Information Collection

Youth Homelessness Demonstration Program

IC 223048 under ICR 202504-2506-002 · OMB 2506-0210.

Documents and Forms

Document Name Document Type
Form SF 424 Youth Homelessness Demonstration Program Form
Form SF 424 Application for Federal Assistance Youth Homelessness Demonstration Program Form
Form HUD 2880 Applicant/Recipient Update Report Youth Homelessness Demonstration Program Form and Instruction
Form HUD 2993 Acknowlegment of Application Receipt Youth Homelessness Demonstration Program Form
Form SF LLL Disclosure Lobbying Youth Homelessness Demonstration Program Form
Form HUD 2991 Cetification of Consistence with Consolidated Plan Youth Homelessness Demonstration Program Form
Form HUD 50070 Certification for a Drug Free Workplace Youth Homelessness Demonstration Program Form and Instruction
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

Information Collection (IC) Details

View Information Collection (IC)

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:

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

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: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	10,976	10,976
Annual IC Cost Burden (Dollars)	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.

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