HUD-2990-2991 HUD form 2990

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

2990

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

OMB: 2502-0542

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Certification of
Consistency with
the RC/EZ/EC-IIs
Strategic Plan

U.S. Department of Housing
and Urban Development

Exempt from OMB approval requirements under
5 CFR 1320.3(h). Form is a certification only.

I certify that the proposed activities/projects in this application are consistent with the strategic plan of a federally-designated
empowerment zone (EZ), designated by HUD or by the United States Department of Agriculture (USDA), the tax incentive utlization
plan for an urban or rural renewal community (RC) designated by HUD, or the strategic plan for an enterprise community (EC-II)
designation in round II by USDA.

(Type or clearly print the following information)

Applicant Name

___________________________________________________________

Name of the Federal
Program to which the
applicant is applying

___________________________________________________________

Name of RC/EZ/EC-II__________________________________________________________

I further certify that the proposed activities/projects will be located within theRC/EZ/EC-II identified above and are intended to
serve the residents of the designated area. (2 points)
Name of the
Official Authorized
to Certify the RC/EZ/EC-II__________________________________________________________

Title

___________________________________________________________

Signature

___________________________________________________________

Date (mm/dd/yyyy)

_________________________________

Page 1 of 1

form HUD-2990 (2/2005)


File Typeapplication/pdf
File Title2990
Subject2990
AuthorELK
File Modified2013-05-02
File Created2009-12-29

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