Standardized form for "Race and Ethnic Data Collection"

Forms and Documents

Document Name	Status
Form HUD 27061 Race and Ethnic Data Reporting Form Form and Instruction	Removed
Form HUD 27061 Race and Ethnic Data Reporting Form Form and Instruction	Removed
Form HUD 27061 Race and Ethnic Data Report Form Form and Instruction	Removed
Form HUD 27061 Race and Ethnic Data Collection Form Form and Instruction	Modified
ICR_2535-0113.doc Supporting Statement A	2009-11-17

IC Document Collections

IC ID	Document Title	Status
45246	Race and Ethnic Data Reporting Form Form and Instruction	Removed
45245	Race and Ethnic Data Reporting Form Form and Instruction	Removed
45244	Race and Ethnic Data Report Form Form and Instruction	Removed
27690	Race and Ethnic Data Collection Form Form and Instruction	Modified

ICR Details

OMB Control No: 2535-0113	ICR Reference No: 200911-2535-002
Status: Historical Inactive	Previous ICR Reference No: 200609-2535-001
Agency/Subagency: HUD/OA	Agency Tracking No:
Title: Standardized form for "Race and Ethnic Data Collection"
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Not subject to PRA	Conclusion Date: 02/03/2010
	Date Received in OIRA: 11/17/2009
Terms of Clearance: This collection is not subject to the PRA because it does not meet the minimum threshold of ten respondents.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved	02/28/2010
Responses	0	0	4
Time Burden (Hours)	0	0	4
Cost Burden (Dollars)	0	0	0

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Abstract: All HUD program offices use this form when collecting information concerning the race and ethnicity of the populations intended to benefit from HUD funding as required by Title IV of the Civil Rights Act of 1964.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 144	07/29/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 218	11/13/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Race and Ethnic Data Collection Form	HUD 27061	Race and Ethnic Data Reporting Form
Race and Ethnic Data Reporting Form	HUD 27061	Race and Ethnic Data Reporting Form
Race and Ethnic Data Reporting Form	HUD 27061	Race and Ethnic Data Reporting Form
Race and Ethnic Data Report Form	HUD 27061	Race and Ethnic Data Reporting Form

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This submission more accuretaly reports the respondent burden which is 1.5 hours per response. ROCIS rounds up to 2 hours.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/17/2009

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