Information Collection

Requirement for Contractors to Provide Certificates of Insurance for Capital Program Projects

IC 27788 under ICR 201102-2577-002 · OMB 2577-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
53012-a.pdf Consolidated Annual Contributions Contract (Sec 13)	IC Document
53012-b.pdf Additional Terms and Conditions	IC Document

IC Title:

Requirement for Contractors to Provide Certificates of Insurance for Capital Program Projects

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 9 (d)

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

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	12,800	12,800
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Consolidated Annual Contributions Contract (Sec 13)	53012-a.pdf	03/28/2008
Additional Terms and Conditions	53012-b.pdf	03/28/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.