Information Collection

Continuum of Care Homeless Assistance Grant Application

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

Documents and Forms

Document Name Document Type
Form HUD-2991 Continuum of Care Homeless Assistance Grant Application 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-27300 Regulatory Barriers 27300.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 LLL Disclosure of Lobbying Activities SL-LLL.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
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

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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-2991	Cert of Consistency with the Consolidated Plan	HUD 2991.pdf	Yes	Yes	Fillable Fileable
Form	HUD-2880	Applicant/Recipient Disclosure/Update Report	HUD 2880.pdf	Yes	Yes	Fillable Fileable
Form	HUD-27300	Regulatory Barriers	27300.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92041	Sponsor's Conflict of Interest Resolution	92041.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF 424	Application For Federal Assistance	SF 424 word.pdf	Yes	No	Fillable Printable
Form	SF LLL	Disclosure of Lobbying Activities	SL-LLL.pdf	Yes	No	Fillable Printable
Form	HUD 50070	Certification for a Drug-Free Workplace	HUD 50070.pdf	Yes	No	Fillable Printable
Form and Instruction	SF 424 Supplement	Survey on Ensuring Equal Opportunity for Applicants	SF-424 SUPP.pdf	Yes	No	Fillable Printable
Form	HUD 40090.4	Application Certification	Electronic Version of HUD Form 40090-4.docx	Yes	No	Fillable Printable
Form and Instruction	2506-xxxx	Certification Regarding Lobbying	ed80-013.pdf	Yes	No	Fillable Printable

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 %

	Requested	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

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.