Information Collection

Statement Of Facts And Supplements

IC 144130 under ICR 199211-2502-004 · OMB 2502-0222.

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Information Collection (IC) Details

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IC Title:	STATEMENT OF FACTS AND SUPPLEMENTS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HUD-9928	No	No
Form	HUD-9929-A	No	No
Form	9929-B	No	No
Form	9929-C	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	160	-330	490
Annual IC Time Burden (Hours)	470	-430	900
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.