Form Hud-40094 - Homeownership Assistance/ Rental Housing Project Set-Up Report printable pdf download

Homeownership Assistance/

U.S. Department of Housing

OMB Approval No. 2506-0171

and Urban Development

(Exp. 11/30/2001)

Rental Housing

Office of Community Planning

and Development

Project Set-Up Report

Home Program Cash & Management Information System

Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching

existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct

or sponsor, and a person is not required to respond to, a collection information unless that collecton displays a valid OMB control number.

The HOME statute imposes a significant number of data collection and reporting requirements. This includes information on assisted properties, on the owners

or tenants of the properties, and on other programmatic areas. The information will be used: 1) to assist HOME participants in managing their programs; 2)

to track performance of participants in meeting fund commitment and expenditure deadlines; 3) to permit HUD to determine whether each participant meets

the HOME statutory income targeting and affordability requirements; and 4) to permit HUD to determine compliance with other statutory and regulatory program

requirements. This data collection is authorized under Title II of the Cranston-Gonzalez National Affordable Housing Act or related authorities. Access to

Federal grant funds is contingent on the reporting of certain project-specific data elements. Records of information collected will be maintained by the recipients

of the assistance. Information on activities and expenditures of grant funds is public information and is generally available for disclosure. Recipients are

responsible for ensuring confidentiality when public disclosure is not required.

Note: Complete for all Homeownership Assistance/Rental Housing Projects

Check the Appropriate Box

prior to project set-up and send the completed form to:

Original Submission

Change Owner's Address

HOME PROGRAM, P.O. Box 23997, L'Enfant Plaza Station,

Ownership Transfer

Revision

Washington, D.C. 20026.

Part A: Call-In

Part A must be called in to HUD to set up project accounts. This completed form must be submitted to HUD immediately after project set-up call.

1. Project Number

2. Name of Participant

6. HOME Funds for Project

a. Total Funds Requested

b. Participant Number

c. Dollar Amount of Funds

3. Participant Tax ID Number

4. CHDO Tax ID Number

5. Type of Project

Acquisition Only

Substantial Rehabilitation

(3)

(5)

Moderate Rehabilitation

New Construction

(4)

(6)

8. Name & Phone Number ( including Area Code) of person completing form

9. CHDO Loan

Yes

(1)

(2)

7. Total Estimated Cost of Project (HOME-assisted units, including

other public/private funds)

Part B: Project Information

1. Street Address of Project

1a. City

1b. State

1c. Zip Code

2. Name of Owner

2a. Last Name

2b. First Name

Mr.

Mrs.

Ms.

3. Mailing Address of Owner

3a. City

3b. State

3c. Zip Code

3d. Phone (Include Area Code)

4. Name of Firm (if applicable)

5. Total Units in Project

6. Estimated Units

7. Total HOME-Assisted

Prior to Assistance

Upon Completion

Units Upon Completion

8. Type of Ownership (Check one box)

9. Tenure Type (Check one box only)

10. Complete for Community

11. County Code

Housing Development

(to be completed by

Individual

Not-for-Profit

Rental

(1)

(4)

(1)

Organization Projects

Centralized States

Partnership

Publicly-Owned

Homeownership First-Time Buyer

(2)

(5)

(2)

(check one box)

only)

Owned

Corporation

Other

Homeownership Rehabilitation

(1)

(3)

(9)

(3)

Form Hud-40094 - Homeownership Assistance/ Rental Housing Project Set-Up Report

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