Information Collection

Good Neighbor Next Door Program

IC 182286 under ICR 201706-2502-002 · OMB 2502-0570.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0570 can be found here:

Documents and Forms

Document Name Document Type
Form HUD 9549 Good Neighbor Next Door Program Form and Instruction
HUD 9549-A Officer Pre-Qualificaiton Questionnaire 9549a.pdf Form and Instruction
HUD 9549-B Teacher Pre-Qualification Questionnaire 9549-B.pdf Form and Instruction
HUD 9549-C Firefighter/Emergency Responder Pre-Qualification Questi 9549c.pdf Form and Instruction
HUD 9549-D Annual Certifiction of Continuing Eligibility 9549d.pdf Form and Instruction
HUD 9549-E Verificaiton of Participant Employment 9549e.pdf Form and Instruction
HUD 9548-a Certification of Law Enforcement Officer / Teacher / Fir 9548.pdf Form and Instruction
HUD 9549 Good Neighbor Next Door Sales Progam Personal Informatio 9549.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Good Neighbor Next Door Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 291

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 9549	Good Neighbor Next Door Sales Progam Personal Information Questionnaire	9549.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9548-a	Certification of Law Enforcement Officer / Teacher / Firefighter / Emergency Medical Technician	9548.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9549-B	Teacher Pre-Qualification Questionnaire	9549-B.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9549-A	Officer Pre-Qualificaiton Questionnaire	9549a.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9549-C	Firefighter/Emergency Responder Pre-Qualification Questionnaire	9549c.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9549-D	Annual Certifiction of Continuing Eligibility	9549d.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 9549-E	Verificaiton of Participant Employment	9549e.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,105	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5,105	-681	5,786
Annual IC Time Burden (Hours)	173	-32	205
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.