Information Collection

Affifmatively Furthering Fair Housing Assessment Tool

IC 223720 under ICR 201609-2529-001 · OMB 2529-0055.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
5173-N-09-B Assessment of Fair Housing Tool for Public Housing Agencies 12-30-2016_FINAL (clean).docx	Other-null

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

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
Other-null			5173-N-09-B Assessment of Fair Housing Tool for Public Housing Agencies 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: 3,942

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	3,942	3,942
Annual IC Time Burden (Hours)	247,302	247,302
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.