Information Collection

Congregate Housing Services Program

IC 27225 under ICR 200110-2502-001 · OMB 2502-0485.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Congregate Housing Services Program

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SF-269	No	No
Form	HUD-90006	No	No
Form	HUD-90198	No	No
Form	HUD-91180-A	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 81

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	648	648
Annual IC Time Burden (Hours)	1,013	1,013
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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