Information Collection

Recertification of Family Income and Composition

IC 27019 under ICR 201010-2502-008 · OMB 2502-0082.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0082 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-93101A Recertification of Family Income and Composition	Form and Instruction
HUD-93101A Recertification of Family Income Statistical Report 93101-a.pdf	Form and Instruction
HUD 93101 Recertificaiton of Family Income and Composition 93101.pdf	Form and Instruction

IC Title:

Recertification of Family Income and Composition

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 235

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-93101A	Recertification of Family Income Statistical Report	93101-a.pdf		Yes	No	Fillable Printable
Form and Instruction	HUD 93101	Recertificaiton of Family Income and Composition	93101.pdf		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,500	0	3,500
Annual IC Time Burden (Hours)	3,850	-1,085	4,935
Annual IC Cost Burden (Dollars)	0	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.