Third-Party Documentation Facsimile Transmittal Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2535-0118 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-96011 Third-Party Documentation Facsimile Transmittal Form Form and Instruction
HUD-96011 Third-Party Documentation Facsimile Transmittal 96011.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Third-Party Documentation Facsimile Transmittal Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-96011	Third-Party Documentation Facsimile Transmittal	96011.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 33,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	33,000	33,000
Annual IC Time Burden (Hours)	3,300	3,300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.