HUD 92030 Unit Conversion Agreement

OMB Control #2502-XXXX
Exp. (XX/XX/XXXX)
"Public reporting burden for this collection of information is estimated to average 1 hours. This includes the time for collecting,
reviewing, and reporting the data. The information is being collected to ensure that projects are preserved and resident needs are
adequately met. Response to this request for information is required in order to receive the benefits to be derived. This agency
may not collect this information, and you are not required to complete this form unless it displays a currently valid OMB control
number. No confidentiality is assured.”
Privacy Act Notice: The United States Department of Housing and Urban Development, Federal Housing Administration, is
authorized to solicit the information requested in the form by virtue of Title 12, United States Code, Section 1701 et seq., and
regulations promulgated thereunder at Title 12, Code of Federal Regulations. While no assurance of confidentiality is pledged to
respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.

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Form HUD-92030 (05/10)

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Form HUD-92030