Information Collection

Relocation Payment Claims Forms

IC 144952 under ICR 198906-2506-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 CLAIMS 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	4003,	No	No
Form	4004,	No	No
Form	4001,	No	No
Form	4002,	No	No
Form	4004A	No	No
Form	HUD-4000,	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27,800	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
Annual Number of Responses for this IC	27,800	27,800
Annual IC Time Burden (Hours)	23,500	23,500
Annual IC Cost Burden (Dollars)	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.