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Federal forms, ICRs, and supporting documents

Information Collection

Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)

IC 223106 under ICR 201902-2502-004 · OMB 2502-0613.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 2502-NEW
Pay for Success Pilot Narrative Template Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)		 Form and Instruction
Form SF-424
Application for Federal Assistance Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)		 Form and Instruction
Certification of Owner Eligibility Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot) Form and Instruction
Cooperative Agreement Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot) Form and Instruction
Form 2530
Previous Participation Certification Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)		 Form and Instruction
Form SF-424 CBW
Grant Application Detailed Budget Worksheet Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)		 Form and Instruction
Form 9250
Funds Authorization Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)		 Form and Instruction
Form 2880
Applicant-Recipient Disclosure - Update Report Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)		 Form and Instruction
MFH PFS Program Narrative Template Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot) Form and Instruction
Site-Specific Environmental Review Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot) Form and Instruction
2502-NEW Pay for Success Pilot Narrative Template
2502-NEW-PFS Narrative Template (00000002).pdf 		Form and Instruction
SF-424 Application for Federal Assistance
SF-424_OMB_No._4040-0004.pdf 		Form and Instruction
Certification of Owner Eligibility
2502-0613 - Certification of Owner Eligibility.docx 		Form and Instruction
Cooperative Agreement
2502-0613 - Cooperative Agreement.docx 		Form and Instruction
2530 Previous Participation Certification
2502-0118 - HUD-2530 (Previous Participation Certification).pdf 		Form and Instruction
SF-424 CBW Grant Application Detailed Budget Worksheet
2501-0017- SF-424-CBW (Grant Application Detailed Budget Worksheet).xls 		Form and Instruction
9250 Funds Authorization
2502-0555 - HUD-9250 (Funds Authorizations).pdf 		Form and Instruction
2880 Applicant-Recipient Disclosure - Update Report
2510-0011 - HUD-2880 (Applicant-Recipient Disclosure - Update Report).pdf 		Form and Instruction
MFH PFS Program Narrative Template
2502-0613 - MFH PFS Program Narrative Template.docx 		Form and Instruction
Site-Specific Environmental Review
2502-0613 - Site-Specific Environmental Review.docx 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2502-NEW Yes Yes Fillable Printable
Form and Instruction SF-424 Yes Yes Fillable Printable
Form and Instruction N/A Yes Yes Fillable Printable
Form and Instruction N/A Yes Yes Fillable Printable
Form and Instruction 2530 Yes Yes Fillable Printable
Form and Instruction SF-424 CBW Yes Yes Fillable Printable
Form and Instruction 9250 Yes Yes Fillable Printable
Form and Instruction 2880 Yes Yes Fillable Printable
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15 0 0 0 0 15
Annual IC Time Burden (Hours) 4,401 0 0 4,101 0 300
Annual IC Cost Burden (Dollars) 0 0 0 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.
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