Information Collection

Pay for Success Permanent Supportive Housing Demonstration

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 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 %

table that charts list of burden
	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

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.