Information Collection

Continuum of Care Homeless Assistance Grant Application

IC 27416 under ICR 200905-2506-001 · OMB 2506-0112.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.