Emergency Capital Repair Grant Program

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

Documents and Forms

Document Name Document Type
Form 50080ercp Emergency Capital Repair Grant Program Form
50080ercp ALCP Payment Voucher Emergency Capital Grant Program 50080ecrp.pdf Form
SF-425 Federal Financial Report SF-425.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Emergency Capital Repair Grant Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 5.105a

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	50080ercp	ALCP Payment Voucher Emergency Capital Grant Program	50080ecrp.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	SF-425	Federal Financial Report	SF-425.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	42	42
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.