Standardized form for Race and Ethnicity

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 Standardized form for "Race and Ethnic Data Collection" Form and Instruction	Modified
Supporting Statement 2535-0113.docx Supporting Statement A	2010-06-02

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	Standardized form for "Race and Ethnic Data Collection" Form and Instruction	Modified

ICR Details

OMB Control No: 2535-0113	ICR Reference No: 201004-2535-001
Status: Historical Active	Previous ICR Reference No: 200609-2535-001
Agency/Subagency: HUD/OA	Agency Tracking No:
Title: Standardized form for Race and Ethnicity
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/14/2010
	Date Received in OIRA: 04/01/2010
Terms of Clearance: HUD is approved this information collection request under the condition that HUD will submit all collections that require an adjustment in burden due to the shift in burden accounting from the individual NOFA collections to this Race and Ethnicity collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2013	36 Months From Approved	02/28/2010
Responses	4,100,000	0	1
Time Burden (Hours)	4,100,000	0	1
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 Report 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
Standardized form for "Race and Ethnic Data Collection"	HUD 27061	Race and Ethnic Data Reporting Form

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,100,000	1	0	4,099,996	3	0
Annual Time Burden (Hours)	4,100,000	1	0	4,099,996	3	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Previously, HUD treated all respondents as one (1) because the burden was included in each individual Notice of Funding Availability (NOFA) Program information collection. The number of responses is based on all submissions of the report to the Department, including those representative of our program recipients and all their beneficiaries. This is the reason that the burden has increased significantly.

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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]? No

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: 04/01/2010

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