Information Collection

Homelessness Prevention and Rapid Re-Housing Program (HPRP)

IC 188352 under ICR 200903-2506-001 · OMB 2506-0180.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF4214 Application for Federal Assistance Homelessness Prevention and Rapid Re-Housing Program (HPRP)	Form and Instruction
Form HUD 40119 Substantial Amendment to the Consolidate Plan for the HPRP Homelessness Prevention and Rapid Re-Housing Program (HPRP)	Form and Instruction
Form sf424 Application for Federal Assistance Homelessness Prevention and Rapid Re-Housing Program (HPRP)	Form and Instruction
General Certifications for HPRP.docx	Other-Certification
HPRP certifications_final.docx	Other-Certificaiton
HPRP certifications_final.docx	Other-Certification
HUD 40119 Substantial Amendment to the Consolidate Plan for the HP HUD 40119.doc	Form and Instruction
SF4214 Application for Federal Assistance sf424.pdf	Form and Instruction
sf424 Application for Federal Assistance sf424 (2).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 40119	Yes	No	Fillable Printable
Form and Instruction	SF4214	Yes	No	Fillable Printable
Other-Certification		Yes	No	Fillable Printable
Other-Certificaiton		Yes	No	Fillable Printable
Form and Instruction	sf424	Yes	No	Fillable Printable
Other-Certification		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 540

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	540	540
Annual IC Time Burden (Hours)	9,045	9,045
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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