Information Collection

Continuum of Care Homeless Assistance Grant Application

IC 27416 under ICR 201508-2506-001 · OMB 2506-0112.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0112 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-2991 Continuum of Care Homeless Assistance Grant Application	Form
HUD-2991 Cert of Consistency with the Consolidated Plan HUD 2991.pdf	Form
HUD-2880 Applicant/Recipient Disclosure/Update Report HUD 2880.pdf	Form
HUD-27300 Regulatory Barriers 27300.pdf	Form
HUD-92041 Sponsor's Conflict of Interest Resolution 92041.pdf	Form
SF 424 Application For Federal Assistance SF 424 word.pdf	Form and Instruction
SF LLL Disclosure of Lobbying Activities SL-LLL.pdf	Form
HUD 50070 Certification for a Drug-Free Workplace HUD 50070.pdf	Form
SF 424 Supplement Survey on Ensuring Equal Opportunity for Applicants SF-424 SUPP.pdf	Form and Instruction
HUD 40090.4 Application Certification Electronic Version of HUD Form 40090-4.docx	Form

IC Title:

Continuum of Care Homeless Assistance Grant Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 882.300(d)(1) 24 CFR 583.300(g)

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-2991	Cert of Consistency with the Consolidated Plan	HUD 2991.pdf	Yes	Yes	Fillable Fileable
Form	HUD-2880	Applicant/Recipient Disclosure/Update Report	HUD 2880.pdf	Yes	Yes	Fillable Fileable
Form	HUD-27300	Regulatory Barriers	27300.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92041	Sponsor's Conflict of Interest Resolution	92041.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF 424	Application For Federal Assistance	SF 424 word.pdf	Yes	No	Fillable Printable
Form	SF LLL	Disclosure of Lobbying Activities	SL-LLL.pdf	Yes	No	Fillable Printable
Form	HUD 50070	Certification for a Drug-Free Workplace	HUD 50070.pdf	Yes	No	Fillable Printable
Form and Instruction	SF 424 Supplement	Survey on Ensuring Equal Opportunity for Applicants	SF-424 SUPP.pdf	Yes	No	Fillable Printable
Form	HUD 40090.4	Application Certification	Electronic Version of HUD Form 40090-4.docx	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: 8,869

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8,869	-43,170	52,039
Annual IC Time Burden (Hours)	201,780	-114,567	316,347
Annual IC Cost Burden (Dollars)	0	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.