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Contract and Subcontract Activity U.S. Department of Housing and Urban Development OMB Approval No.: 2535-0117 (exp. 12/31/2006) <br /> Public Reporting Burden for this collection of information Is estimated to average 50 hours per response, including the time for reviewing Instructions, searching existing data <br />sources, gathering and maintu ing the data needed, and completing and reviewing the <br /> collection of information. This information is voluntary. HUD may not collect this information, and you are not required to complete this form, unless it displays a currentN <br />valid OMB Control Number. <br /> Executive Order 12421 dated July 14, 1983, directs the Minority Business Development Plans shall be developed by each Federal Agency and that these annual plans shall establish <br />minority business development objectives. The information is used by HUD to monitor <br /> and evaluate MBE activities against the total program activity and the designated minority business enterprise (MBE) goals. The Department requires the information to provide <br />guidance. and oversight for programs for the development of minority business enterprise <br /> concerning Minority Business Development. If the information is not collected HUD would not be able to establish meaningful MBE goals nor evaluate MBE performance against these <br />goals. <br /> While no assurances of confidentiality is pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information request. <br /> Privacy Act Notice - The United States Department of Housing and Urban Development, Federal Housing Administration, is authorized to solicit the information requested in this form <br />by virtue of Title 12, United States Code, Section 1701 at seq., and regulations <br /> promulgated thereunder at Title 12, Code of Federal Regulations. It will not be disclosed or released outside the United States Department of Housing and Urban Development without <br />your consent, except as required or permitted by law. <br /> 1 . Grantee/ProjectOwner/Developer/Sponsor/Builder/Agency Check it 2. lncation (city. State. ZIP Code) <br /> PHA n <br /> RA LTJ <br /> 3a. Name at Contact Person <br /> 3b. PM1ona Number limed iArea Code) 4. Repotting Periotl 5. Program Code (Not applicable for CPU programs) 6. Date Submittetl to Field <br />Office <br /> E] Oct. 1 - Sept. 30 (Annuali See explanation of codes at bottom of page. <br /> Use a separate sheet for each program code. <br /> T <br /> Contractof or <br /> __. . _. <br /> G rantlProject Number or Amount of Typsof Subcontractor , Woman Prime Contractor Sec. Subconi Sec ConlractorlSubconawtor Name and Address <br /> HUD Case Numberor Contract Trade Business Owned Identification (ID) 3 Identification ID) 3 71 <br /> other 'idenutication of property, or Subcontract Code Raciald7thnic Business Number Number <br /> subdivision. dwen'ngunitetc (See Code (Yes or - - <br /> below) (See below) No) Name Street city State Zip code <br /> 7a. 7b. 7c, 7d, 7e. 7f. 7g. m. 71. <br /> 7e: Type of Trade Codes: 7d: RaciagEthnic Codes; 5: Program Codes (complete for Housing and Public and radian Housingams only) <br /> CPD: Houaing/Publlc Housing: 1 = White Americans progr <br /> 1 = New Construction 1 = New Construction 6 = Professional 2 = Black Americans 1 = All insured, including Section a 5 = Section 202 <br /> 2 = Education/Traming 2 = Substantial Rehab. 7 = Tenant Services 3 = Native Americans 2 = Flexible Subsidy 6 = HUD-Held (Management) <br /> 3 = Other 3 = Repair 8 = Education/framing 4 = Hispanic Americans 3 = Section B Noninsured, Non-RPDA 7 = Public/lndian Housing <br /> 4 = Service 9 = Arch./Engrg. Appraisal 5 = Asian/Pacific Americans 4 = Insured (Management <br /> 5 = Protect Mani 0 = Other 6 = Hasidic Jews <br /> Previous editions are obsolete. form HUD--2516 (8/96) <br />