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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 reviewing instructions,
<br />searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency
<br />may not conduct or sponsor, and a person is not required to respond to, a collection information unless that collection displays 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 and Urban
<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 1989, 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 out its responsibilities under Sections 102(b), (c), and (d) of the Department 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 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 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 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'years in the case of
<br />other applications. Update reports will be made available along with the disclosure reports, but in no case fora period generally 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.S.C. §552) and HUD's
<br />implementing regulations at 24 CFR tart 15. HUD will use the information in evaluating individual assistance applications and in performing internal
<br />administrative analyses to assist in the management of specitir, 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 taking account of other
<br />government assistance. You must provide all the required information. Failure to provide any required information may delay the processing of your
<br />application, and may result in sanctions and penaittes, including imposition of the administrative and civil money penalties specified under 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 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.
<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 yod have received, or expect to receive, assistance
<br />from HUD in excess of $200,000 during the during the fiscal year;
<br />(2) You are updating a prior report as discussed below; or
<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
<br />by statute or regulation to be submitted to HUD for approval or for
<br />any other purpose.
<br />B. Update reports (filed by "Recipients" of HUD Assistance):
<br />General. All recipients of covered assistance must submit update
<br />reports to the Department to reflect subsiantial changes to the initial
<br />applicant disclosure reports.
<br />Line -by -Line instructions.
<br />ApplicantlRecipient Information.
<br />All applicants for HUD competitive assistance, most complete the
<br />information required in blocks 1-5 of form HUD-2880:
<br />1. Enier the full name, address, city, State, zip code, and telephone
<br />number (including area code) of the applicanilrecipient. Where the
<br />applicant/recipient is an individual, the last name, first name, and
<br />middle initial must be entered.
<br />2. Entry of the applicantlrecipient's SSN or EIN, as appropriate, is
<br />optional.
<br />3. Applicants enter the HUD program name under which the assistance is
<br />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 documentation. NOTE, In
<br />the case of assistance that is provided pursuant to contract over a
<br />period of lime (such as project -based assistance under section 8 of the
<br />United States Housing Act of 1937), the amount of assistance to be
<br />reported lnctudes all amounts that are to be provided over the term of
<br />the contract, irrespective of when they are to be received.
<br />5. Applicants enter the 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 activity to which the update
<br />report relates. The most appropriate government identifying number
<br />must be used (e.g., REP No,; 1FB No.; grant announcement No,; or
<br />contract, grant, or loan No.) Include prefixes.
<br />Part 1, Threshold Determinations - Applicants Only
<br />Part I contains information 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 />If the answer to eitherquestions 9 or 2 is No, the applicant need not
<br />complete Parts 11 and HI of the report, but must sign the certification at the
<br />end of the form.
<br />Fart 11. Other Government Assistance and Expected Sources and
<br />Uses of Funds. '
<br />A. 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 />assistance involved in the project or activity for which assistance is
<br />sought. Applicants and recipients must report any other government
<br />assistance involved in the project or activity. Other government
<br />assistance is defined in note 4 on the fast page. For purposes of this
<br />definition, other government assistance is expected to be made
<br />available if, based on an assessment of all the circumstances involved,
<br />there are reasonable grounds to anticipate that the assistance will be
<br />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 the
<br />request, but that has continuing vitality at the time of the request.
<br />Examples of this latter category include tax credits that provide for a
<br />number of years of tax benefits, and grant assistance that continues to
<br />benefit the project at the time of the assistance request.
<br />The following information must be provided;
<br />1, Enter the name and address, city, State, and zip code of the
<br />government agency making the assistance available.
<br />2, State the type of other government assistance (e.g., loan, grant,
<br />loan insurance).
<br />3. Enter the dollar amount of the other government assistance that is,
<br />or is expected to be, made available with respect to the project or
<br />activities for which the HUD assistance is sought (applicants) or
<br />has been provided (recipients).
<br />4. Uses of funds. Each reportable use of funds must clearly identify
<br />the purpose to which they are to be put. Reasonable aggregations
<br />may be used, such as "total structure" to Include a number of
<br />structural costs, such as roof, elevators, exterior masonry, etc.
<br />B. Non -Government Assistance. Note that the applicant and recipient
<br />disclosuro report must specify all expected sources and uses of funds -
<br />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 (3199)
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