Information Collection

Pay for Success Permanent Supportive Housing Demonstration

IC 217148 under ICR 201507-2506-001 · OMB 2506-0207.

Documents and Forms

Document Name Document Type
Form HUD 2993 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
SFLLL DISCLOSURE OF LOBBYING ACTIVITIES HUD-Form-Sflll.pdf Form
SF-424 Supplement SURVEY ON ENSURING EQUAL OPPORTUNITY FOR APPLICANTS SF-424 SUPP.pdf Form
SF 424 2 Application for Federal Assistance SF-424 SF424_2_1-V2 1 (1).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pay for Success Permanent Supportive Housing Demonstration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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
Form	HUD 2880	Applicant/Recipient/Disclosure/Update Report	HUD 2880.pdf	Yes	No	Fillable Printable
Form	SFLLL	DISCLOSURE OF LOBBYING ACTIVITIES	HUD-Form-Sflll.pdf	Yes	No	Fillable Printable
Form	SF-424 Supplement	SURVEY ON ENSURING EQUAL OPPORTUNITY FOR APPLICANTS	SF-424 SUPP.pdf	Yes	No	Fillable Printable
Form	SF 424 2	Application for Federal Assistance SF-424	SF424_2_1-V2 1 (1).pdf	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 %

	Approved	Previously Approved
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

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.