Information Collection

Housing Discrimination Information Form ("HUD-903.1")

IC 27649 under ICR 200707-2529-001 · OMB 2529-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2529-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-903.1 Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction
HUD-903.1 Are you a Victim of Housing discrimination 903-1.pdf	Form and Instruction
HUD 903-1b Are You a Victim of Housing Discrimination - Chinese 903-1b.pdf	Form and Instruction
HUD 903-1c Are You a Victim of Housing Discrimination - Arabic 903-1c.pdf	Form and Instruction
HUD 903-1f Are You a Victim of Housing Discrimination - Vietnamese 903-1f.pdf	Form and Instruction
HUD 9031rus Are You a Victim of Housing Discrimination - Russian 903-1rus.pdf	Form and Instruction
HUD 9031cam Are You a Victim of Housing Discrimination - Cambodian 903.1cam.pdf	Form and Instruction
HUD 903-a Are You a Victim of Housing Discrimination - Spanish 903-a.pdf	Form and Instruction
HUD 903k Are You a Victim of Housing Discrimination - Korean 903-k.pdf	Form and Instruction

IC Title:

Housing Discrimination Information Form ("HUD-903.1")

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 24 CFR 14

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-903.1	Are you a Victim of Housing discrimination	903-1.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903-1b	Are You a Victim of Housing Discrimination - Chinese	903-1b.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903-1c	Are You a Victim of Housing Discrimination - Arabic	903-1c.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903-1f	Are You a Victim of Housing Discrimination - Vietnamese	903-1f.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9031rus	Are You a Victim of Housing Discrimination - Russian	903-1rus.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9031cam	Are You a Victim of Housing Discrimination - Cambodian	903.1cam.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903-a	Are You a Victim of Housing Discrimination - Spanish	903-a.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903k	Are You a Victim of Housing Discrimination - Korean	903-k.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: 10,750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10,750	10,750
Annual IC Time Burden (Hours)	3,583	3,583
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.