Hud Form 2880 - Applicant/recipient Disclosure/update Report Page 2

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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,
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 collection displays a valid OMB control
number.
Privacy Act Statement. Except for Social Security Numbers (SSNs) and Employer Identification Numbers (EINs), the Department of Housing and Urban
Development (HUD) is authorized to collect all the information required by this form under section 102 of the Department of Housing and Urban
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
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
Development Reform Act of 1989, Pub. L. 101-235, approved December 15, 1989. These provisions will help ensure greater accountability and integrity
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
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
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
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. All
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
implementing regulations at 24 CFR Part 15. HUD will use the information in evaluating individual assistance applications and in performing internal
administrative analyses to assist in the management of specific HUD programs. The information will also be used in making the determination under
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
government assistance. You must provide all the required information. Failure to provide any required information may delay the processing of your
application, and may result in sanctions and penalties, including imposition of the administrative and civil money penalties specified under 24 CFR §4.38.
Note: This form only covers assistance made available by the Department. States and units of general local government that carry out responsibilities
under Sections 102(b) and (c) of the Reform Act must develop their own procedures for complying with the Act.
Instructions
Overview.
Part I contains information to help the applicant determine whether the
A. Coverage. You must complete this report if:
remainder of the form must be completed. Recipients filing Update
(1) You are applying for assistance from HUD for a specific project or
Reports should not complete this Part.
activity and you have received, or expect to receive, assistance
If the answer to either questions 1 or 2 is No, the applicant need not
from HUD in excess of $200,000 during the during the fiscal year;
complete Parts II and III of the report, but must sign the certification at the
(2) You are updating a prior report as discussed below; or
end of the form.
(3) You are submitting an application for assistance to an entity other
than HUD, a State or local government if the application is required
Part II. Other Government Assistance and Expected Sources and
Uses of Funds.
by statute or regulation to be submitted to HUD for approval or for
any other purpose.
A. Other Government Assistance. This Part is to be completed by both
B. Update reports (filed by “Recipients” of HUD Assistance):
applicants and recipients for assistance and recipients filing update
General. All recipients of covered assistance must submit update
reports. Applicants and recipients must report any other government
reports to the Department to reflect substantial changes to the initial
assistance involved in the project or activity for which assistance is
applicant disclosure reports.
sought. Applicants and recipients must report any other government
assistance involved in the project or activity. Other government
Line-by-Line Instructions.
assistance is defined in note 4 on the last page. For purposes of this
Applicant/Recipient Information.
definition, other government assistance is expected to be made
All applicants for HUD competitive assistance, must complete the
available if, based on an assessment of all the circumstances involved,
information required in blocks 1-5 of form HUD-2880:
there are reasonable grounds to anticipate that the assistance will be
forthcoming.
1. Enter the full name, address, city, State, zip code, and telephone
Both applicant and recipient disclosures must include all other
number (including area code) of the applicant/recipient. Where the
government assistance involved with the HUD assistance, as well as
applicant/recipient is an individual, the last name, first name, and
any other government assistance that was made available before the
middle initial must be entered.
request, but that has continuing vitality at the time of the request.
2. Entry of the applicant/recipient's SSN or EIN, as appropriate, is
Examples of this latter category include tax credits that provide for a
optional.
number of years of tax benefits, and grant assistance that continues to
3. Applicants enter the HUD program name under which the assistance is
benefit the project at the time of the assistance request.
being requested.
4. Applicants enter the amount of HUD assistance that is being
The following information must be provided:
requested. Recipients enter the amount of HUD assistance that has
1. Enter the name and address, city, State, and zip code of the
been provided and to which the update report relates. The amounts
government agency making the assistance available.
are those stated in the application or award documentation. NOTE: In
2. State the type of other government assistance (e.g., loan, grant,
the case of assistance that is provided pursuant to contract over a
loan insurance).
period of time (such as project-based assistance under section 8 of the
3. Enter the dollar amount of the other government assistance that is,
United States Housing Act of 1937), the amount of assistance to be
or is expected to be, made available with respect to the project or
reported includes all amounts that are to be provided over the term of
activities for which the HUD assistance is sought (applicants) or
the contract, irrespective of when they are to be received.
has been provided (recipients).
5. Applicants enter the name and full address of the project or activity for
4. Uses of funds. Each reportable use of funds must clearly identify
which the HUD assistance is sought. Recipients enter the name and
the purpose to which they are to be put. Reasonable aggregations
full address of the HUD-assisted project or activity to which the update
may be used, such as "total structure" to include a number of
report relates. The most appropriate government identifying number
structural costs, such as roof, elevators, exterior masonry, etc.
must be used (e.g., RFP No.; IFB No.; grant announcement No.; or
contract, grant, or loan No.) Include prefixes.
B. Non-Government Assistance. Note that the applicant and recipient
disclosure report must specify all expected sources and uses of funds -
Part I. Threshold Determinations - Applicants Only
both from HUD and any other source - that have been or are to be,
made available for the project or activity. Non-government sources of
Form HUD-2880 (3/99)

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