Information Collection

Closeout Instructions for Community Development Block Grant Programs (CDBG)

IC 199538 under ICR 201708-2506-001 · OMB 2506-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0193 can be found here:

2022-05-19 - No material or nonsubstantive change to a currently approved collection
2021-11-16 - Reinstatement without change of a previously approved collection

Documents and Forms

Document Name Document Type
Form HUD Form 40151 Closeout Instructions for Community Development Block Grant Programs (CDBG) Form
HUD Form 40151 Attachment B State CDBG Program Grant Close-out Certific 40151.pdf Form
HUD Form 40152 Attachment C 40152.pdf Form
HUD Form 40153 Attachment D State CDBG Closeout Checklist 40153.pdf Form
HUD Form 40154 Letterhead : Entitlement Grant Closeout and Recapture of 40154.pdf Form
HUD Form 40155 Attachment B Letterhead: Grant Closeout and Recapture of 40155.pdf Form
HUD Form 40156 Attachment C Community Development Block Grant - Recover 40156.pdf Form
HUD Form 40157 Attachment D CDBG-R Closeout Checklist 40157.pdf Form
HUD Form 40158 Attachment E Grant Closeout Agreement for Entitlement Co 40158.pdf Form
HUD Form 40159 Attachment F Grant Closeout Agreement for State Communit 40159.pdf Form
HUD Form 40161 Attachment A Grant Closeout Review/Checklist 40161.pdf Form
HUD Form 40164 Attachement D Grant Closeout Agreement for Community Dev 40164.pdf Form
HUD Form 40175 Attachment B Community Development Block Grant - (CDBG) Entitlement Closeout Certification (2) 40175.docx Form
HUD Form 40176 Attachment B Closeout Certification 40176 - CDBG - DR Closeout Certification 40162.docx Form
HUD Form 40177 Attachment A Grant Closeout and Recapture of Unspent Gra 40177 - NSP Sample Closeout Letter.docx Form
HUD Form 40178 Attachment B NSP Closeout Certification 40178 - NSP Closeout Certification.docx Form
HUD Form 40179 Attachment C NSP Closeout Checklist 40179 - NSP Closeout CHecklist.docx Form
HUD Form 40180 NSP Grant Closeout Agreement 40180 - NSP Grant Closeout Agreement.docx Form
HUD Form 40181 NSP Mangement Plan for Continued Affordability 40181 - NSP Management Plan for Continued Affordability.docx Form
HUD 40182 Entitlement CDBG Closeout Cover letter Form - 40182 Entitlement CDBG Closeout Cover Letter.docx Form
HUD 40183 Entitlement CDBG Closeout Checklist Form - 40183 Entitlement CDBG Closeout Checklist.docx Form
HUD 40184 Closeout Agreement for Entitlement CDBG Form - 40184 Closeout Agreement for Entitlement CDBG.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Closeout Instructions for Community Development Block Grant Programs (CDBG)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD Form 40151	Attachment B State CDBG Program Grant Close-out Certification	40151.pdf	Yes	No	Fillable Printable
Form	HUD Form 40152	Attachment C	40152.pdf	Yes	No	Fillable Printable
Form	HUD Form 40153	Attachment D State CDBG Closeout Checklist	40153.pdf	Yes	No	Fillable Printable
Form	HUD Form 40154	Letterhead : Entitlement Grant Closeout and Recapture of Unspent Grant Funds	40154.pdf	Yes	No	Fillable Printable
Form	HUD Form 40155	Attachment B Letterhead: Grant Closeout and Recapture of Unspent Grant Funds State	40155.pdf	Yes	No	Fillable Printable
Form	HUD Form 40156	Attachment C Community Development Block Grant - Recovery (CDBG-R) Program Grantee Closeout Certification	40156.pdf	Yes	No	Fillable Printable
Form	HUD Form 40157	Attachment D CDBG-R Closeout Checklist	40157.pdf	Yes	No	Fillable Printable
Form	HUD Form 40158	Attachment E Grant Closeout Agreement for Entitlement Community Development Block Grant-Recovery Program	40158.pdf	Yes	No	Fillable Printable
Form	HUD Form 40159	Attachment F Grant Closeout Agreement for State Community Development Block Grant-Recovery Program	40159.pdf	Yes	No	Fillable Printable
Form	HUD Form 40161	Attachment A Grant Closeout Review/Checklist	40161.pdf	Yes	No	Fillable Printable
Form	HUD Form 40164	Attachement D Grant Closeout Agreement for Community Development Block Grant Disaster Recovery Program	40164.pdf	Yes	No	Fillable Printable
Form	HUD Form 40175	Attachment B Community Development Block Grant - (CDBG) Entitlement Program Grantee Closeout Certification	Entitlement Closeout Certification (2) 40175.docx	Yes	No	Fillable Printable
Form	HUD Form 40176	Attachment B Closeout Certification	40176 - CDBG - DR Closeout Certification 40162.docx	Yes	No	Fillable Printable
Form	HUD Form 40177	Attachment A Grant Closeout and Recapture of Unspent Grant Funds Neighborhood Stabilization Program	40177 - NSP Sample Closeout Letter.docx	Yes	No	Fillable Printable
Form	HUD Form 40178	Attachment B NSP Closeout Certification	40178 - NSP Closeout Certification.docx	Yes	No	Fillable Printable
Form	HUD Form 40179	Attachment C NSP Closeout Checklist	40179 - NSP Closeout CHecklist.docx	Yes	No	Fillable Printable
Form	HUD Form 40180	NSP Grant Closeout Agreement	40180 - NSP Grant Closeout Agreement.docx	Yes	No	Fillable Printable
Form	HUD Form 40181	NSP Mangement Plan for Continued Affordability	40181 - NSP Management Plan for Continued Affordability.docx	Yes	No	Fillable Printable
Form	HUD 40182	Entitlement CDBG Closeout Cover letter	Form - 40182 Entitlement CDBG Closeout Cover Letter.docx	Yes	No	Fillable Printable
Form	HUD 40183	Entitlement CDBG Closeout Checklist	Form - 40183 Entitlement CDBG Closeout Checklist.docx	Yes	No	Fillable Printable
Form	HUD 40184	Closeout Agreement for Entitlement CDBG	Form - 40184 Closeout Agreement for Entitlement CDBG.docx	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,325	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,325	237	3,088
Annual IC Time Burden (Hours)	5,581	4,842	739
Annual IC Cost Burden (Dollars)	0	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.