HUD 904-A Type of Closure

U.S. Department of Housing OMB Approval No. 2529-0033

Types of Closures and Urban Development (exp 10/31/2009)

Office of Fair Housing and Equal Opportunity

Quarter: _________________

Organization: _______________________________________ Total reports of discrimination closed¹: _____________________

Types of Closures-Outcomes	Number of Reports	Total Remedies Obtained
Closed Without Resolution by FHIP
Housing Unit Obtained
Loan Obtained
Reasonable Accommodation Made
Reasonable Modification Permitted
Monetary Award
Fair Housing Training
Other

Types of Closures-Referrals	Number of Reports
Filed with FHAP Agency
Filed with HUD
Filed with DOJ
Referred to Outside Attorney
Gave Referral Information

1 This is the total number of reports of discrimination closed by the grantee. A closure with more than one outcome should be counted only once. For example, if the grantee obtains a reasonable accommodation and a monetary award through its mediation or litigation of a report of discrimination, it would be counted as only one closure.

2.Public reporting burden for this collection of information is estimated at average 2 hours per response, including the time for searching existind data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid Office of Management and Budget (OMB) control number.

form HUD-904-A

(8/22/2006)