Information Collection

Assisted Living Conversion Program (ALCP)

IC 27325 under ICR 200309-2502-003 · OMB 2502-0542.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0542 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Assisted Living Conversion Program (ALCP)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HUD-2880	Yes	Yes
Form	HUD-424B	Yes	Yes
Form	HUD-92045	Yes	Yes
Form	HUD-50080-ALCP	Yes	Yes
Form	SF-424	Yes	Yes
Form	SF-269	Yes	Yes
Form	HUD-2991	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	135	-125	260
Annual IC Time Burden (Hours)	2,550	-1,750	4,300
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.