**APPENDIX A. HUD FORMS**

**Record of Clearances, Form
[HUD-1047](http://www.hud.gov/offices/adm/hudclips/forms/files/1047.dot)**

**Record of** U.S. Department of Housing

and Urban Development

Clearances Executive Secretariat

Type or print clearly. ACORN Control Number:

Originator: (Last Name & Correspondence Code) Initials: Date: Comments:

Primary Program Office Assistant Secretary or in:

Equivalent: (Last Name & Correspondence Code)

1\. out:

Correspondence Unit Chief or Point of Contact in:

for Correspondence: (Last Name & Correspondence Code)

2\. out:

3\. in:

out:

4\. in:

out:

5\. in:

out:

6\. in:

out:

7\. in:

out:

8\. in:

out:

9\. in:

out:

10\. in:

out:

Comments and/or Special Dispatch Instructions:

Program Person to Contact for Questions: Phone No: Room No:

form HUD-1047 (02/03)

**Correspondence Change Request, Form
[HUD-149](http://www.hud.gov/offices/adm/hudclips/forms/files/149.dot)**

**Correspondence U.S. Department of Housing**

**and Urban Development**

**Change Request** Executive Secretariat

Program Area: ACORN Control No.:

Request Submitted by: Correspondence From:

Telephone Number: Incoming Correspondence Date:

(mm/dd/yyyy)

Change Action Requested: Acknowledgment Date, if any:

\[ \] No Action Requested (NAR)

\[ \] Extension and New Date

Interim Date, if any:

\[ \] Downgrade(s) to:

\[ \] Transfer to:

Today\'s Date:

\[ \] Other:

Number of Previous Extensions: Original Due Date: Current Due Date:

Reason for Requested Change:

Program Office Congressional Correspondence

Correspondence Unit Chief: \[ \] Approved

\[ \] Modified

\[ \] Disapproved, proceed as directed on control

slip

Initials Date

Approving Principal: Approving Principal:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_

Signature Date Signature Date

Request Status:

\[ \] Approved

\[ \] Modified

\[ \] Disapproved, proceed as directed on control slip

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_

Director, Executive Secretariat Date

form HUD-149 (02/03)

**Telephone Inquiry/Response, Form**
[HUD-2029](http://www.hud.gov/offices/adm/hudclips/forms/hud2.cfm)

**Telephone U.S. Department of Housing**

**Inquiry / Response and Urban Development**

Executive Secretariat

Date: Time:

\[ \] Senator (name)

\[ \] Representative (name)

\[ \] Other - Mr./Mrs./Ms.(name)

Address / Telephone:

HUD Office / Program:

Name / Telephone of Person Completing this Form:

Subject: (Include date of letter, ACORN Control Number, etc., as
appropriate)

Telephone Inquiry/Response:

form HUD-2029 (02/03)

**Priority Correspondence Assignment Sheet for White House
Correspondence**

WHITE HOUSE CORRESPONDENCE

\- - - - - - - - - - - \-- - - - - - - - - \-- - - -

PRIORITY CORRESPONDENCE ASSIGNMENT

Executive Secretariat

Please [do]{.underline} [not]{.underline} send copies of response or any
other information to the White House.

Response should be faxed back to Executive Secretariat.

ACORN

Control No. WF- \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date Due:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Assigned to:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

From: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Phone:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Fax: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Fax:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Number of pages, including this cover sheet: \_\_\_\_\_\_\_\_\_\_\_

SPECIAL INSTRUCTIONS:

\* Please use opening \"President George W. Bush received your

letter of \[Date\] and has asked the Department of Housing and

Urban Development to respond to you because it administers the

federal program of \...\...\...\...\....\"

\* Please mail your reply to the writer, not the White House.

\* Please do not send copies to the White House.

\* Please do not use the name of any White House staff in

correspondence.

\* Please fax a copy of the original signed and dated reply on

HUD\'s official letterhead to the Executive Secretariat, along

with the Executive Secretariat fax cover sheet that accompanied

the incoming letter.

\- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

\- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

FAX RETURN REPLY TO: (202) 619-8365

From: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Phone: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Number of pages, including this cover sheet: \_\_\_\_\_\_\_\_\_\_\_

FINAL: \_\_\_\_\_\_\_\_\_\_\_\_\_\_ INTERIM:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ TRANSFER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

EXTENSION (form HUD-149): \_\_\_\_\_\_\_\_\_\_\_\_\_\_ NAR (form
HUD-149): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

COMMENTS:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Priority Correspondence Assignment Sheet for General

Correspondence

Priority Correspondence Assignment Sheet

for

GENERAL CORRESPONDENCE

\- - - - - - - - - - - \-- - - - - - - - - -

CORRESPONDENCE ASSIGNMENT SHEET

Executive Secretariat

To report fax problems, please call (202) 708-3054.

ACORN

Control No. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date Due:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Assigned to:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

From: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Phone:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Fax: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Fax:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Number of pages, including this cover sheet: \_\_\_\_\_\_\_\_\_\_\_\_

SPECIAL INSTRUCTIONS:

\* Please mail your reply to the writer.

\* Please fax a copy of the original signed and dated reply on

HUD\'s official letterhead to the Executive Secretariat, along

with the Executive Secretariat fax cover sheet that accompanied

the incoming letter.

\- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

\- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

\-

FAX RETURN REPLY TO: (202) 619-8365

From: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Phone:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Number of pages, including this cover sheet: \_\_\_\_\_\_\_\_\_\_\_

FINAL: \_\_\_\_\_\_\_\_\_\_\_\_\_\_ INTERIM:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ TRANSFER:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

EXTENSION (form HUD-149): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ NAR (form
HUD-149):

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

COMMENTS:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_