Information Collection

Section 202 Supportive Housing for the Elderly Application Submission Requirements

IC 27095 under ICR 201306-2502-006 · OMB 2502-0267.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0267 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 2991 Certification of Consistency with the Consolidated Plan Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form 96010 Logic Model for Section 202 and Pre Development Planning Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form HUD-92041 Sponsor's Conflict of Interest Resolution Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form
Form SF 424 Application for Federal Assistance Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form SF 424 Sup Survey on Ensuring Equal Opportunity for Applicants Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form HUD 424-B Applicant Assurances and Certifications Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form SF LLL Disclosure of Lobbying Activities Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form HUD 2880 Applicant-Recipient Disclosure-Update Report Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form HUD-92015-CA Application for Capital Advance Summary Information Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form
Form HUD-96011 Third Party Documentation Facsimile Transmittal Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form HUD-92042 Sponsor's Resolution for Commitment to Project Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form 2995 Certification of Consistency with Sustainable Communities Planning and Implementation Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
Form 2530 Previous Participation Certification Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form
Form 60002 Summary Report Section 202 Supportive Housing for the Elderly Application Submission Requirements	Form and Instruction
96010 Logic Model for Section 202 and Pre Development Planning 96010-Logic Model.xls	Form and Instruction
HUD-92041 Sponsor's Conflict of Interest Resolution 92041.docx	Form
SF 424 Application for Federal Assistance SF424_2_1-V2.1.pdf	Form and Instruction
SF 424 Sup Survey on Ensuring Equal Opportunity for Applicants SF424 Supp.pdf	Form and Instruction
HUD 424-B Applicant Assurances and Certifications 424-b.xls	Form and Instruction
SF LLL Disclosure of Lobbying Activities sflllin.pdf	Form and Instruction
HUD 2880 Applicant-Recipient Disclosure-Update Report 2880.pdf	Form and Instruction
HUD-92015-CA Application for Capital Advance Summary Information 92015-ca.docx.doc	Form
HUD 2991 Certification of Consistency with the Consolidated Plan 2991.pdf	Form and Instruction
HUD-96011 Third Party Documentation Facsimile Transmittal 96011.doc	Form and Instruction
HUD-92042 Sponsor's Resolution for Commitment to Project 92042.docx	Form and Instruction
2995 Certification of Consistency with Sustainable Communitie 2995.pdf	Form and Instruction
2530 Previous Participation Certification 2530.pdf	Form
60002 Summary Report 60002.doc	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Section 202 Supportive Housing for the Elderly Application Submission Requirements

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 891.115

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	96010	Yes	Yes	Fillable Fileable
Form	HUD-92041	Yes	No	Fillable Printable
Form and Instruction	SF 424	Yes	Yes	Fillable Fileable
Form and Instruction	SF 424 Sup	Yes	No	Fillable Printable
Form and Instruction	HUD 424-B	Yes	Yes	Fillable Fileable
Form and Instruction	SF LLL	Yes	No	Fillable Printable
Form and Instruction	HUD 2880	Yes	Yes	Fillable Fileable
Form	HUD-92015-CA	Yes	No	Fillable Printable
Form and Instruction	HUD 2991	Yes	No	Fillable Printable
Form and Instruction	HUD-96011	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-92042	Yes	No	Fillable Printable
Form and Instruction	2995	Yes	Yes	Fillable Fileable
Form	2530	Yes	Yes	Fillable Fileable
Form and Instruction	60002	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,952	2,652	300
Annual IC Time Burden (Hours)	10,448	-1,553	12,001
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.

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