - Form SF1199a Direct Deposit Sign Up.pdf Form
SF 269A Financial Status Report SF 269A Financial Status Report.pdf Form
HUD 424-B Applicant Assurances and Certifications 424-b.pdf Form
HUD-27053 LOCCS VRS Request Voucher for Grants Payment 27053.pdf Form
HUD 27054 LOCCS Voice Response Access Authorization 27054.pdf Form
HUD 27056 Change of Address 27056.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Congressional Earmark Grants	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF 424	Application For Fderal Assistance	SF 424 Application for Assistance.pdf	Yes	No	Fillable Printable
Form	SF LLL	Disclosure of Lobbying Activities	sflll.pdf	Yes	No	Fillable Printable
Form	SF 1199	Direct Deposit Sign - Form	SF1199a Direct Deposit Sign Up.pdf	Yes	No	Fillable Printable
Form	SF 269A	Financial Status Report	SF 269A Financial Status Report.pdf	Yes	No	Fillable Printable
Form	HUD 424-B	Applicant Assurances and Certifications	424-b.pdf	Yes	No	Fillable Printable
Form	HUD-27053	LOCCS VRS Request Voucher for Grants Payment	27053.pdf	Yes	No	Fillable Printable
Form	HUD 27054	LOCCS Voice Response Access Authorization	27054.pdf	Yes	No	Fillable Printable
Form	HUD 27056	Change of Address	27056.pdf	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: 777	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	777	777
Annual IC Time Burden (Hours)	1,554	1,554
Annual IC Cost Burden (Dollars)	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.