REQUEST FOR OCCUPIED CONVEYANCE

ICR 199103-2502-012

OMB: 2502-0268

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
173602 Migrated
ICR Details
2502-0268 199103-2502-012
Historical Active 199007-2502-007
HUD/OH
REQUEST FOR OCCUPIED CONVEYANCE
No material or nonsubstantive change to a currently approved collection   No
Emergency 03/01/1991
Approved with change 03/01/1991
Retrieve Notice of Action (NOA) 03/01/1991
  Inventory as of this Action Requested Previously Approved
10/31/1993 10/31/1993 10/31/1993
86,250 0 86,250
24,375 0 24,375
0 0 0

FORM FOR OCCUPANT REQUESTING APPROVAL TO STAY IN THE PROPERTY AS A TENANT AFTER HUD ACQUIRES IT, WHERE THE PROPERTY IS A 1-4 FAMILY PROPERTY AND/OR A MEMBER OF THE FAMILY IS SUFFERING FROM A TEMPORARY ILLNESS OR INJURY AND A MOVE WOULD AGGRAVATE THE PATIENT'S CONDITION.

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR OCCUPIED CONVEYANCE HUD-9539

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 86,250 86,250 0 0 0 0
Annual Time Burden (Hours) 24,375 24,375 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/01/1991


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