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Form HUD-9900 page 1,
Opening Sentence of document
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This application is
designed to be completed by applicants who are seeking approval to
be a HUD-Approved Housing Counseling Agency. As of August 1,
2020, housing counseling required by or provided in connection
with HUD programs must only be provided by HUD certified housing
counselors working for participating agencies approved to provide
such housing counseling by HUD’s Office of Housing
Counseling.
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Privacy
Advisory: Authorities: The
Office of Housing Counseling is responsible for administration of
the Department’s Housing Counseling Program, authorized by
Section 106 of the Housing and Urban Development Act of 1968 (12
U.S.C. 1701w and 1701x). New Certification Requirements Final Rule
released December 14, 2016. Section 106 of the Housing and Urban
Development Act of 1968 (12 U.S.C. 1701x) (Section 106) was
amended by Subtitle D of title XIV of the Dodd-Frank Wall Street
Reform and Consumer Protection Act (Pub. L. 111–203, 124
Stat. 1376, approved July 21, 2010). Principal
Purpose: The
mission of the Office of Housing Counseling (OHC) is to provide
individuals and families with the knowledge they need to obtain,
sustain, and improve their housing. Agencies that are eligible,
meet program requirements, and provide the information requested
on the form HUD-9900 may be approved to provide Comprehensive
Housing Counseling Services that aid in the homeownership process.
Disclosure: The
information will not be disclosed outside HUD without your consent
except to civil, criminal, or regulatory investigations or
prosecutions, or to a Member of Congress or a congressional office
in response to an inquiry. All the information requested on the
form HUD-9900 is voluntary. The information is required to
evaluate new applicants against Housing Counseling Program
eligibility requirements only. If the information is not provided,
the agency may not be considered for approval into HUD’s
Housing Counseling Program. This application is designed to be
completed by applicants who are seeking approval to be a
HUD-Approved Housing Counseling Agency. As of August 1, 2021,
housing counseling required by or provided in connection with HUD
programs must only be provided by HUD certified housing counselors
working for participating agencies approved to provide such
housing counseling by HUD’s Office of Housing Counseling.
Public Reporting
Burden for this
collection of information is estimated to be 8 hours per response,
including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. This
agency may not conduct or sponsor, and a person is not required to
respond to a collection of information unless that collection
displays a valid OMB control number. This information is collected
in connection with HUD’s Housing Counseling Program and will
be used to determine eligibility for Program participation under
Section 106 of the Housing and Community Development Action of
1968.
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Form HUD-9900, Page 10,
Assurances and Certifications Section,
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1;
CERTIFICATIONS
By signing below, the
applicant assures and certifies the following: CERTIFICATIONS: I
certify that this agency, and HUD program branches, sub-grantees
and/or affiliates, if applicable, will: 1.Administer the housing
counseling in accordance with Title VI of the Civil Rights Act of
1964, Title VIII of the Civil Rights Act of 1968, Executive Order
11063, Section 504 of the Rehabilitation Act of 1973, the Age
Discrimination Act of 1975; and Title IX of the Education
Amendment of 1972.2.Provide housing counseling services without
sub-agreement withother agencies for the delivery of any or all
parts of the services inour proposed housing counseling plan as
approved by HUD.3.Represent our clients without any conflict of
interest by our agency, paid and volunteer staff, or board members
which might compromise our ability to represent fully in the best
interests of the client in accordance with HUD 7610.1. 4.Meet all
local, State and Federal requirements necessary to provide our
agency’s housing counseling services, including, if
applicable,the management and liquidation services.5.Comply with
the fee guidelines set forth in HUD Handbook 7610.1and 24 CFR Part
214, if we plan to charge counseling fees.6.Provide HUD with all
required Housing Counseling Program dataand information, in a
timely manner, for use by HUD both internally and externally on
HUD’s web listing and other media.7.Act on our own behalf
and are not under the influence, control,or direction of any
outside party such as a landowner, real estate broker, contractor,
builder, lender, or consultant seeking to derive a profit or gain
from our housing counseling program clients.8.Meet the applicable
accessibility requirements of Section 504 of the Rehabilitation
Act of 1973 (29 U.S.C. 794), 24 CFR parts 8 and 9,and the
Americans with Disabilities Act (42 U.S.C. 12101 et seq). Our
facilities provide accessibility features for persons with
disabilities and elderly persons, or we will arrange to meet with
each person at an alternative accessible location or format.
9.Ensure on an on-going basis that no employee, board member,or
partner has been suspended, debarred, or otherwise restrictedunder
the Department’s or any other federal regulations (see 24
CFR Part 214).10.Ensure on an on-going basis that such
participants are not indicted for, or convicted of, a criminal
offense that reflects upon the responsibility, integrity, or
ability of the agency to participate in housing counseling
activities. These offenses include criminal offenses that can be
prosecuted at a local, State, or Federal level.11.Ensure that the
agency is not subject to unresolved program approval requirements
outlined in HUD Handbook 7610.1 and 24 CFR Part 214.12.Ensure that
no Grantee nor its Branches and Sub-grantees employs an individual
who has been, convicted of a violation under federal law relating
to an election for Federal office (as defined in Pub. L. 111-203,
124 Stat. 1376 (July 21, 2010)).
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HUD-9900, Page 10, Certification Signature Box
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Form
HUD-9900, Page 10, Certification CheckBox
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Form
HUD-9900, Page 10, Warning
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WARNING: HUD will
prosecute false claims and statements. Conviction may result in
criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31
USC 3729, 3802)
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Warning:
Anyone who knowingly or willfully makes false or fraudulent
statements or representations in connection with the statements of
information or certifications herein may be subject to criminal
and/or civil penalties and may also be subject to administrative
action by HUD. See, e.g., 18 U.S.C. § § 1001, 1010,
1012, 31 U.S.C. § 3801 et seq, 2 C.F.R. Parts 180 and 2424.
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Form
HUD-9900, Page 2, Types of HUD-Approved Organizations
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National Intermediary
Organization (Entity Type 2 only) –
Provides, in multiple regions of the United States: (i) housing
counseling services through its branches, sub-grantees and/or
affiliates which are physically located in nine or more states;
and (ii) provide raining, technical assistance, oversight, and
pass-through funding to its network of branches, sub-grantees
and/or affiliates.
Regional Intermediary
Organization (Entity Type 2, 11, 12, 13, 14 & 15 only) –
Provides, in a generally recognized region within the United
States, such as the Southwest, Mid-Atlantic, New England: (i)
housing counseling services through its branches, sub-grantees
and/or affiliates, which are physically located in eight or fewer
states; and (ii) provide training, technical assistance,
oversight, and pass-through funding to its network of branches,
sub-grantees and/or affiliates.
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National Intermediary
Organization (Entity Type 2 only) –
Provides, in multiple regions of the United States: (i) housing
counseling services through its branches, sub-grantees and/or
affiliates, and (ii) provide raining, technical assistance,
oversight, and pass-through funding to its network of branches,
sub-grantees and/or affiliates.
Regional
Intermediary Organization (Entity Type 2, 11, 12, 13, 14 & 15
only) –
Provides, in a generally recognized region within the United
States, such as the Southwest, Mid-Atlantic, New England: (i)
housing counseling services through its branches, sub-grantees
and/or affiliates, and (ii) provide training, technical
assistance, oversight, and pass-through funding to its network of
branches, sub-grantees and/or affiliates.
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Pages 3-6, 8
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branches,
sub-grantees/sub-recipients and affiliates
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branches, sub-grantees
and/or affiliates
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Form HUD-9900, Page 4, Part
1, Section C. Screening of Ineligible Participants
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Nonprofit agencies,
Intermediaries, MSO, Nonprofit Universities, CDC, CHDO, Nonprofit
Instrumentality of Gov’t/IOG Universities, PHA’s &
State Universities (Entity
type 1, 2, 3, 4, 5, 6, 7, 9, 10) ONLY must provide all the
following:
Provide
a list of all counseling staff working in the housing counseling
program, all current Board Members, supervisors and housing
counselors, and
For
each individual listed, provide the agency office, the agency
physical address, state their position title, length of
employment, the name of board member’s employer and title,
their duties, if staff member is full-time or part-time, paid or
a volunteer and provide their physical home addresses, a contact
number and
In
addition to providing items 1 & 2, self-certify
to the
following:
Self-Certification:
Applicants unable or unwilling to self-certify will result in
rejection of their application.
By
checking this box, the Authorized Executive certifies that this
entity is in compliance with other HUD program(s) for which the
applicant is currently a participant.
a.
Provide a list of
the other HUD program(s) in which you are currently participating,
the name of the HUD program Point of Contact (POC) and contact
information.
OR
Check this box if the Applicant does not participate in any other
HUD programs.
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Self-Certification:
Applicants unable or unwilling to self-certify will result in
rejection of their application.
By
checking this box, the Authorized Executive certifies that the
agency has vetted all housing counseling program related staff
including, agency directors, board members, partners, officers,
principals, and employees at all locations, including employees of
sub-grantees/sub-recipients or affiliates listed in items #2 above
and confirm that they are not suspended, debarred, or otherwise
restricted; Indicted for or convicted of a criminal offense;
Subject to unresolved findings as a result of HUD or other
governmental audit or investigation, including any state &
federal tax liens without a repayment plan in place, as per
described in 24 CFR 214.103(c)(1)(2)(3). If needed, please refer
to the “Learn More” section of the Housing Counseling
Agency Eligibility Tool for information on Ineligible
Participants: https://www.hudexchange.info/programs/
housing-counseling/housing-counseling-agency-eligibility-tool and
(continued on next page)
Self-Certification:
Applicants unable or unwilling to self-certify will result in
rejection of their application.
By
checking this box, the Authorized Executive certifies that this
entity is in compliance with other HUD program(s) for which the
applicant is currently a participant.
a.
Provide a list of the other HUD program(s) in which you are
currently participating, the name of the HUD program Point of
Contact (POC) and contact information.
OR
Check this box if the Applicant does not participate in any Other
HUD programs.
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Form HUD-9900, Page 7, Part
3, Resources Section B. Staff 1.
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Self-certify to the
following:
Nonprofit
Entities and Government Entities (Entity
type 1-16) must provide all the following:
Self-Certification:
Applicants
unable or unwilling to self-certify will result in rejection of
their application.
By checking this box,
the Authorized Executive certifies that the agency employs staff
trained in housing counseling AND at least half the counselors
have at least 6 months of experience in the job they will perform
in the agency’s housing counseling program, and
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Nonprofit Entities and
Government Entities (Entity type 1-16) must
provide all the following:
Self-Certification:
Applicants
unable or unwilling to self-certify will result in rejection of
their application.
By
checking this box, the Authorized Executive certifies that the
agency employs individuals who will provide one-on-one housing
counseling and/or oversee group education at its main office and
branches that have passed the HUD Housing Counselor Certification
Examination and are trained in the job that they will perform in
the agency’s housing counseling program. A list of these
individuals and evidence of examination passage will be provided
to HUD upon request. and
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Form HUD-9900, Page 10,
Assurances and Certifications Section
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Self-certify to the
following:
Nonprofit
Entities and Government Entities (Entity
type 1-16) must provide all the following:
Self-Certification:
Applicants
unable or unwilling to self-certify will result in rejection of
their application.
By
checking this box, the Authorized Executive certifies that the
agency employs staff trained in housing counseling AND at least
half the counselors have at least 6 months of experience in the
job they will perform in the agency’s housing counseling
program, and
2.
Self-certify to the following:
Self-Certification:
Applicants unable or unwilling to self-certify will result in
rejection of their application.
By checking this box,
the Authorized Executive certifies that the agency has a written
supervisory monitoring plan and quality control compliance
procedures established for monitoring the work of housing
counselors by reviewing client files with the housing counselor to
determine the adequacy and effectiveness of the housing
counseling.
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Nonprofit Entities and
Government Entities (Entity type 1-16) must provide all the
following:
1. Self-certify
to the following:
Self-Certification:
Applicants unable or unwilling to self-certify will result in
rejection of their application.
By
checking this box, the Authorized Executive certifies that the
agency employs staff trained in housing counseling AND at least
half the counselors have at least 6 months of experience in the
job they will perform in the agency’s housing counseling
program, and
a. Self-Certify
to the following:
Self
-Certification: *Self-certification number one alpha(1a.) will
become effective on or after the final compliance date for Housing
Counselor Certification and will supersede self-certification
number one listed above.
Applicants
unable or unwilling to self-certify will result in rejection of
their application.
By
checking this box, the Authorized Executive certifies that the
agency employs individuals who will provide one-on-one housing
counseling and/or oversee group education at its main office and
branches have passed the HUD Housing Counselor Certification
Examination and are trained in the job that they will perform in
the agency’s housing counseling program. A list of these
individuals and evidence of examination passage will be provided
to HUD upon request. and
Self-certify
to the following:
Self-Certification:
Applicants unable or unwilling to self-certify will result in
rejection of their application.
2. By checking this box,
the Authorized Executive certifies that the agency has a written
supervisory monitoring plan and quality control compliance
procedures established for monitoring the work of housing
counselors by reviewing client files with the housing counselor to
determine the adequacy and effectiveness of the housing
counseling.
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