Information Collection

Monthly Report of Excess Income and Annual Report of Uses of Excess Income

IC 27023 under ICR 200702-2502-001 · OMB 2502-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0086 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 93104 Monthly Report of Excess Income and Annual Report of Uses of Excess Income	Form and Instruction
HUD 93104 Monthly Report of Excess Income 93104.pdf	Form and Instruction

IC Title:

Monthly Report of Excess Income and Annual Report of Uses of Excess Income

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 236

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 93104	Monthly Report of Excess Income	93104.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	40,050	5,800	34,250
Annual IC Time Burden (Hours)	3,983	519	3,464
Annual IC Cost Burden (Dollars)	0	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.