53246_Cost Summary.pdf

Previous editions are obsolete form 53246 (6/2018) Page 1 of 2

Cost Summary

Indian Housing Block Grant

See Instructions and Public Reporting Statement on back.

5. Administration

Administration Total

6. Sub Total Enter totals of columns b, c, and d.

7. Grand Total Enter sum of columns b, c, and d.

1. Name of Applicant (as shown in Item 5, Standard Form 424)

3. Original Revision Amendment Date (mm/dd/yyyy) (check here if this is the (check here if submitted (check here if submitted first submission to HUD) with implementation schedule after HUD approval of grant) as part of pre-award requirements

2. Application/Grant Number (to be assigned by HUD upon submission)

4.

U.S. Department of Housing and Urban Development Office of Public and Indian Housing

OMB Approval No. 2577-0191 h46246 Text Box Project Name & Project Category h46246 Text Box Planned Other Federal Funds Expenditures h46246 Text Box c

Line

Planned Non-Federal Funds Expenditures h46246 Text Box Total Planned Expenditures h46246 Text Box Source of Other Funds for each Activity h46246 Text Box (exp. 07/31/2025) gfuller Text Box OMB Approval No. 2577-0218 gfuller Text Box U.S. Department of Housing and Urban Development Office of Public and Indian Housing gfuller Line gfuller Line gfuller Line gfuller Text Box NOTE: This form is intended for use only by awardees of competitive IHBG funds.

h46246 Text Box Planned NAHBG Expenditures b gfuller Rectangle gfuller Line h46246 Text Box f h46246 Text Box e h46246 Text Box d gfuller Line h46246 Line h46246 Text Box a h46246 Text Box b gfuller Rectangle gfuller Rectangle gfuller Rectangle gfuller Rectangle gfuller Rectangle h46246 Line h46246 Text Box

a. General Management and Oversight.

h46246 Text Box

b. Indirect Costs: Enter indirect costs to be charged to the program pursuant to a cost allocation plan.

h46246 Text Box

c. Audit: Enter estimated cost of Program share of financial audits.

h46246 Rectangle gfuller Line h46246 Rectangle gfuller h46246 Rectangle gfuller Line gfuller Line gfuller

Previous editions are obsolete form HUD-53246 (06/2018)Page 2 of 2

Public reporting burden for this collection of information is estimated to average 2 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 info rmation. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.

This collection of information requires that each eligible applicant submit information to enable HUD to select the best projects for funding during annual competitions for the IHBG Competitive Program. The information will be used by HUD to determine whether applications meet minimum screening eligibility requirements and application submission requirements. Applicants provide general information about the project which is preliminary to the review of the applicant’s response to the criteria for rating the application. The information is essential for HUD in monitoring grants to ensure that grantees are making proper use of Federal dollars. Responses to the collection are required by Section 105 of the Department of Housing and Urban Development Reform Act (P.L.

101-235) as amended by the Cranston-Gonzales National Affordable Housing Act of l990. The information requested does not lend itself to confidentiality.