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Congregate Housing Services Program
Congregate Housing Services Program
OMB: 2502-0485
IC ID: 27226
OMB.report
HUD/OH
OMB 2502-0485
ICR 200411-2502-002
IC 27226
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0485 can be found here:
2023-09-26 - Reinstatement without change of a previously approved collection
2018-12-20 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SF-269
No
No
Form
HUD-90198
No
No
Form
HUD-90006
No
No
Form
HUD-91180-A
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
75
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
450
0
0
-198
0
648
Annual IC Time Burden (Hours)
2,213
0
0
1,200
0
1,013
Annual IC Cost Burden (Dollars)
0
0
0
0
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.