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Request for Release of Funds U .S. Department of Housing OMB No. 2506-0087 <br /> and Urban Development (exp. 12/31 /2007) <br /> and Certification Office of Community Planning <br /> and Development <br /> This form is to be used by Responsible Entities and Recipients (as defined in 24 CFR 58. 2) when requesting the release of funds, and <br /> requesting the authority to use such funds, for HUD programs identified by statutes that provide for the assumption of the environmental <br /> review responsibility by units of general local government and States . Public reporting burden forthis collection of information is estimated <br /> to average 36 minutes per response, including the time for reviewing instructions , searching existing data sources, gathering and <br /> maintaining the data needed , and completing and reviewing the collection of information . This agency may not conduct or sponsor, and <br /> a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number. <br /> Part 1 . Program Description and Request for Release of Funds (to be completed by Responsible Entity) <br /> 1 . Program Titles) FHUD/Statedentification Number 3. Recipient Identification Number <br /> (optional) <br /> 4. OMB Catalog Number(s) address of responsible entity <br /> 6. For information about this request, contact (name & phone number) <br /> 7. Name and address of recipient (if different than responsible entity) <br /> 8. HUD or State Agency and office unit to receive request <br /> The recipient(s) of assistance under the programs) listed above requests the release of funds and removal of environmental grant <br /> conditions governing the use of the assistance for the following <br /> 9. Program Activity(ies)/Project Name(s) 10. Location (Street address, city, county, Stale) <br /> 11 . Program Activity/Project Description <br /> Previous editions are obsolete form HUD-7015.15 (1/99) <br />