Information Collection

Relocation Payment Claim Forms

IC 144947 under ICR 197909-2506-002 · OMB 2506-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0016 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

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IC Title:	RELOCATION PAYMENT CLAIM FORMS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	4002, 4003,	No	No
Form	4004A	No	No
Form	HUD-4000,	No	No
Form	4004, &	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50,000	-10,000	60,000
Annual IC Time Burden (Hours)	25,000	-5,000	30,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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