OMB Approval No.: 2577-0088 OMB
M-11A MBE/WBE Annual Report (HUD 2516) U.S. Department of Housing and Urban Development
Approval No.: 2502-0355
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. The Information
is voluntary. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB Control Number.
Executive Orders dated July 14, 1983, directs the Minority Business Development Plans shall be developed by each Federal Agency and the these annual plans shall establish minority business development objectives. The information is used by HUD to monitor and evaluate MBE activities against the
total program activity and the designated minority business enterprise (MBE) goals. The Department requires the information to provide guidance and oversight for programs for the development of minority business enterprise concerning Minority Business Development. If the information is not
collected HUD would not be able to establish meaningful MBE goals nor evaluate MBE performance against these goals.
Privacy Act Notice = The United States Department of Housing and Urban Development, Federal Housing Administration, is authorized to solicit the Information requested in this form by virtue of Title 12, United States Code, Section 1701 et seq., and regulation. It will not be disclosed or relesed
outside the United States Department of Housing and Urban Development without your consetn, except as required or permitted by Law.
1. NSP/HOME Recipient: Check if: 2. Location (City, State Zip Code)
NSP Activity # or HOME Award #: CPD X
3a. Name of Contact Person 3b. Phone Number (Including Area Code) 4. Reporting Period 5. Program Code (Not applicable for CPD programs.) 6. Date Submitted to Authority:
See explanation of Codes at bottom of Page Use a N/A
separate sheet for each program code.
Oct. 1 - Sept. 30 (2011-2012)
Amount of Type of Trade Business Sec. 3 Subcontractor Sec. 3 Contractor/Subcontractor Name and Address
Contract or Code Racial/Ethnic Woman Owned Business Prime Contractor Identification (ID) Contractor Identification (ID) subcontractor 7j.
7a. Property/Project Subcontact (See below) (See below) (Yes or No) Number Y or N Number Y or N
Address 7b. 7c. 7d. 7e. 7f. 7g. 7h 7i.
Name Street City State Zip
7c: Type of Trade Codes: 7d: Racial/Ethnic Codes:
CPD 1 = White Americans
1 = New Construction 3= Other 2 = Black Americans
2 = Eductation/Training supply 3 = Native Americans
proressional services 4 = Hispanic Americans
rehabilitation 5 = Asian/Pacific Americans
Arch/Engineering 6 = Hasidic Jews
Previous editions are obsolete. form HUD-2516 (8/98)
Directions:This form 2516 must be completed and submitted for every NSP & HOME funded Activity
This information should be entered on separate line for each contract and subcontract.
Information must be included for all contracts of $10,000 or more awarded in association with your HOME or NSP project.
1. Enter name of NSP/HOME Recipient and NSP Activity Number or HOME Award Number
2. Enter address of NSP/HOME Recipient
3a. Enter Name of Contact Person
3b. Enter Phone # of Contact Person
4. Reporting Period: Check box for Oct. 1 - Sept. 30 and enter year
5. N/A Leave Blank
6. Date Submitted to Authority
7a. Enter Address of Property Funded with NSP/HOME
7b. Enter amount of Contract
7c. Enter Trade Type: Note: Other Categories include: supply, professional services, rehabilitation, architectural/engineering, and all other excluding new construction and educations/training
7d. Enter ethnicity of owner of contractor or subcontractor business
7e. Enter Yes or No if business is a woman owned business
7f. Enter the Employer ID (IRS) Number of the Contractor
7g. Enter Yes or No if Contractor business qualifies as a Section 3 Business
7h. Enter the Employer ID (IRS) Number of the Subcontractor Note: when a subcontractor ID is provided, the contractor ID must also be provided.
7i. Enter Yes or No if the subcontractor business qualifies as a Section 3 Business
7j. Enter Name and Address of Contractor or Subcontractor.