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2004 SuperNOFA Forms


	Information by State Print version Email this to a friend

The following standard forms, certifications, and assurances are used by the majority if not all of the programs that are part of the SuperNOFA. Also included on this page is Form HUD-52515, Funding Application, required for the Section 8 voucher assistance funding announcement. In addition to these standard forms, you should see the individual program information for the forms that are specific to that program. All forms are .pdf except where noted.

Standard Forms

SF-LLL	Disclosure of Lobbying Activities
SF-424	Application for Federal Assistance
SF-424-sup	Survey on Ensuring Equal Opportunity For Applicants (.doc) (.pdf)
HUD-424B	Applicant Assurances and Certifications (.pdf) (.xls)
HUD-424CB	Grant Application Detailed Budget (.pdf) (.xls)
HUD-424CBW	Grant Application Detailed Budget Worksheet (.pdf) (.xls)
HUD-2880	Applicant/Recipient Disclosure/Update Report (.pdf) (.doc)
HUD-2990	Certification of Consistency with the RC/EZ/EC Strategic Plan (if applicable)
HUD-2991	Certification of Consistency with the Consolidated Plan (if applicable)
HUD-2992	Certification Regarding Debarment and Suspension
HUD-2993	Acknowledgment of Application Receipt
HUD-2994	Client Comments and Suggestions (optional)
HUD-27061	Race and Ethnic Data Reporting Form (.pdf) (.doc)
HUD-52515	Funding Application for the Housing Choice Voucher Program
HUD-96010	Program Outcome Logic Model (.pdf) (.doc)
HUD-27300	America’s Affordable Communities Initiative (.pdf) (.doc) (Read the notice)

Program Specific Forms

Office of Community Planning and Development (CPD)

HUD-40076-CoC	Exhibit 1 A thru P (.doc)
HUD-40076-CoC	Exhibit 2 Supportive Housing Program – New Project Instructions 2A thru 2I (.doc)
HUD-40076-CoC	Exhibit 2R Supportive Housing Renewal Project Instructions, 2RA thru 2RD (.doc)
HUD-40076-CoC	Exhibit 3 Shelter Plus Care Program – New Project Instructions, 3A thru 3H (.doc)
HUD-40076-CoC	Exhibit 3R: Shelter Plus Care Program – Renewal Project Instructions, 3RA thru 3RE (.doc)
HUD-40076-CoC	Exhibit 4: Section 8 Moderate Rehabilitation SRO – New Project Instructions, 4A thru 4E (.doc)
HUD-40076-CoC	Attachment 7 - Questions and Answers (.doc)
HUD-40076-CoC	Attachment 8 - Certifications (.doc)
HUD-40076 A	EDI/BEDI Checklist and Submission of Table of Contents (.xls)
HUD-40076 B	EDI/BEDI Rating Factor 2: Distressed/Extent of Problem (.xls)
HUD-40076 C	EDI/BEDI Rating Factor 3: Soundness of Approach Project Timeline (.xls)
HUD-40076 D	EDI/BEDI Rating Factor 4: Leveraging Resources/Financial Need Sources & Uses Statement (.xls)
HUD-40076 E	EDI/BEDI/Section 108 CDBG Funding Eligibility Statement (Part 1 .xls) (Part 2 .xls)
HUD-40110-B	HOPWA Renewal of Permanent Supportive Housing Grants (.doc)
HUD-40122	Section 108 Loan Guarantee State Certifications Related to Nonentitlement Public Entities

Office of Housing

HUD-2530	Previous Participation Certification (.pdf) (.doc)
HUD-9902	Housing Counseling Agency Fiscal Year Activity Report
HUD-91186	Multifamily Housing Service Coordinator First Time Funding Request
HUD-92015-CA	Supportive Housing for the Elderly Section 202 Application for Capital Advance Summary Information
HUD-92016-CA	Supportive Housing for Persons with Disabilities Section 811 Application for Capital Advance Summary Information
HUD-92041	Sponsor’s Conflict of Interest Resolution
HUD-92042	Sponsor’s Resolution for Commitment to Project
HUD-92043	Certification for Provision of Supportive Services (Section 811 Only)
HUD-92045	Multifamily Housing Assisted Living Conversion Program Application Summary Sheet

Office of Policy Development and Research (PD&R;)

HUD-30001	Community Outreach Partnership Centers Program Match Requirements
HUD-30002	Community Outreach Partnership Centers Program Breakout
HUD-30007	Community Development Work Study Program Student Data Sheet
HUD-30012	Verification of Match (New)
HUD-30013	CDWS Designation of Applicant Graduate Academic Degree Program
HUD-30014	CDWS State/Area-wide Planning Organization Budget Summary Sheet
HUD-30015	CDWS Study Program Student Budget Sheet

Office of Healthy Homes and Lead Hazard Control (HHLHC)

HUD-424-C	Budget Summary for Competitive Grant Programs (.pdf) (.xls)
HUD-96008	Work Plan Development Worksheet with Minimum Benchmark Performance Standards for 36-Month Period of Performance (.xls)
HUD-96009	Benchmark Standards for 42 Month Period of Performance (.xls)
HUD-7015.15	Request for Release of Funds and Certification

Office of Public and Indian Housing (PIH)

HUD-52651	Choice Voucher Family Self Sufficiency Program Coordinator Funding (.pdf) (.doc)
HUD-52751	ROSS Funding Fact Sheet
HUD-52752	Certification of Consistency with the Indian Housing Plan
HUD-52753	ROSS Funding Certification of Election of Resident Council
HUD-52754	ROSS List of Resident Organizations Supporting Nonprofit Applicants
HUD-52755	Sample Contract Administrator Partnership Agreement
HUD-52756	ROSS Chart A: Program Staffing
HUD-52757	ROSS Chart B: Applicant/Contract Administrator Track Record
HUD-52764	Sample ROSS-RSDM Elderly/Persons with Disabilities
HUD-52766	Sample Business Plan for Applicants of the ROSS Neighborhood Networks Funding Category
HUD-52767	ROSS Public Housing Family Self-Sufficiency Funding Request

Return to the Funds Available page

Content updated July 6, 2004


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