Information Collection

Youth Homelessness Demonstration Program

IC 223048 under ICR 202304-2506-004 · OMB 2506-0210.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0210 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 424 Youth Homelessness Demonstration Program	Form
SF 424 Application for Federal Assistance SF424 updated.pdf	Form
SF 424 Application for Federal Assistance SF424 updated.pdf	Form
HUD 2880 Applicant/Recipient Update Report 2880.pdf updated.pdf	Form and Instruction
HUD 2880 Applicant/Recipient Update Report 2880.pdf updated.pdf	Form and Instruction
HUD 2993 Acknowlegment of Application Receipt hud2993.pdf	Form
HUD 2993 Acknowlegment of Application Receipt hud2993.pdf	Form
SF LLL Disclosure Lobbying SF LLL.pdf	Form
SF LLL Disclosure Lobbying SF LLL.pdf	Form
HUD 2991 Cetification of Consistence with Consolidated Plan HUD-2991_Certification of Consistency with the Consolidated Plan.docx	Form
HUD 2991 Cetification of Consistence with Consolidated Plan HUD-2991_Certification of Consistency with the Consolidated Plan.docx	Form
HUD 50070 Certification for a Drug Free Workplace HUD 50070.pdf	Form and Instruction
HUD 50070 Certification for a Drug Free Workplace HUD 50070.pdf	Form and Instruction

IC Title:

Youth Homelessness Demonstration 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:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF 424	Application for Federal Assistance	SF424 updated.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 2880	Applicant/Recipient Update Report	2880.pdf updated.pdf	Yes	No	Fillable Printable
Form	HUD 2993	Acknowlegment of Application Receipt	hud2993.pdf	Yes	No	Fillable Printable
Form	SF LLL	Disclosure Lobbying	SF LLL.pdf	Yes	No	Fillable Printable
Form	HUD 2991	Cetification of Consistence with Consolidated Plan	HUD-2991_Certification of Consistency with the Consolidated Plan.docx	Yes	No	Fillable Printable
Form and Instruction	HUD 50070	Certification for a Drug Free Workplace	HUD 50070.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: 150

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	300	0	300
Annual IC Time Burden (Hours)	10,976	-1	10,977
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.