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4D
<br />Public reporting burden for this collection of information is estimated to average 2.0 hours per response, Including the time for reviewing instructions.
<br />searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency r
<br />not Conduct er sponsor, and a person is not required to re5pond lo, a CAtleclion information unless that collection displays a valid OMS control number.
<br />Privacy Act Statement. Except for Social Security Numbers (SSNs) and Employer Identification Numbers (EINs), the Department of Housing and Urb;
<br />Development (HUD) Is authorized to collect all the Information required by this form under section 102 of the Department of Housing and Urban
<br />Development Reform Act of 1gag, 42 U.S.C. 3531. Disclosure of SSNs and EINs is optional. The SSN or EIN is used as a unique identifier. The
<br />Information you provide will enable HUD to carry put its responsibilities under Sections 102(b), (c), and (d)of the Department of Housing and Urbari
<br />Development Reform Act of 19$9, Pub. L. 101-235, approved December 15, 1989- These provisions will help ensure greater accountability and'integdt
<br />the provision of certain types of assistance administered by HUD. They will also rioip ensure that HUD assistance for a specific housing projeCl under
<br />Section 102(d) is not more than is necessary to make the project feasible after taking account of other govemmenl assistance. HUD will make availably
<br />the public all applicant disclosure reports for rive years in the case of applications for competilrve assistance, and for generally three years in the case c
<br />other applications. Update reports will be made available along with the disclosure reports, but in no case for a period generally less than three years
<br />reports, both initial reports and update reports. will be made available in accordance with the Freedom of Information Act (5 U.S.C. §552) and HUD's
<br />implementing regulations at 24 CFR Part 75. HUD will use Clio information in evaluating Individual assistance applications and in performing internal
<br />administrative analyses to assisl in Doe management of specific HUD programs. The Information will also be used in making the determination under
<br />Section 102(d) whether HUD assistance for a specific housing project is more than is necessary to make the project feasible after laking account of oth•
<br />government assistance. You must provide all the required information. Failure to provide any required information may delay the processing oryour
<br />application, and may result in sanctions and penalties, including imposition of the adminlstraUve and civil money penalties specified under 24 CFR §4.3t
<br />Note: This form only covers assistance made available by the Departmenl. States and unds of general focal government that carry out responsibilities
<br />under Sections 102(b) and (c) of the Reform Act must develop their oven procedures for complying with the Act.
<br />Instructions
<br />Overview.
<br />A. Coverage. You must complete this report if:
<br />(1) You are applying for assistance from HUD for a specific project or
<br />activity and you have received„ or expect to receive, assistance
<br />from HUD in excess of "$200.000 during the during the fiscal year;
<br />f21 You are updating a prior report as discussed below: or
<br />(3) You are submitting an application for assistance to an enbly ogler
<br />Inas HUD. a State or local government if the application is required
<br />by stalute or regulation to be submitted to HUD for approval or for
<br />any other purpose.
<br />S. Update reports (filed by "Reciplents^ of HUD Assistance).
<br />General. All recipients of covered assistance musl submit update
<br />reports to the Department to reflect substantial changes to the initial
<br />applicant disclosure reports.
<br />Line -by -Line Instructions.
<br />Appl i canURocipf an l Information.
<br />All applicants for HUE) competilive assistance, most complete the
<br />information required in blocks 1.5 of form HUD -2080:
<br />I Enter the full name, address, city, Slate, zip code, and telephone
<br />number (including area code) of the applicantfreclpfent. Where the
<br />applicantf(ecipienl is an individual., the last name, first name, and
<br />middle initial must be entered.
<br />2 Entry of the applicanitrecipienl"s SSN or EIN, as appropriate, is
<br />optional.
<br />3. Applicants enter the HUD program name under which the assistance
<br />is being requested.
<br />4. Applicants enter the amount of HUD assistance that is being
<br />requested. Recipients enter the amount of HUD assistance that has
<br />been provided and to which the update report relates. The amounts
<br />are those stated in the application or award documentalion. NOTE; In
<br />the case of assistance that is provided pursuant to contract over a
<br />period of time (such as project -based assistance under section 8 of
<br />the United Stales Housing Act of 1937), the amount of assistance to
<br />be reported includes all amounts that are to be provided over the term
<br />of the conlracl, irrespective of when they are to be received
<br />5. Applicants enter Vie name and full address of the project or activity for
<br />which the HUD assistance is sought. Recipients enter the name and
<br />full address of the HUD -assisted project or aclivny to which the update
<br />report relates. The most appropriate government identifying number
<br />must be used ja.g , RFP No.: tFB No.; grant announcement No.; or
<br />contract, grant, or loan No.) Include prefixes.
<br />Part I. Threshold Determinations • Applicants Only
<br />Part I contains mlom+ation to help the applicant determine whether the
<br />remainder of the form must be completed. Recipients filing Update
<br />Reports should not complete this Part.
<br />It the answer to efrherquestfons 1 or 2 is No, the applicant need not
<br />complete Paris Ii and 1'II of the report, but must sign the cerllficaWn at
<br />the end of the form.
<br />Part It. Other Government. Assistance and Expected Sources and
<br />Uses of Funds.
<br />Other Government Assistance. This Part is to be completed by both
<br />applicants and recipients for assistance and recipients filing update
<br />reports. Applicants and recipients must report any other government
<br />a ssisla rice involved in the projecl or activity for which assistance is
<br />sought. Applicants and recipients must report any other government
<br />assistance involved in the project or acffvity. Other government
<br />assistance is defined in note 4 on the last page. For purposes of thk
<br />definition, other government assistance is expected to be made
<br />available if, based on an assessment of all the circus -lances
<br />involved, there are reasonable grounds to anticipate that the
<br />assistance will be forthcoming.
<br />Both applicant and recipient disclosures must include all other
<br />government assistance involved with the HUD assistance, as well as
<br />any other government assistance that was made available before tht
<br />request, but that has continuing vitality at the time of the request.
<br />Examples of this taller category include tax credits that provide for a
<br />number of years of lax benefits, and grant assistance that continues
<br />benefit the project al the time of the assistance request.
<br />The following information must be provided
<br />1 Enter the name and address, city, Stale, and zip code at ate
<br />government agency making the assistance available.
<br />2. Slate the I oe of other government assistance (e.g., loan, grant,
<br />loan insurance)..
<br />3 Enter lie dollar amount of the ofhsr government assistance that i
<br />or is expected to be, made avaiiaole with respect to the projector
<br />activities for which the HUD assistance is sought (applicants) or
<br />Inas been provided (recipients).
<br />4 Uses of funds. Each reponab!e use of funds must clearly idenut
<br />the purpose to which lney are to be put. Reasonable dggregabor
<br />may be used. such as 'total struclui e- to include a number of
<br />slruclural Costs, such as rbel, elevators, ., wlanof masonry, etc.
<br />B. Non -Government Assistance. Nola that the applicant and recipient
<br />disclosure report must specify all expected sources and uses of fund
<br />- bout from HUD gild any other source - that have "on or tire, to b
<br />made available for the project or activity. NOW90veriment soufoes t
<br />Form HUD•2960 (3K
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