Continuum of Care Homeless Assistance Grant Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0112 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-2991 Continuum of Care Homeless Assistance Grant Application Form
Subpopulation Extrapolation Tool - Random Sample_v_7.22.08.xls Other-Extrapolation Tool
Subpopulation Extrapolation Tool - Stratified Sample_v_7.22.08.xls Other-Stratified Sample Extrapolatio
2008 HIC_v_7.22.08.xls Other-Spreadsheet
General Extrapolation Tool_v_7.22.08.xls Other-General Extrapolation tool
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
screen shot of burden hours.docx Screen shot for burden hours IC Document
CoC Ex. 1 Application Data Elements_v3_4 10 09.doc Application Data Elements IC Document
CoC Ex. 2 Project Application Data Elements_v1_3 03 09.doc Project Application Data Elements IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

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	Yes	Yes	Fillable Fileable
Form	HUD-2880	Applicant/Recipient Disclosure/Update Report	HUD 2880.pdf	Yes	Yes	Fillable Fileable
Form	HUD-96010	Logic Model	96010.pdf	Yes	Yes	Fillable Fileable
Form	HUD-27300	Regulatory Barriers	27300.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92041	Sponsor's Conflict of Interest Resolution	92041.pdf	Yes	Yes	Fillable Fileable
Other-Extrapolation Tool			Subpopulation Extrapolation Tool - Random Sample_v_7.22.08.xls	Yes	Yes	Fillable Fileable
Other-Stratified Sample Extrapolation Tool			Subpopulation Extrapolation Tool - Stratified Sample_v_7.22.08.xls	Yes	Yes	Fillable Fileable
Other-Spreadsheet			2008 HIC_v_7.22.08.xls	Yes	Yes	Fillable Fileable
Other-General Extrapolation tool			General Extrapolation Tool_v_7.22.08.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: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22,900	22,900
Annual IC Time Burden (Hours)	184,812	184,812
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Screen shot for burden hours	screen shot of burden hours.docx	05/21/2009
Application Data Elements	CoC Ex. 1 Application Data Elements_v3_4 10 09.doc	05/21/2009
Project Application Data Elements	CoC Ex. 2 Project Application Data Elements_v1_3 03 09.doc	05/21/2009

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