Information Collection

Application for Healthy Homes and Lead Hazard Control Program Grants

IC 27731 under ICR 201008-2539-001 · OMB 2539-0015.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form HUD 96012
Capacity of the Applicant and Relevant Organizational Experience Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 96014
Soundness of Approach Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 96015
Leveraging Resources Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form SF 424
Application for Federal Assistance Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 424 cbw
Grant Application Detailed Budget Worksheet Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 27061
Race and Ethnic Data Reporting Form Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 27300
America's Affordable Communities Initiative Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 2880
Disclosure and Update Report Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 2994-A
Client Comments and Suggestins Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form SF LLL
Disclosure of Lobbying Activities Required Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 96010
Logic Model Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 96011
Third Party Documentation Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 96013
Needs/Extent of the Problem Application for Healthy Homes and Lead Hazard Control Program Grants
Form and Instruction
Form HUD 96008
Benchmark Standards (36 Months) Application for Healthy Homes and Lead Hazard Control Program Grants
Form
Form HUD 96009
Benchmark Standards (42 Months) Application for Healthy Homes and Lead Hazard Control Program Grants
Form
sf424sup.pdf Other-Survey
2990.pdf Other-Certifiction
2991.pdf Other-Certificaiton
2993.pdf Other-Acknowledgment
HUD 96012 Capacity of the Applicant and Relevant Organizational Ex
96012.pdf
Form and Instruction
HUD 96014 Soundness of Approach
96014.pdf
Form and Instruction
HUD 96015 Leveraging Resources
96015.pdf
Form and Instruction
SF 424 Application for Federal Assistance
sf424.doc
Form and Instruction
HUD 424 cbw Grant Application Detailed Budget Worksheet
424-cbw.xls
Form and Instruction
HUD 27061 Race and Ethnic Data Reporting Form
27061.pdf
Form and Instruction
HUD 27300 America's Affordable Communities Initiative
27300.pdf
Form and Instruction
HUD 2880 Disclosure and Update Report
2880.doc
Form and Instruction
HUD 2994-A Client Comments and Suggestins
2994-A.doc
Form and Instruction
SF LLL Disclosure of Lobbying Activities Required
sflllin.pdf
Form and Instruction
HUD 96010 Logic Model
HH Demo 2007.xls
Form and Instruction
HUD 96011 Third Party Documentation
96011.doc
Form and Instruction
HUD 96013 Needs/Extent of the Problem
96013_2010-08-10 final.docx
Form and Instruction
HUD 96008 Benchmark Standards (36 Months)
final 36 month benchmark.xls
Form
HUD 96009 Benchmark Standards (42 Months)
final 42 month benchmark.xls
Form
HH Demo QA template v1 1 Nov05.doc
HH Demo QA template v1 1
IC Document
HH tech studies QAP template v2 1 Nov2005.doc
HH tech studies QAP template
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction HUD 96012 Yes Yes Fillable Fileable
Form and Instruction HUD 96014 Yes Yes Fillable Fileable
Form and Instruction HUD 96015 Yes Yes Fillable Fileable
Form and Instruction SF 424 Yes Yes Fillable Fileable
Other-Survey Yes Yes Fillable Fileable
Form and Instruction HUD 424 cbw Yes Yes Fillable Fileable
Form and Instruction HUD 27061 Yes Yes Fillable Fileable
Form and Instruction HUD 27300 Yes Yes Fillable Fileable
Form and Instruction HUD 2880 Yes Yes Fillable Fileable
Other-Certifiction Yes Yes Fillable Fileable
Other-Certificaiton Yes Yes Fillable Fileable
Other-Acknowledgment Yes Yes Fillable Fileable
Form and Instruction HUD 2994-A Yes Yes Fillable Fileable
Form and Instruction SF LLL Yes Yes Fillable Fileable
Form and Instruction HUD 96010 Yes Yes Fillable Fileable
Form and Instruction HUD 96011 Yes Yes Fillable Fileable
Form and Instruction HUD 96013 Yes Yes Fillable Fileable
Form HUD 96008 Yes Yes Fillable Fileable
Form HUD 96009 Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 330 0 0 0 0 330
Annual IC Time Burden (Hours) 21,760 0 0 0 0 21,760
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
HH Demo QA template v1 1 03/07/2008
HH tech studies QAP template 03/07/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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