Funding Application Form HUD- 52515.pdf
PDF 118 KB Posted
- Opportunity number
- FR-6800-N-41
About this file
The document is a Funding Application Form HUD-52515 for the Housing Choice Voucher Program. It is used to assess the applicant's capacity and experience for a federal grant funding opportunity.
The form includes sections for the applicant to provide information on the Public Housing Agency (PHA), the number of vouchers requested, the geographic area/jurisdiction, the PHA's capacity, the need and extent of the problem, the soundness of the approach, leveraging of resources, achieving results and program evaluation, a Memorandum of Understanding, and any other information or certifications required in the Notice of Funding Opportunity (NOFO).
The related federal grant opportunity is the Foster Youth to Independence (FYI) Competitive NOFO for Fiscal Year 2024, which is funded under the Family Unification Program (CFDA 14.880). The NOFO is soliciting applications from eligible applicants to aid families for whom the lack of adequate housing is a primary factor in the imminent placement of their child(ren) in out-of-home care or the delay in the discharge of their child(ren) from out-of-home care.
Funding Application Form HUD- 52515.pdf
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Other files
| File | Type | Posted |
|---|---|---|
| 52515-updated.pdf | ||
| FYI-Competitive_FR-6800-N-41(2).pdf | ||
| 2993.pdf | ||
| FYI-Competitive-NOFO_FR-6800-N-41.pdf |
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Text version
Previous editions are obsolete 1 HUD-52515 (04/2023)
Funding Application Housing Choice Voucher Program
OMB Burden Statement. The public reporting burden for this information collection is estimated to be up to 5 hours, 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 information collection is required to assess the applicant’s capacity and experience for a funding opportunity. Assurances of confidentiality are not provided under this collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions to reduce this burden, to the Office of Public and Indian Housing, US. Department of Housing and Urban Development, Washington, DC 20410. HUD may not conduct and sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid control number.
Privacy Notice. The Department of Housing and Urban Development (HUD) is authorized to collect the information on this form by Section 8 of the U.S. Housing Act (42 U.S.C. 1437f). The purpose of this form is to assess the applicant’s capacity and experience for a funding opportunity. The
Personally Identifiable Information (PII) data collected on this form are not stored or retrieved within a system of record.
A. Name and Mailing Address of the Public Housing Agency (PHA) B. PHA Code
C. Number of Vouchers Requested D. Geographic Area/Jurisdiction (describe the area in which assisted may live)
If directed in the NOFO or Funding Notice, complete additional fields on the next page of this form.
PHA Signature
Signature of PHA Representative Print or Type Name of Signatory
Email Address
Phone Number Date
U.S Department of Housing and Urban Development Office of Public and Indian Housing
OMB Approval No. 2577-0169 (exp. 04/30/2026)
Previous editions are obsolete 2 HUD-52515 (04/2023)
E. Capacity of the Organization
F. Need/Extent of the Problem
G. Soundness of Approach
H. Leveraging Resources
I. Achieving Results and Program Evaluation
J. Memorandum of Understanding
K. Other Information Required in the NOFO or Funding Notice
L. Program Specific Certifications (enter here any certification required in the NOFO or Funding Notice)
| A Name and Mailing Address of the Public Housing A: |
| B PHA Code: |
| C Number of Vouchers Requested: |
| D Geographic AreaJurisdiction describe the area in: |
| Signature of PHA Representative: |
| Print or Type Name of Signatory: |
| Email Address: |
| Phone Number: |
| Date: |
| F NeedExtent of the Problem: |
| G Soundness of Approach: |
| H Leveraging Resources: |
| I Achieving Results and Program Evaluation: |
| J Memorandum of Understanding: |
| K Other Information Required in the NOFO or Fundin: |
| L Program Specific Certifications enter here any c: |
| Textfield: |
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