Section 202 Supportive Housing for the Elderly Application Submission Requirements

OMB: 2502-0267

IC ID: 27095

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0267 can be found here:

2023-10-17 - Extension without change of a currently approved collection

Documents and Forms

Document Name Document Type
Form 96010 Section 202 Supportive Housing for the Elderly Application Submission Requirements Form and Instruction
96010 Logic Model for Section 202 and Pre Development Planning 96010-Logic Model.xls Form and Instruction
HUD-92041 Sponsor's Conflict of Interest Resolution 92041.docx Form
SF 424 Application for Federal Assistance SF424_2_1-V2.1.pdf Form and Instruction
SF 424 Sup Survey on Ensuring Equal Opportunity for Applicants SF424 Supp.pdf Form and Instruction
HUD 424-B Applicant Assurances and Certifications 424-b.xls Form and Instruction
SF LLL Disclosure of Lobbying Activities sflllin.pdf Form and Instruction
HUD 2880 Applicant-Recipient Disclosure-Update Report 2880.pdf Form and Instruction
HUD-92015-CA Application for Capital Advance Summary Information 92015-ca.docx.doc Form
HUD 2991 Certification of Consistency with the Consolidated Plan 2991.pdf Form and Instruction
HUD-96011 Third Party Documentation Facsimile Transmittal 96011.doc Form and Instruction
HUD-92042 Sponsor's Resolution for Commitment to Project 92042.docx Form and Instruction
2995 Certification of Consistency with Sustainable Communitie 2995.pdf Form and Instruction
2530 Previous Participation Certification 2530.pdf Form
60002 Summary Report 60002.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Section 202 Supportive Housing for the Elderly Application Submission Requirements	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 891.115

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	96010	Logic Model for Section 202 and Pre Development Planning	96010-Logic Model.xls	Yes	Yes	Fillable Fileable
Form	HUD-92041	Sponsor's Conflict of Interest Resolution	92041.docx	Yes	No	Fillable Printable
Form and Instruction	SF 424	Application for Federal Assistance	SF424_2_1-V2.1.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF 424 Sup	Survey on Ensuring Equal Opportunity for Applicants	SF424 Supp.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 424-B	Applicant Assurances and Certifications	424-b.xls	Yes	Yes	Fillable Fileable
Form and Instruction	SF LLL	Disclosure of Lobbying Activities	sflllin.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 2880	Applicant-Recipient Disclosure-Update Report	2880.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92015-CA	Application for Capital Advance Summary Information	92015-ca.docx.doc	Yes	No	Fillable Printable
Form and Instruction	HUD 2991	Certification of Consistency with the Consolidated Plan	2991.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-96011	Third Party Documentation Facsimile Transmittal	96011.doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-92042	Sponsor's Resolution for Commitment to Project	92042.docx	Yes	No	Fillable Printable
Form and Instruction	2995	Certification of Consistency with Sustainable Communities Planning and Implementation	2995.pdf	Yes	Yes	Fillable Fileable
Form	2530	Previous Participation Certification	2530.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	60002	Summary Report	60002.doc	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13,150	13,150
Annual IC Time Burden (Hours)	5,295	5,295
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.