Consent Form

Rent Reform Demonstration TO2: 36-Month Follow-Up Survey and Comprehensive Impact

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0306 can be found here:

Documents and Forms

Document Name Document Type
Appendix A HUD Rent Reform Long-Term Follow-Up Survey_20180830.docx Other-Rent Reform Consent Form for L

Information Collection (IC) Details

IC Title:	Consent Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Rent Reform Consent Form for Long-Term Follow-Up Survey			Appendix A HUD Rent Reform Long-Term Follow-Up Survey_20180830.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,659	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,659	6,659
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	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.