Information Collection

Exigent Health and Safety Deficiency Correction Certification

IC 27931 under ICR 200708-2577-004 · OMB 2577-0241.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0241 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EHS_Input Screens.doc	Other-screen shot of imput screen
Exhibit C.doc Exhibit C copy of MB Disclosure	IC Document

IC Title:

Exigent Health and Safety Deficiency Correction Certification

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 24 CFR part 5 subpart G 24 CFR 902 subpart B (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Other-screen shot of imput screen			EHS_Input Screens.doc		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: 1,166

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,166	-895	2,061
Annual IC Time Burden (Hours)	491	-156	647
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Exhibit C copy of MB Disclosure	Exhibit C.doc	09/13/2007

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