FAMILY INCOME CERTIFICATION

ICR 197610-2502-014

OMB: 2502-0070

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
173442 Migrated
ICR Details
2502-0070 197610-2502-014
Historical Active 197604-2502-009
HUD/OH
FAMILY INCOME CERTIFICATION
No material or nonsubstantive change to a currently approved collection   No
Emergency 10/21/1976
Approved with change 10/21/1976
Retrieve Notice of Action (NOA) 10/21/1976
  Inventory as of this Action Requested Previously Approved
12/31/1976 12/31/1976 12/31/1976
25,000 0 25,000
6,250 0 6,250
0 0 0



None
None


No

1
IC Title Form No. Form Name
FAMILY INCOME CERTIFICATION HUD 91705

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25,000 25,000 0 0 0 0
Annual Time Burden (Hours) 6,250 6,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/21/1976


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