HUD-2990-2991 HUD form 2990

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

2990

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

OMB: 2502-0542

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Certification of
Consistency with
the RC/EZ/EC-IIs
Strategic Plan

U.S. Department of Housing
and Urban Development

I certify that the proposed activities/projects in this application are consistent with the strategic plan of a federally-designated
empowerment zone (EZs), renewal community (RCs), or enterprise community (ECs); designated by the United States Department
of Agriculture (USDA) in round II (EC-IIs).

(Type or clearly print the following information)

Applicant Name

___________________________________________________________

Name of the Federal
Program to which the
applicant is applying

___________________________________________________________

Name of RC/EZ/EC

___________________________________________________________

I further certify that the proposed activities/projects will be located within theRC/EZ/EC-IIs or strategic planning communities that
are intended to serve the RC/EZ/EC-IIs strategic planning community residents, or renewal community. (2 points)
Name of the
Official Authorized
to Certify the RC/EZ/EC

___________________________________________________________

Title

___________________________________________________________

Signature

___________________________________________________________

Date (mm/dd/yyyy)

_________________________________

Page 1 of 1

form HUD-2990 (2/2005)


File Typeapplication/pdf
File Title2990
Subject2990
AuthorELK
File Modified2005-02-15
File Created2005-02-14

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