Information Collection

Good Neighbor Next Door Program

IC 182286 under ICR 201010-2502-015 · OMB 2502-0570.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0570 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 9549-A Good Neighbor Next Door Program	Form and Instruction
HUD 9549-A Officer Pre-Qualificaiton Questionnaire 9549-A.doc	Form and Instruction
HUD 9549-B Teacher Pre-Qualification Questionnaire 9549-B.doc	Form and Instruction
HUD 9549-C Firefighter/Emergency Responder Pre-Qualification Questi 9549-C.doc	Form and Instruction
HUD 9549-D Annual Certifiction of Continuing Eligibility 9549-D.doc	Form and Instruction
HUD 9549-E Verificaiton of Participant Employment 9549-E.doc	Form and Instruction
HUD 9548-a Certification of Law Enforcement Officer / Teacher / Fir 9548-a.pdf	Form and Instruction
HUD 9549 Good Neighbor Next Door Sales Progam Personal Informatio 9549.pdf	Form and Instruction

IC Title:

Good Neighbor Next Door Program

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 291

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 9549-A	Officer Pre-Qualificaiton Questionnaire	9549-A.doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9549-B	Teacher Pre-Qualification Questionnaire	9549-B.doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9549-C	Firefighter/Emergency Responder Pre-Qualification Questionnaire	9549-C.doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9549-D	Annual Certifiction of Continuing Eligibility	9549-D.doc	Yes	No	Fillable Printable
Form and Instruction	HUD 9549-E	Verificaiton of Participant Employment	9549-E.doc	Yes	No	Fillable Printable
Form and Instruction	HUD 9548-a	Certification of Law Enforcement Officer / Teacher / Firefighter / Emergency Medical Technician	9548-a.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9549	Good Neighbor Next Door Sales Progam Personal Information Questionnaire	9549.pdf	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,786

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,786	-14,506	20,292
Annual IC Time Burden (Hours)	205	-1,044	1,249
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.