HUD-52790 HOPE VI Demolition Application Checklist

HOPE VI Demolition
Application Checklist

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

OMB Approval No. 2577-0208
(exp. 09/30/2014)

The public reporting burden for this collection of information for the HOPE VI Revitalization Program is estimated to average fifteen minutes,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information and preparing the application package for submission to HUD.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions to reduce this burden,
to the Reports Management Officer, Paperwork Reduction Project, to the Office of Information Technology, US. Department of Housing and
Urban Development, Washington, DC 20410-3600. When providing comments, please refer to OMB Approval No. 2577-0208. HUD may not
conduct and sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid control number.
The information submitted in response to the Notice of Funding Availability for the HOPE VI Program is subject to the disclosure requirements
of the Department of Housing and Urban Development Reform Act of 1989 (Public Law 101-235, approved December 15, 1989, 42 U.S.C.
3545).
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010,
1012; 31 U.S.C. 3729, 3802)

HOPE VI DEMOLITION
APPLICATION CHECKLIST
PHA Name:
___________________________________________________________________
Development Name:
___________________________________________________________
PHA CHECKOFF

HUD VERIFICATION

__________ HOPE VI Demolition Application Checklist

__________

__________ HOPE VI Demolition Application Receipt (HUD-2993-A)

__________

__________ Application for Federal Assistance (HUD-424)

__________

__________ Applicant Assurances and Certifications (HUD-424B)

__________

Exhibit A: Priority Group and Documentation of Eligibility:
_________

_________

_________

_________

Priority 1:

Priority 2A:

Priority 2B:

Priority 3:

HUD’s letter to PHA approving Section 202
Conversion Plan

__________

PHA’s letter transmitting
Section 202 Conversion Plan to HUD

__________

Documentation of HUD’s Determination
of Section 202 Status

__________

HUD’s letter to PHA approving Section 18
demolition application

__________

Form HUD-52790 (12-2003)

__________

Exhibit B: Application Information

__________

_________

Exhibit C: Program Schedule

__________

_________

Exhibit D: Grant Limitations Worksheet

__________

_________

Exhibit E: HOPE VI Budget

__________

_________

Exhibit F: Housing Choice Voucher (Section 8) Application

__________

__________ Exhibit G: Nondwelling Structures Certification

__________

Form HUD-52790 (12-2003)