Information Collection

EO 13559 Equal Paritcipation of Faith Based Organizations

IC 215134 under ICR 201607-2535-001 · OMB 2535-0122.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-New EO 13559 Equal Paritcipation of Faith Based Organizations	Form and Instruction
HUD-New Beneficiary Referral Request form Beneficiary Referral Request form 7-5-16.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 24 CFR 1003 24 CFR 574 24 CFR 576 24 CFR 568 24 CFR 582 24 CFR 570 24 CFR 92 24 CFR 583

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-New	Beneficiary Referral Request form	Beneficiary Referral Request form 7-5-16.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 726,053

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	726,053	726,053
Annual IC Time Burden (Hours)	24,178	24,178
Annual IC Cost Burden (Dollars)	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.