Congregate Housing Services Program

Documents and Forms

Document Name Document Type
Form HUD-90198 Congregate Housing Services Program Form
HUD-90198 Payment Voucher 90198.pdf Form
HUD-91180-A Summary Budget Grantee 91180-A.pdf Form
HUD 91178A Annual Program Budget Grantee 91178-A.pdf Form
HUD 90006 Annual Reporting Form 90006.pdf Form and Instruction
SF-425 Federal Financial Report SF-425 (Exp. 1-31-19).pdf Form and Instruction
SF-424 SF-424 SF-424 (Exp. 10-31-19).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Congregate Housing Services Program	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 700.155(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-90198	Payment Voucher	90198.pdf	No		Fillable Printable
Form	HUD-91180-A	Summary Budget Grantee	91180-A.pdf	No		Fillable Printable
Form	HUD 91178A	Annual Program Budget Grantee	91178-A.pdf	No		Fillable Printable
Form and Instruction	HUD 90006	Annual Reporting Form	90006.pdf	Yes	No	Fillable Printable
Form and Instruction	SF-425	Federal Financial Report	SF-425 (Exp. 1-31-19).pdf	Yes	Yes	Fillable Printable
Form and Instruction	SF-424	SF-424	SF-424 (Exp. 10-31-19).pdf	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 49	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	103	-93	196
Annual IC Time Burden (Hours)	613	-379	992
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.