Information Collection

Section 3 Grant Application

IC 194139 under ICR 201101-2529-001 · OMB 2529-0050.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 424 Section 3 Grant Application	Form and Instruction
SF 424 Application for Federal Assistance sf424.doc	Form and Instruction
SF LLL Disclosure of Lobbying Lobbying Activities sflll.pdf	Form and Instruction
HUD 424-CBWI Instructions for Completing the Grant Application Detail 424-cbwi.doc	Form and Instruction
HUD 2994-A Grant Applications Survey 2994-A.doc	Form and Instruction
HUD 40076-RHED Checklist for Forms and Certifications 40076rhe.pdf	Form
HUD 96011 Third Party Documentation 96011.doc	Form and Instruction
HUD 96010 Logic Model formhud96010.xls	Form and Instruction
HUD 424-CB Grant Application Detailed Budget HUD424-cb.pdf	Form and Instruction
HUD 2880 Applicant/Recipient Disclosure/Update Report HUD 2880.pdf	Form and Instruction
HUD 2990 Certification of Consistency with the RC/EZ/EC-IIs Strat HUD 2990.pdf	Form and Instruction
HUD 2993 Acknowledgment of Application Receipt HUD 2993.pdf	Form
HUD 27061 Race and Ethnic Data Reporting Form HUD 27061.pdf	Form and Instruction
HUD 965 REGIONAL PARTNERSHIP CERTIFICATION STATEMENT HUD 965_rev2011.docx	Form and Instruction
HUD 966 NEEDS ASSESSMENT FORM HUD 966_rev2011_mar2.docx	Form and Instruction
HUD 967 CERTIFICATION of POSITION SUSTAINABILITY HUD 967_rev2011.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Section 3 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:

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 and Instruction	SF 424	Application for Federal Assistance	sf424.doc	Yes	Yes	Fillable Fileable
Form and Instruction	SF LLL	Disclosure of Lobbying Lobbying Activities	sflll.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 424-CBWI	Instructions for Completing the Grant Application Detailed Budget Worksheet	424-cbwi.doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 2994-A	Grant Applications Survey	2994-A.doc	Yes	Yes	Fillable Fileable
Form	HUD 40076-RHED	Checklist for Forms and Certifications	40076rhe.pdf	No		Fillable Printable
Form and Instruction	HUD 96011	Third Party Documentation	96011.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD 96010	Logic Model	formhud96010.xls	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 424-CB	Grant Application Detailed Budget	HUD424-cb.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 2880	Applicant/Recipient Disclosure/Update Report	HUD 2880.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 2990	Certification of Consistency with the RC/EZ/EC-IIs Strategic Plan	HUD 2990.pdf	No		Paper Only
Form	HUD 2993	Acknowledgment of Application Receipt	HUD 2993.pdf	Yes	No	Fillable Fileable
Form and Instruction	HUD 27061	Race and Ethnic Data Reporting Form	HUD 27061.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 965	REGIONAL PARTNERSHIP CERTIFICATION STATEMENT	HUD 965_rev2011.docx	Yes	No	Fillable Printable
Form and Instruction	HUD 966	NEEDS ASSESSMENT FORM	HUD 966_rev2011_mar2.docx	Yes	No	Fillable Printable
Form and Instruction	HUD 967	CERTIFICATION of POSITION SUSTAINABILITY	HUD 967_rev2011.docx	Yes	No	Fillable Printable

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: 500

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	500	-92	592
Annual IC Time Burden (Hours)	5,000	-27,250	32,250
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.