Housing Discrimination Information Form ("HUD-903.1")

ICR 200707-2529-001

OMB: 2529-0011

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2007-07-06
IC Document Collections
ICR Details
2529-0011 200707-2529-001
Historical Active 200409-2529-001
HUD/FHEO
Housing Discrimination Information Form ("HUD-903.1")
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/11/2007
Retrieve Notice of Action (NOA) 07/06/2007
  Inventory as of this Action Requested Previously Approved
11/30/2007 11/30/2007 11/30/2007
10,750 0 10,750
3,583 0 3,583
0 0 0

This collection of information is necessary to receive housing discrimination complaints filed under the Fair Housing Act. The information is needed to contact the complainant, and to assess the complaint.

None
None

Not associated with rulemaking

No

  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 10,750 10,750 0 0 0 0
Annual Time Burden (Hours) 3,583 3,583 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Pamela Walsh 202 708-2288

  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.
07/06/2007


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