Form Number: HUD-92016-CA

Form Description:

This collection of information is in support of HUD's efforts to expand the supply of Supportive Housing for Persons with Disabilities under Section 811.
The information is necessary to assist HUD to determine applicant eligibility and ability to develop housing for disabled with statutory and program criteria.
A thorough evaluation of an applicant's qualifications and capabilities is critical to protect the Government's financial interest and to mitigate any possibility
of fraud, waste or mismanagement of public funds. This application does not collect any sensitive information. HUD does not ensure confidentiality.