OMB control number

Pay for Success Pilot Application Requirements

OMB 2502-0613 · HUD/OH.

OMB 2502-0613

The Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot) authorizes HUD to establish a competitive process for selecting one or more qualified intermediaries who will, per agreements with HUD, be responsible for initiating and managing an energy and water conservation retrofit program. These retrofits are authorized at properties participating in the project-based rental assistance (PBRA) program under section 8 of the United States Housing Act of 1937; supportive housing for the elderly program operating under section 202 of the Housing Act of 1959; and supportive housing for persons with disabilities under section 811(d)(2) of the Cranston-Gonzalez National Affordable Housing Act. The documents that are the subject of this notice are those used by applicants applying to participate in this program.

The latest form for Pay for Success Pilot Application Requirements expires 2022-09-30 and is listed under ICR 201902-2502-004.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Site-Specific Environmental Review	Form and Instruction
MFH PFS Program Narrative Template	Form and Instruction
Form 2880 Applicant-Recipient Disclosure - Update Report	Form and Instruction
Form 9250 Funds Authorization	Form and Instruction
Form SF-424 CBW Grant Application Detailed Budget Worksheet	Form and Instruction
Form 2530 Previous Participation Certification	Form and Instruction
Cooperative Agreement	Form and Instruction
Certification of Owner Eligibility	Form and Instruction
Form SF-424 Application for Federal Assistance	Form and Instruction
Form 2502-NEW Pay for Success Pilot Narrative Template	Form and Instruction
2502-0613.pdf	Supplementary Document
2502-0613 - PTA (Signed by Privacy Office).pdf	Supplementary Document
Congressional Implementation Plan-Energy and Water.pdf	Supplementary Document
2502-NEW-Pay For Success Authorizing Statute.pdf	Supplementary Document
2502-0613 Supporting Statement (7-23-19).docx	Supporting Statement A
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction
Budget-Neutral Demonstration Program for Energy and Water Conservation Improvements at Multifamily Housing Residential Units (Pay for Success Pilot)	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201902-2502-004	Revision of a currently approved collection	2019-09-09		Approved without change
201608-2502-005	New collection (Request for a new OMB Control Number)	2016-10-18		Approved without change