Standardized form for "Race and Ethnic Data Collection"

ICR 200308-2535-001

OMB: 2535-0113

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
27690 Migrated
ICR Details
2535-0113 200308-2535-001
Historical Active 200302-2535-001
HUD/OA
Standardized form for "Race and Ethnic Data Collection"
Extension without change of a currently approved collection   No
Regular
Approved with change 10/17/2003
Retrieve Notice of Action (NOA) 08/29/2003
Approved with changes detailed in revised form version sent 10/17 consistent with OMB's edits.
  Inventory as of this Action Requested Previously Approved
10/31/2006 10/31/2006 10/31/2003
1 0 1
1 0 1
0 0 0

All HUD program offices use this form when collecting information concerning the race and ethnicity of the populations intended to benefit from HUD funding as required by Title IV of the Civil Rights Act of 1964.

None
None


No

1
IC Title Form No. Form Name
Standardized form for "Race and Ethnic Data Collection" HUD-27061

  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 1 1 0 0 0 0
Annual Time Burden (Hours) 1 1 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.
08/29/2003


© 2024 OMB.report | Privacy Policy