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2006 SuperNOFA Forms

The following standard forms, certifications, and assurances are used by the majority if not all of the programs that are part of the SuperNOFA. 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

HUD-27061 Race and Ethnic Data Reporting Form
HUD-27300 America's Affordable Communities Initiative
HUD-2880 Applicant/Recipient Disclosure/Update Report
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-2993 Acknowledgment of Application Receipt
HUD-2994-A You are our Client! Grant Applicant Survey (.doc)
HUD-424CB Grant Application Detailed Budget
HUD-424CBW Grant Application Detailed Budget Worksheet
HUD-424CBWI Instructions for Grant Application Detailed Budget Worksheet (.doc)
HUD-96010 Program Outcome Logic Model
HUD-96011 Facsimile Transmital
SF-424 Application for Federal Assistance
SF-424-SUPP Survey on Ensuring Equal Opportunity For Applicants
SF-LLL Disclosure of Lobbying Activities

Program Specific Forms


Historically Black Colleges and Universities Response Sheet, Budget-By-Activity

HUD-40110-B HOPWA Application Budget Summary (.doc)
HUD-40122 Section 108 Loan Guarantee State Certifications Related to Nonentitlement Public Entities


Brownfield Economic Development Initiative (BEDI) Application Form (Responses to BEDI Application Rating Factors (Exhibits A through D)


Youthbuild Exhibit 2C (Housing Site Description)


Youthbuild Exhibit 2C10 (Individual Housing Project Site Estimate)


Youthbuild Exhibit 2C13a (Housing Project Certifications for Residential Rental units)


Youthbuild Exhibit 2C13b (Housing Project Certifications for Transitional Housing)


Youthbuild Exhibit 2C13c (Housing Project Certifications for Homeownership)


Youthbuild Exhibit 2C15 (Environmental Threshold Information for a Property Proposed for Youthbuild Funding)


Youthbuild Exhibit 4A (Total Youthbuild Grant Budget)


Youthbuild Exhibit 4B (Non-Housing Program Resources)


Cost Summary


Implementation Schedule

HUD-52651 Choice Voucher Family Self Sufficiency Program Coordinator Funding
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-52763 Sample ROSS-RSDM Family Work Plan
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
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
HUD-96008 Work Plan Development Worksheet with Minimum Benchmark Performance Standards for 36-Month Period of Performance (.xls)
HUD-96012 Healthy Homes and Lead Hazard Programs Factor 1 Capacity Of The Applicant And Relevant Organizational Experience
HUD-96013 Healthy Homes and Lead Hazard Programs Factor 2 Need/Extent Of The Problem
HUD-96014 Healthy Homes and Lead Hazard Programs Factor 3 Soundness of Approach
HUD-96015 Healthy Homes and Lead Hazard Programs Factor 4 Leveraging Resources
HUD-96016 Healthy Homes Demonstration, Healthy Homes and Lead Hazard Programs Factor 2 Need/Extent Of The Problem
HUD-9902 Housing Counseling Agency Fiscal Year Activity Report

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Content Archived: December 6, 2010

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