Information Collection

Pay for Success Permanent Supportive Housing Demonstration

IC 217148 under ICR 201506-2506-002 · OMB 2506-0207.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0207 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 2880 Pay for Success Permanent Supportive Housing Demonstration	Form
HUD 2993 Acknowledgment of Application Receipt HUD 2993.pdf	Form
HUD 96011 Third Party Documentation HUD 96011.doc	Form
HUD 2880 Applicant/Recipient/Disclosure/Update Report HUD 2880.pdf	Form

IC Title:

Pay for Success Permanent Supportive Housing Demonstration

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD 2880	Applicant/Recipient/Disclosure/Update Report	HUD 2880.pdf	Yes	No	Fillable Printable
Form	HUD 2993	Acknowledgment of Application Receipt	HUD 2993.pdf	Yes	No	Fillable Printable
Form	HUD 96011	Third Party Documentation	HUD 96011.doc	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	195	195
Annual IC Cost Burden (Dollars)	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.