Information Collection

Debts Owed To Public Housing Agencies and Terminations

IC 192077 under ICR 201002-2577-003 · OMB 2577-0266.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0266 can be found here:

Documents and Forms

Document Name Document Type
NOTICE-DEBTS OWED TO PHAs & TERMINATIONS 083109.pdf Debts Owed to Public Housing Agencies and Terminations IC Document
SCREEN SHOT-DEBTS OWED TO PHAs & TERMINATIONS.pdf Screen Shots for EIV System Debt Collection IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Debts Owed To Public Housing Agencies and Terminations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 5.233

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,094	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	356,260	356,260
Annual IC Time Burden (Hours)	29,688	29,688
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Debts Owed to Public Housing Agencies and Terminations	NOTICE-DEBTS OWED TO PHAs & TERMINATIONS 083109.pdf	02/24/2010
Screen Shots for EIV System Debt Collection	SCREEN SHOT-DEBTS OWED TO PHAs & TERMINATIONS.pdf	02/24/2010

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