Information Collection

Affirmatively Furthering Fair Housing Assessment Tool

IC 217758 under ICR 201608-2529-001 · OMB 2529-0054.

Documents and Forms

Document Name Document Type
Affirmatively Furthering Fair Housing Rule HUD USER.htm www.huduser.org/portal/affht_pt.html#affhassess-tab. Other-Assessment Tool
AFFH Assessment Tool for Local Governments.docx Other-Tool
FR 5173 N 10 B Assessment of Fair Housing Local Government Tool 12-30-2016_FINAL (clean).docx Other-null

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Affirmatively Furthering Fair Housing Assessment Tool	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Assessment Tool	Affirmatively Furthering Fair Housing Rule HUD USER.htm	http://www.huduser.org/portal/affht_pt.html#affhassess-tab.	Yes	Yes	Fillable Fileable
Other-Tool	AFFH Assessment Tool for Local Governments.docx		Yes	Yes	Fillable Printable
Other-null	FR 5173 N 10 B Assessment of Fair Housing Local Government Tool 12-30-2016_FINAL (clean).docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,294	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,294	-214	2,508
Annual IC Time Burden (Hours)	418,560	-25,680	444,240
Annual IC Cost Burden (Dollars)	0	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.