Information Collection

Grant application

IC 205112 under ICR 201212-2528-001 · OMB 2528-0295.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-2993 Grant application	Form
HUD-2993 Receipt Acknowledgement HUD 2993 with burden statement.pdf	Form
HUD424-CB Grant Application Detailed Budget HUD424_CBDetailed Budget with burden statement.pdf	Form
SF-LLL Disclosure of Lobbying Activities SF-LLL Disc lobbying with burden.pdf	Form
SF424-SUPP-EEO Survey on Ensuring Equal Opportunity for Applicants FaithBased_SurveyOnEEO-V1.2 with burden statement.pdf	Form
HUD-2880 Applicant Recipient Disclosure HUD2880 applicant_recipient disclosure_update with burden.pdf	Form
SF424 Application for Federal Assistance Screen Shot SF424.pdf	Form
HUD-96011 Fax transmittal HUD Fax Transmittal with Burden Statement.pdf	Form

IC Title:

Grant application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	HUD-2993	Receipt Acknowledgement	HUD 2993 with burden statement.pdf	Yes	Yes	Fillable Fileable
Form	HUD424-CB	Grant Application Detailed Budget	HUD424_CBDetailed Budget with burden statement.pdf	Yes	Yes	Fillable Fileable
Form	SF-LLL	Disclosure of Lobbying Activities	SF-LLL Disc lobbying with burden.pdf	Yes	Yes	Fillable Fileable
Form	SF424-SUPP-EEO	Survey on Ensuring Equal Opportunity for Applicants	FaithBased_SurveyOnEEO-V1.2 with burden statement.pdf	Yes	Yes	Fillable Fileable
Form	HUD-2880	Applicant Recipient Disclosure	HUD2880 applicant_recipient disclosure_update with burden.pdf	Yes	Yes	Fillable Fileable
Form	SF424	Application for Federal Assistance	Screen Shot SF424.pdf	Yes	Yes	Fillable Fileable
Form	HUD-96011	Fax transmittal	HUD Fax Transmittal with Burden Statement.pdf	No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	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.