HUD-53154 Choice Neighborhoods Implementation Grant

Choice Neighborhoods Planning
Grant
Match/Leverage Resources

U.S. Department of Housing
and Urban Development

OMB Approval No. 2577-0269
(exp.4/30/2018)

Public Reporting Burden for this collection of information is estimated to average 5 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 information. Response to this collection of
information is mandatory to obtain a benefit. The information requested does not lend itself to confidentiality. HUD may not conduct or sponsor, and an
applicant is not required to respond to a collection of information unless it displays a currently valid OMB control number.

Choice Neighborhoods Planning Grant
Leverage Resources - Planning Process
List all funds that will be used for leverage for the Planning Grant only. For each resource you list, you must provide
a commitment document behind this cover sheet that meets the standards described in the match and leveraging
sections of the Planning Grant NOFA. The amounts listed on this form must be consistent with the amounts
identified in the application and the amounts in each resource commitment document.

Dollar Value of Resource
Source of Resource

Page Total

Page # of
Commitment
Document

HUD Use Only
Amount Approved

$

$

$

$

Page ____ of ____
HUD Form 53154

Choice Neighborhoods Planning
Grant
Match/Leverage Resources

U.S. Department of Housing
and Urban Development

OMB Approval No. 2577-0269
(exp.4/30/2018)

Public Reporting Burden for this collection of information is estimated to average 5 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 information. Response to this collection of
information is mandatory to obtain a benefit. The information requested does not lend itself to confidentiality. HUD may not conduct or sponsor, and an
applicant is not required to respond to a collection of information unless it displays a currently valid OMB control number.

Choice Neighborhoods Planning Grant
Leverage Resources - Action Activities
List all funds that will be used for leverage for the Planning Grant only. For each resource you list, you must provide
a commitment document behind this cover sheet that meets the standards described in the match and leveraging
sections of the Planning Grant NOFA. The amounts listed on this form must be consistent with the amounts
identified in the application and the amounts in each resource commitment document.

Dollar Value of Resource
Source of Resource

Page Total

Page # of
Commitment
Document

HUD Use Only
Amount Approved

$

$

$

$

Page ____ of ____
HUD Form 53154