Information Collection

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

IC 27327 under ICR 201003-2502-001 · OMB 2502-0542.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0542 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-424 Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)	Form
2991.pdf	Other-Certificaition
SF-424 Standard Form SF-424 sf424.pdf	Form
HUD-2880 HUD 2880 2880.pdf	Form and Instruction
HUD-2990-2991 HUD form 2990 2990.pdf	Form and Instruction
HUD-96011 Third Party Documenation Fascsimile Transmittal 96011.pdf	Form and Instruction
HUD-2530 HUD 2530 HUD 2530.pdf	Form and Instruction
HUD-96010 Logic Model HUD 96010.pdf	Form and Instruction
HUD-50080-ALCP HUD 50080-ALCP HUD 50080 ALCP.pdf	Form and Instruction
SF-LLL Standard Form LLL SF LLL.pdf	Form and Instruction
HUD-2994-A You are our Client HUD-2994-A.pdf	Form and Instruction
SF-269 Standard Form 269 SF-269.pdf	Form and Instruction
SF-424-SUPP. Standard Form 424-SUPP sf424sup.pdf	Form and Instruction
HUD 92045 ALCP Application Summary Sheet HUD 92045.pdf	Form and Instruction
HUD 27300 America's Affordable Communities Initiative 27300.pdf	Form and Instruction
HUD 424 CB Grant Application Detailed Budget 424-CB.pdf	Form and Instruction
HUD 424 CBW Grant Application Detailed Budget Worksheet 424-CBW.PDF	Form and Instruction
HUD 50080 ECRP Emergency Capital Repair Grant Program form HUD 50080 ECRP-DRAFT.pdf	Form and Instruction
HUD 92046 Use Agreement HUD-92046 Use Agreement.doc	Form and Instruction
HUD 92047 Grant Agreement HUD-92047 Grant Agreement.doc	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 5.105a

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	SF-424	Standard Form SF-424	sf424.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2880	HUD 2880	2880.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2990-2991	HUD form 2990	2990.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-96011	Third Party Documenation Fascsimile Transmittal	96011.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2530	HUD 2530	HUD 2530.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-96010	Logic Model	HUD 96010.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-50080-ALCP	HUD 50080-ALCP	HUD 50080 ALCP.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF-LLL	Standard Form LLL	SF LLL.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2994-A	You are our Client	HUD-2994-A.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF-269	Standard Form 269	SF-269.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF-424-SUPP.	Standard Form 424-SUPP	sf424sup.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 92045	ALCP Application Summary Sheet	HUD 92045.pdf	No		Fillable Printable
Form and Instruction	HUD 27300	America's Affordable Communities Initiative	27300.pdf	Yes	Yes	Fillable Printable
Other-Certificaition			2991.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 424 CB	Grant Application Detailed Budget	424-CB.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 424 CBW	Grant Application Detailed Budget Worksheet	424-CBW.PDF	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50080 ECRP	Emergency Capital Repair Grant Program form	HUD 50080 ECRP-DRAFT.pdf	No		Fillable Printable
Form and Instruction	HUD 92046	Use Agreement	HUD-92046 Use Agreement.doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 92047	Grant Agreement	HUD-92047 Grant Agreement.doc	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 85

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	809	190	619
Annual IC Time Burden (Hours)	2,519	146	2,373
Annual IC Cost Burden (Dollars)	0	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.