HUD 2880 Applicant/Recipient Disclosure/Update Report

Applicant/Recipient
Disclosure/Update Report

U.S. Department of Housing
and Urban Development

2501-XXXX
OMB Number: 2501-0017
pending
Expiration Date: 1/31/2026

Public Reporting Burden Statement: This collection of information is estimated to average 2 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 the requested
information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to: U.S. Department of
Housing and Urban Development, Office of the Chief Data Officer, R, 451 7th St SW, Room 8210, Washington, DC 20410-5000. Do not send completed
HUD-2880 forms to this address. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless
the collection displays a valid OMB control number. This agency is authorized to collect this information under Section 102 of the Department of Housing
and Urban Development Reform Act of 1989. The information you provide will enable HUD to carry out its responsibilities under this Act and ensure
greater accountability and integrity in the provision of certain types of assistance administered by HUD. This information is required to obtain the benefit
sought in the grant program. Failure to provide any required information may delay the processing of your application and may result in sanctions and
penalties including of the administrative and civil money penalties specified under 24 CFR §4.38. This information will not be held confidential and may
be made available to the public in accordance with the Freedom of Information Act (5 U.S.C. §552). The information contained on the form is not
retrieved by a personal identifier, therefore it does not meet the threshold for a Privacy Act Statement.
Applicant/Recipient Information
1.

2.
3.
4.
5.

* UEI Number:

* Report Type:

INITIAL
UPDATE

Applicant/Recipient Name, Address, and Phone (include area code)
* Applicant Name:
* Street 1:
Street 2:
City:
State Abbreviation:
County:
* Country:
* Phone:
Employer ID Number (do not include individual social security numbers):
HUD Program Name:
Amount of HUD Assistance Requested/Received: $
State the name and location (street address, City and State) of the project or activity
Project Name:
* Street 1:
Street 2:
City:
State Abbreviation:
County:
* Country: USA: UNITED STATES

* Zip Code:

* Zip Code:

Part I Threshold Determinations
1.

Are you applying for assistance for a specific project or activity?
These terms do not include formula grants, such as public
housing operating subsidy or CDBG block grants. For further
information see 24 CFR Sec. §4.3.
Yes

No

2.

Have you received or do you expect to receive assistance within
the jurisdiction of the Department (HUD), involving the project or
activity in this application, in excess of $200,000 during this fiscal
year (Oct. 1-Sep. 30)? For further information, see 24 CFR §4.9.
Yes

No

If you answered “No” to either question 1 or 2, Stop! You do not need to complete the remainder of this form. However, you must sign the certification at
the end of the report.

Form HUD-2880 (1/27/2023)
(1/31/2026)

Part II Other Government Assistance Provided or Requested/Expected Sources and Use of Funds. Such assistance includes, but is
not limited to, any grant, loan, subsidy, guarantee, insurance, payment, credit, or tax benefit.
Department/State/Local Agency Name
* Government Agency Name:
Government Agency Address:
* Street 1:
Street 2:
City:
State Abbreviation:
County:
Country:
* Type of Assistance:
* Amount Requested/Provided: $
* Expected Uses of the Funds:

* Zip Code:

Note: For Part 1, use additional pages if necessary.

Department/State/Local Agency Name
* Government Agency Name:
Government Agency Address:
* Street 1:
Street 2:
City:
State Abbreviation:
County:
Country:
* Type of Assistance:
* Amount Requested/Provided: $
* Expected Uses of the Funds:

* Zip Code:

Add Attachment:

Part III Interested Parties. You must disclose:
1.

All developers, contractors, or consultants involved in the application for assistance or in the planning, development, or implementation of the
project or activity.

* Alphabetical list of all persons with a
reportable financial interest in the project or
activity (for individuals, give the last name first)

* Unique Entity ID

* Type of Participation in
Project/Activity

* Financial Interest in
Project/Activity ($ and %)
$
$
$

2.

%
%
%

Any other person who has a financial interest in the project or activity for which the assistance is sought that exceeds $50,000 or 10 percent of the
assistance (whichever is lower).

* Alphabetical list of all persons with a
reportable financial interest in the project or
activity (for individuals, give the last name first)

* City of Residence

* Type of Participation in
Project/Activity

* Financial Interest in
Project/Activity ($ and %)
$
$
$

Note: For Part 2, use additional pages if necessary.

%
%
%

Add Attachment:

Certification:
I/We,
under
penalty
of perjury
thatthat
the the
information
provided
aboveabove
is true,iscorrect,
and
accurate.
I/We, the
theundersigned,
undersigned,certify
certify
under
penalty
of perjury
information
provided
true and
correct.
WARNING: Anyone who
Warning:
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and/or
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In addition, anypenalties.
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any required
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of information,
intentional nonfines, and
civilCode.
and administrative
U.S.C. §§
1001, violates
1010, 1012,
1014; 31
U.S.C. §3729,
3802; 24including
CFR §28.10(b)(iii)).
disclosure, is subject to civil money penalty not to exceed $10,000 for each violation.
* Signature:

* Date: (mm/dd/yyyy):

Form HUD-2880 (1/27/2023)
(1/31/2026)

Instructions
Overview.
A. Coverage. You must complete this report if:
(1) You are applying for assistance from HUD for a specific project
or activity and you have received, or expect to receive, assistance
from HUD in excess of $200,000 during the during the fiscal year;
(2) You are updating a prior report as discussed below; or
(3) You are submitting an application for assistance to an entity
other than HUD, a State or local government if the application is
required by statute or regulation to be submitted to HUD for
approval or for any other purpose.
B. Update reports (filed by “Recipients” of HUD Assistance):
General. All recipients of covered assistance must submit update
reports to the Department to reflect substantial changes to the initial
applicant disclosure reports.
Line-by-Line Instructions.
Applicant/Recipient Information.
All applicants for HUD competitive assistance, must complete the
information required in blocks 1-5 of form HUD-2880:
1. Enter the full name, address, city, State, zip code, and telephone
number (including area code) of the applicant/recipient. Where the
applicant/recipient is an individual, the last name, first name, and
middle initial must be entered.
2. Entry of the applicant/recipient's EIN, as appropriate, is optional.
Individuals must not include social security numbers on this form.
3. Applicants enter the HUD program name under which the
assistance is being requested.
4. Applicants enter the amount of HUD assistance that is being
requested. Recipients enter the amount of HUD assistance that has
been provided and to which the update report relates. The amounts
are those stated in the application or award documentation. NOTE: In
the case of assistance that is provided pursuant to contract over a
period of time (such as project-based assistance under section 8 of the
United States Housing Act of 1937), the amount of assistance to be
reported includes all amounts that are to be provided over the term of
the contract, irrespective of when they are to be received.
5. Applicants enter the name and full address of the project or activity
for which the HUD assistance is sought. Recipients enter the name
and full address of the HUD-assisted project or activity to which the
update report relates. The most appropriate government identifying
number must be used (e.g., RFP No.; IFB No.; grant announcement
No.; or contract, grant, or loan No.) Include prefixes.
Part I. Threshold Determinations - Applicants Only
Part I contains information to help the applicant determine whether the
remainder of the form must be completed. Recipients filing Update
Reports should not complete this Part.
If the answer to either questions 1 or 2 is No, the applicant need not
complete Parts II and III of the report, but must sign the certification at
the end of the form.
Part II. Other Government Assistance and Expected Sources and
Uses of Funds.
A. Other Government Assistance. This Part is to be completed by
both applicants and recipients for assistance and recipients filing
update reports. Applicants and recipients must report any other
government assistance involved in the project or activity for which
assistance is sought. Applicants and recipients must report any other
government assistance involved in the project or activity. Other
government assistance is defined in note 4 on the last page. For
purposes of this definition, other government assistance is expected to
be made available if, based on an assessment of all the circumstances
involved, there are reasonable grounds to anticipate that the
assistance will be forthcoming.
Both applicant and recipient disclosures must include all other
government assistance involved with the HUD assistance, as well as

any other government assistance that was made available before the
request, but that has continuing vitality at the time of the request.
Examples of this latter category include tax credits that provide for a
number of years of tax benefits, and grant assistance that continues to
benefit the project at the time of the assistance request.
The following information must be provided:
1. Enter the name and address, city, State, and zip code of the
government agency making the assistance available.
2. State the type of other government assistance (e.g., loan, grant,
loan insurance).
3. Enter the dollar amount of the other government assistance that is,
or is expected to be, made available with respect to the project or
activities for which the HUD assistance is sought (applicants) or has
been provided (recipients).
4. Uses of funds. Each reportable use of funds must clearly identify the
purpose to which they are to be put. Reasonable aggregations may be
used, such as "total structure" to include a number of structural costs,
such as roof, elevators, exterior masonry, etc.
B. Non-Government Assistance. Note that the applicant and recipient
disclosure report must specify all expected sources and uses of funds both from HUD and any other source - that have been or are to be,
made available for the project or activity. Non-government sources of
Form HUD-2880 funds typically include (but are not limited to)
foundations and private contributors.
Part III. Interested Parties.
This Part is to be completed by both applicants and recipients filing
update reports. Applicants must provide information on:
1. All developers, contractors, or consultants involved in the application
for the assistance or in the planning, development, or implementation
of the project or activity and
2. Any other person who has a financial interest in the project or
activity for which the assistance is sought that exceeds $50,000 or 10
percent of the assistance (whichever is lower). Note: A financial
interest means any financial involvement in the project or activity,
including (but not limited to) situations in which an individual or entity
has an equity interest in the project or activity, shares in any profit on
resale or any distribution of surplus cash or other assets of the project
or activity, or receives compensation for any goods or services
provided in connection with the project or activity. Residency of an
individual in housing for which assistance is being sought is not, by
itself, considered a covered financial interest.
The information required below must be provided.
1. Enter the full names and addresses. If the person is an entity, the
listing must include the full name and address of the entity as well as
the CEO. Please list all names alphabetically.
2. Entry of the Unique Entity Identifier (UEI), for non-individuals, or city
of residence, for individuals, for each organization and person listed is
optional.
3. Enter the type of participation in the project or activity for each
person listed: i.e., the person's specific role in the project (e.g.,
contractor, consultant, planner, investor).
4. Enter the financial interest in the project or activity for each person
listed. The interest must be expressed both as a dollar amount and as
a percentage of the amount of the HUD assistance involved.
Note that if any of the source/use information required by this report
has been provided elsewhere in this application package, the applicant
need not repeat the information, but need only refer to the form and
location to incorporate it into this report. (It is likely that some of the
information required by this report has been provided on SF 424A, or
on various budget forms accompanying the application.) If this report
requires information beyond that provided elsewhere in the application
package, the applicant must include in this report all the additional
information required. Recipients must submit an update report for any
change in previously disclosed sources and uses of funds as provided
in Section I.D.5., above.
Form HUD-2880 (1/27/2023)
(1/31/2026)

Notes:
1. All citations are to 24 CFR Part 4, which was published in the
Federal Register. [April 1, 1996, at 63 Fed. Reg. 14448.]
2. Assistance means any contract, grant, loan, cooperative agreement,
or other form of assistance, including the insurance or guarantee of a
loan or mortgage, that is provided with respect to a specific project or
activity under a program administered by the Department. The term
does not include contracts, such as procurements contracts, that are
subject to the Fed. Acquisition Regulation (FAR) (48 CFR Chapter 1).
3. See 24 CFR §4.9 for detailed guidance on how the threshold is
calculated.
4. "Other government assistance" is defined to include any loan, grant,
guarantee, insurance, payment, rebate, subsidy, credit, tax benefit, or

any other form of direct or indirect assistance from the Federal
government (other than that requested from HUD in the application), a
State, or a unit of general local government, or any agency or
instrumentality thereof, that is, or is expected to be made, available
with respect to the project or activities for which the assistance is
sought.
5. For the purpose of this form and 24 CFR Part 4, “person” means an
individual (including a consultant, lobbyist, or lawyer); corporation;
company; association; authority; firm; partnership; society; State, unit
of general local government, or other government entity, or agency
thereof (including a public housing agency); Indian tribe; and any other
organization or group of people.

Form HUD-2880 (1/27/2023)
(1/31/2026)