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Public reporting burden for this collection of information is estimated to average 2 . 0 hours per response , including the time for
<br /> reviewing instructions ,
<br /> searching existing data sources , gathering and maintaining the data needed , and completing and reviewing the collection of information . This
<br /> agency
<br /> may not conduct or sponsor, and a person is not required to respond to , a collection information unless that collection displays
<br /> a valid OMB control
<br /> number.
<br /> Privacy Act Statement. Except for Social Security Numbers ( SSNs) and Employer Identification Numbers ( EINs) , the Department of Housing
<br /> and Urban
<br /> Development ( HUD) is authorized to collect all the information required by this form under section 102 of the Department of Housing
<br />and Urban
<br /> Development Reform Act of 1989 , 42 U . S . C . 3531 . Disclosure of SSNs and EINs is optional . The SSN or EIN is used as
<br /> a unique identifier. The
<br /> information you provide will enable HUD to carry out its responsibilities under Sections 102( b) , (c) , and (d ) of the Department
<br />of Housing and Urban
<br /> Development Reform Act of 1989 , Pub . L . 101 -235 , approved December 15 , 1989 . These provisions will help ensure greater accountability
<br /> and integrity
<br /> in the provision of certain types of assistance administered by HUD . They will also help ensure that HUD assistance for a specific
<br />housing project under
<br /> Section 102 (d ) is not more than is necessary to make the project feasible after taking account of other government assistance . HUD
<br /> will make available to
<br /> the public all applicant disclosure reports for five years in the case of applications for competitive assistance , and for generally three
<br /> years in the case of
<br /> other applications . Update reports will be made available along with the disclosure reports , but in no case for a period generally
<br /> less than three years . All
<br /> reports , both initial reports and update reports , will be made available in accordance with the Freedom of Information Act ( 5 U .
<br />S . C . § 552 ) and HUD's
<br /> implementing regulations at 24 CFR Part 15 . HUD will use the information in evaluating individual assistance applications and in performing
<br /> internal
<br /> administrative analyses to assist in the management of specific HUD programs . The information will also be used in making the determination
<br /> under
<br /> Section 102 (d) whether HUD assistance for a specific housing project is more than is necessary to make the project feasible after taking
<br /> account of other
<br /> government assistance . You must provide all the required information . Failure to provide any required information may delay the processing
<br /> of your
<br /> application , and may result in sanctions and penalties , including imposition of the administrative and civil money penalties specified under
<br /> 24 CFR §4 . 38 .
<br /> Note : This form only covers assistance made available by the Department . States and units of general local government that carry out
<br /> responsibilities
<br /> under Sections 102 ( b) and ( c) of the Reform Act must develop their own procedures for complying with the Act.
<br /> Instructions
<br /> Overview . Part I contains information to help the applicant determine whether the
<br /> A. Coverage . You must complete this report if: remainder of the form must be completed . Recipients filing Update
<br /> ( 1 ) You are applying for assistance from HUD for a specific project or Reports should not complete this Part.
<br /> activity and you have received , or expect to receive , assistance If the answer to either questions 1 or 2 is No , the applicant
<br /> need not
<br /> from HUD in excess of $ 200 , 000 during the during the fiscal year; complete Parts II and III of the report , but must sign
<br /> the certification at the
<br /> (2 ) You are updating a prior report as discussed below ; or end of the form .
<br /> ( 3) You are submitting an application for assistance to an entity other
<br /> than HUD , a State or local government if the application is required Part II. Other Government Assistance and Expected Sources and
<br /> by statute or regulation to be submitted to HUD for approval or for Uses of Funds .
<br /> any other purpose .
<br /> B. Update reports (filed by " Recipients " of HUD Assistance) : A . Other Government Assistance . This Part is to be completed
<br /> by both
<br /> applicants and recipients for assistance and recipients filing update
<br /> General . All recipients of covered assistance must submit update
<br /> reports to the Department to reflect substantial changes to the initial reports . Applicants and recipients must report any other
<br /> government
<br /> applicant disclosure reports . assistance involved in the project or activity for which assistance is
<br /> sought . Applicants and recipients must report any other government
<br /> Line -by- Line Instructions . assistance involved in the project or activity . Other government
<br /> assistance is defined in note 4 on the last page . For purposes of this
<br /> Applicant/Recipient Information . definition , other government assistance is expected to be made
<br /> All applicants for HUD competitive assistance , must complete the available if, based on an assessment of all the circumstances
<br />involved ,
<br /> information required in blocks 1 -5 of form HUD-2880 : there are reasonable grounds to anticipate that the assistance will
<br />be
<br /> 1 . Enter the full name , address , city , State , zip code , and telephone forthcoming .
<br /> number (including area code ) of the applicant/recipient . Where the Both applicant and recipient disclosures must include all other
<br /> applicant/recipient is an individual , the last name , first name , and government assistance involved with the HUD assistance , as
<br /> well as
<br /> middle initial must be entered . any other government assistance that was made available before the
<br /> 2 . Entry of the applicant/recipient's SSN or EIN , as appropriate , is request , but that has continuing vitality at the
<br />time of the request .
<br /> optional . Examples of this latter category include tax credits that provide for a
<br /> 3 . Applicants enter the HUD program name under which the assistance is number of years of tax benefits , and grant assistance
<br /> that continues to
<br /> being requested . benefit the project at the time of the assistance request .
<br /> 4 . Applicants enter the amount of HUD assistance that is being The following information must be provided :
<br /> requested . Recipients enter the amount of HUD assistance that has 1 . Enter the name and address , city, State , and zip code
<br /> of the
<br /> been provided and to which the update report relates . The amounts government agency making the assistance available .
<br /> are those stated in the application or award documentation . NOTE : In 2 . State the type of other government assistance
<br />(e . g . , loan , grant,
<br /> the case of assistance that is provided pursuant to contract over a loan insurance) .
<br /> period of time (such as project based assistance under section 8 of the 3 . Enter the dollar amount of the other government assistance
<br /> that is ,
<br /> United States Housing Act of 1937) , the amount of assistance to be or is expected to be , made available with respect to the
<br /> project or
<br /> reported includes all amounts that are to be provided over the term of activities for which the HUD assistance is sought ( applicants)
<br /> or
<br /> the contract, irrespective of when they are to be received . has been provided ( recipients) .
<br /> 5 . Applicants enter the name and full address of the project or activity for 4 . Uses of funds . Each reportable use of funds
<br /> must clearly identify
<br /> which the HUD assistance is sought. Recipients enter the name and the purpose to which they are to be put . Reasonable aggregations
<br /> full address of the HUD-assisted project or activity to which the update may be used , such as "total structure" to include a
<br />number of
<br /> report relates . The most appropriate government identifying number structural costs , such as roof, elevators , exterior masonry , etc.
<br /> must be used (e . g . , RFP No . ; IFB No . ; grant announcement No . ; or
<br /> contract, grant, or loan No . ) Include prefixes . B . Non-Government Assistance . Note that the applicant and recipient
<br /> disclosure report must specify all expected sources and uses of funds -
<br /> Part I . Threshold Determinations - Applicants Only both from HUD and any other source - that have been or are to be ,
<br /> made available for the project or activity . Non-government sources of
<br /> Form HUD-2880 ( 3/99)
<br />
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