Re-entry Assistance Program

Juvenile Reentry Assistance Program (JRAP)

Documents and Forms

Document Name Document Type
Form HUD-96010 Re-entry Assistance Program Form and Instruction
HUD-96010 E-Logic Model HUD 96010.xls Form and Instruction
HUD-2991 Certification of Consistency with the Consolidated Plan HUD-2991.pdf Form and Instruction
HUD-96011 Third Party Documentation Facsimile Transmittal HUD-96011 Third Party Facsimile Transmittal.pdf Form and Instruction
HUD-27061 Race and Ethnic Data Reporting Form HUD-27061 Race and Ethnic.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Re-entry Assistance Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 24 CFR 982

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-96010	E-Logic Model	HUD 96010.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD-2991	Certification of Consistency with the Consolidated Plan	HUD-2991.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-96011	Third Party Documentation Facsimile Transmittal	HUD-96011 Third Party Facsimile Transmittal.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-27061	Race and Ethnic Data Reporting Form	HUD-27061 Race and Ethnic.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	33,023	33,023
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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