Information Collection

Race and Ethnic Data Reporting Form

IC 45246 under ICR 201004-2535-001 · OMB 2535-0113.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2535-0113 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 27061 Race and Ethnic Data Reporting Form	Form and Instruction
HUD 27061 Race and Ethnic Data Reporting Form 27061.pdf	Form and Instruction

IC Title:

Race and Ethnic Data Reporting Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 1.6

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
Form and Instruction	HUD 27061	Race and Ethnic Data Reporting Form	27061.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	-1	1
Annual IC Time Burden (Hours)	-1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.