Information Collection

Relocation Payment Claim Form

IC 144949 under ICR 198212-2506-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 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 4000	No	No
Form	4001, 4002	No	No
Form	4003, 4004	No	No
Form	4004A	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30,000	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	30,000	-15,600	45,600
Annual IC Time Burden (Hours)	15,000	-7,800	22,800
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.