Information Collection

Continuum of Care Homeless Assistance Grant Application

IC 27416 under ICR 202012-2506-004 · OMB 2506-0112.

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
Form HUD-2991 Cert of Consistency with the Consolidated Plan Continuum of Care Homeless Assistance Grant Application	Form
Form HUD-2880 Applicant/Recipient Disclosure/Update Report Continuum of Care Homeless Assistance Grant Application	Form
Form HUD-27300 Regulatory Barriers Continuum of Care Homeless Assistance Grant Application	Form
Form HUD-92041 Sponsor's Conflict of Interest Resolution Continuum of Care Homeless Assistance Grant Application	Form
Form SF 424 Application For Federal Assistance Continuum of Care Homeless Assistance Grant Application	Form and Instruction
Form SF LLL Disclosure of Lobbying Activities Continuum of Care Homeless Assistance Grant Application	Form
Form HUD 50070 Certification for a Drug-Free Workplace Continuum of Care Homeless Assistance Grant Application	Form
Form SF 424 Supplement Survey on Ensuring Equal Opportunity for Applicants Continuum of Care Homeless Assistance Grant Application	Form and Instruction
Form HUD 40090.4 Application Certification Continuum of Care Homeless Assistance Grant Application	Form
Form 2506-xxxx Certification Regarding Lobbying Continuum of Care Homeless Assistance Grant Application	Form and Instruction
HUD-2991 Cert of Consistency with the Consolidated Plan HUD 2991.pdf	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-2880 Applicant/Recipient Disclosure/Update Report HUD 2880.pdf	Form
HUD-27300 Regulatory Barriers 27300.pdf	Form
HUD-27300 Regulatory Barriers 27300.pdf	Form
HUD-92041 Sponsor's Conflict of Interest Resolution 92041.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 424 Application For Federal Assistance SF 424 word.pdf	Form and Instruction
SF LLL Disclosure of Lobbying Activities SL-LLL.pdf	Form
SF LLL Disclosure of Lobbying Activities SL-LLL.pdf	Form
HUD 50070 Certification for a Drug-Free Workplace HUD 50070.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
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
HUD 40090.4 Application Certification Electronic Version of HUD Form 40090-4.docx	Form
2506-xxxx Certification Regarding Lobbying ed80-013.pdf	Form and Instruction
2506-xxxx Certification Regarding Lobbying ed80-013.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-2991	Yes	Yes	Fillable Fileable
Form	HUD-2880	Yes	Yes	Fillable Fileable
Form	HUD-27300	Yes	Yes	Fillable Fileable
Form	HUD-92041	Yes	Yes	Fillable Fileable
Form and Instruction	SF 424	Yes	No	Fillable Printable
Form	SF LLL	Yes	No	Fillable Printable
Form	HUD 50070	Yes	No	Fillable Printable
Form and Instruction	SF 424 Supplement	Yes	No	Fillable Printable
Form	HUD 40090.4	Yes	No	Fillable Printable
Form and Instruction	2506-xxxx	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: 9,205

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	9,205	365	8,840
Annual IC Time Burden (Hours)	42,594	7,294	35,300
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.

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