Information Collection

Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities

IC 42068 under ICR 201006-2502-018 · OMB 2502-0462.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0462 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-92041 Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities Form
2994-A.doc Other-Survey
HUD-92041 Sponsor's Conflict of Interest Resolution 92041.pdf Form
HUD-92042 Sponsor's Resolution for Commitment to project 92042.pdf Form
HUD-92043 Certification for Provision of Supportive Services 92043.pdf Form
SF-424 Application for Federal Assistance HUD sf424.pdf Form
SF-LLL Disclosure of Lobbying Activities HUD SF-LLL.pdf Form
HUD-2880 Applicant/Recipient Disclosure/Update report HUD 2880.pdf Form
HUD-2990 Certification of Consistency with the RC/EZ/EC Strategic HUD 2990.pdf Form
HUD 2991 Certification of Consistency with the Consolidated Plan HUD 2991.pdf Form
SF424SUP Survey on Ensuring Equal opportunity for Applicants sf424sup.pdf Form
HUD 96011 HUD 96011 96011.doc Form and Instruction
HUD 96010 Logic Model 96010.pdf Form and Instruction
HUD 92016 CA Application for Capital Advance Summary Information HUD 92016-ca.rtf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities	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 891.113

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-92041	Sponsor's Conflict of Interest Resolution	92041.pdf	Yes	No	Fillable Printable
Form	HUD-92042	Sponsor's Resolution for Commitment to project	92042.pdf	Yes	No	Fillable Printable
Form	HUD-92043	Certification for Provision of Supportive Services	92043.pdf	Yes	No	Fillable Printable
Form	SF-424	Application for Federal Assistance	HUD sf424.pdf	Yes	No	Fillable Printable
Form	SF-LLL	Disclosure of Lobbying Activities	HUD SF-LLL.pdf	Yes	No	Fillable Printable
Form	HUD-2880	Applicant/Recipient Disclosure/Update report	HUD 2880.pdf	No		Printable Only
Form	HUD-2990	Certification of Consistency with the RC/EZ/EC Strategic Plan	HUD 2990.pdf	Yes	No	Fillable Printable
Form	HUD 2991	Certification of Consistency with the Consolidated Plan	HUD 2991.pdf	Yes	No	Fillable Printable
Form	SF424SUP	Survey on Ensuring Equal opportunity for Applicants	sf424sup.pdf	Yes	No	Fillable Printable
Other-Survey			2994-A.doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 96011	HUD 96011	96011.doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 96010	Logic Model	96010.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 92016 CA	Application for Capital Advance Summary Information	HUD 92016-ca.rtf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 136	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	136	-74	210
Annual IC Time Burden (Hours)	11,833	-6,466	18,299
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.