Information Collection

Drug Elimination Grant Program

IC 45791 under ICR 200610-2502-010 · OMB 2502-0476.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-50080DF2B Drug Elimination Grant Program	Form and Instruction
HUD-50080DF2B LOCCS Payment Voucher Drug Elimination Grant Program HUD-50080df2.pdf	Form and Instruction
SF 269-A Financial Status Report SF-269-A.pdf	Form and Instruction

IC Title:

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 761.35

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-50080DF2B	LOCCS Payment Voucher Drug Elimination Grant Program	HUD-50080df2.pdf		No		Fillable Printable
Form and Instruction	SF 269-A	Financial Status Report	SF-269-A.pdf		No		Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	144	144
Annual IC Time Burden (Hours)	428	428
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.