Race and Ethnic Data Reporting Form

Standardized form for "Race and Ethnic Data Collection"

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2535-0113 can be found here:

Documents and Forms

Document Name Document Type
Form HUD 27061 Race and Ethnic Data Reporting Form Form and Instruction
HUD 27061 Race and Ethnic Data Reporting Form 27061.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Race and Ethnic Data Reporting Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 1.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 27061	Race and Ethnic Data Reporting Form	27061.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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