Information Collection

Public Housing Physical Needs Assessment

IC 197399 under ICR 201104-2577-001 · OMB 2577-0273.

Documents and Forms

Document Name Document Type
Form HUD 52828 Public Housing Physical Needs Assessment Form and Instruction
HUD 52828 Screen Shots Form 52828.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Public Housing Physical Needs Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 1320/8(b)(3) 5 CFR 1320.9 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 52828	Screen Shots	Form 52828.docx		No		Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	3,100	3,100
Annual IC Time Burden (Hours)	130,004	130,004
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.