Information Collection

Relocation Payment Claim Form

IC 173719 under ICR 198110-2506-009 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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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.	Available Electronically?	Can Be Submitted Electronically?
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	4004	No	No
Form	4003	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	45,600	-14,400	60,000
Annual IC Time Burden (Hours)	22,800	-7,200	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.