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pdfU.S. Department of Housing and Urban Development
Community Planning and Development
OMB Approval No. 2506-0193 (exp 1/31/2015)
Attachment: A
Verification of State CDBG Program Grants
Closed-out
CPD Field Office staff should provide the State CDBG program grant information that will enable
the State and Small Cities Division to verify its status based on commitment and obligation
amounts in LOCCS. The CPD Director’s signature certifies that the information is accurate.
Headquarters will verify the status of the State CDBG program grants and enter the closeout dates
in the appropriate column of the Table.
Grant Information
Date Closed
(Field Office)
Year
Grantee Name (State)
Grant Amount
Verification of
Zero Balance
Date
(Headquarters)
Certification
_______________________________________________
Name of CPD Field Office Director (Print)
________________________________________________ __________________________
Signature of CPD Field Office Director Date
Page 1
HUD Form 40150 (1/2012)
File Type | application/pdf |
File Modified | 2012-02-13 |
File Created | 2012-02-09 |