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Relocation Payment Claim Form
RELOCATION PAYMENT CLAIM FORM
OMB: 2506-0016
IC ID: 144948
OMB.report
HUD/CPD
OMB 2506-0016
ICR 198006-2506-001
IC 144948
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0016 can be found here:
2021-10-06 - Reinstatement without change of a previously approved collection
2018-04-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
RELOCATION PAYMENT CLAIM FORM
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.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HUD-4001,
No
No
Form
4002, 4003,
No
No
Form
4004, 4004A
No
No
Form
HUD-4000
No
No
Form
4001
No
No
Form
4002
No
No
Form
4003
No
No
Form
4004
No
No
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
60,000
0
0
10,000
0
50,000
Annual IC Time Burden (Hours)
30,000
0
0
5,000
0
25,000
Annual IC Cost Burden (Dollars)
0
0
0
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.