Information Collection

Application for displacement/relocation assistance for person

IC 27392 under ICR 202106-2506-004 · OMB 2506-0016.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-40054 Application for displacement/relocation assistance for person	Form
Form HUD-40054 Residential Claim for Moving and Related Expenses Application for displacement/relocation assistance for person	Form
Form HUD-40055 Claim for Actual Reasonable Moving and Related Expenses-Nonresidential Application for displacement/relocation assistance for person	Form
Form HUD-40056 Claim for Fixed Payment in Lieu of Payment for Actual Nonresdidential Moving and Related Expenses Application for displacement/relocation assistance for person	Form
Form HUD-40057 Claim for Replacement Housing Payment for 180-Day Homeoowner-Occupant (49 CFR 24.401) Application for displacement/relocation assistance for person	Form
Form HUD-40058 Claim for Rental Assistance or Down Payment Assistance (49 CFR 24.402 and 24.401 (f)) Application for displacement/relocation assistance for person	Form
Form HUD-40061 Selection of Most Representative Comparable Replacement Dwelling Application for displacement/relocation assistance for person	Form
Form HUD-40072 Claim for Rental of Purchase Assistance Application for displacement/relocation assistance for person	Form and Instruction
Form HUD 40030 Claim for Temporary Relocation Application for displacement/relocation assistance for person	Form and Instruction
Form HUD 40058-S Claim for Rental Assistance or Down payment Assistance Application for displacement/relocation assistance for person	Form and Instruction
HUD-40054 Residential Claim for Moving and Related Expenses 40054.pdf	Form
HUD-40054 Residential Claim for Moving and Related Expenses 40054.pdf	Form
HUD-40055 Claim for Actual Reasonable Moving and Related Expenses- 40055.pdf	Form
HUD-40055 Claim for Actual Reasonable Moving and Related Expenses- 40055.pdf	Form
HUD-40056 Claim for Fixed Payment in Lieu of Payment for Actual No 40056.pdf	Form
HUD-40056 Claim for Fixed Payment in Lieu of Payment for Actual No 40056.pdf	Form
HUD-40057 Claim for Replacement Housing Payment for 180-Day Homeoo 40057.pdf	Form
HUD-40057 Claim for Replacement Housing Payment for 180-Day Homeoo 40057.pdf	Form
HUD-40058 Claim for Rental Assistance or Down Payment Assistance ( 40058.pdf	Form
HUD-40058 Claim for Rental Assistance or Down Payment Assistance ( 40058.pdf	Form
HUD-40061 Selection of Most Representative Comparable Replacement 40061.pdf	Form
HUD-40061 Selection of Most Representative Comparable Replacement 40061.pdf	Form
HUD-40072 Claim for Rental of Purchase Assistance 40072.pdf	Form and Instruction
HUD-40072 Claim for Rental of Purchase Assistance 40072.pdf	Form and Instruction
HUD 40030 Claim for Temporary Relocation 40030 Claim for Temporary Relocation.doc	Form and Instruction
HUD 40030 Claim for Temporary Relocation 40030 Claim for Temporary Relocation.doc	Form and Instruction
HUD 40058-S Claim for Rental Assistance or Down payment Assistance 40058-S.pdf	Form and Instruction
HUD 40058-S Claim for Rental Assistance or Down payment Assistance 40058-S.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Application for displacement/relocation assistance for person

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 24 24 CFR 42.1

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-40054	Yes	No	Fillable Printable
Form	HUD-40055	Yes	No	Fillable Printable
Form	HUD-40056	Yes	No	Fillable Printable
Form	HUD-40057	Yes	No	Fillable Printable
Form	HUD-40058	Yes	No	Fillable Printable
Form	HUD-40061	Yes	No	Fillable Printable
Form and Instruction	HUD-40072	Yes	No	Fillable Printable
Form and Instruction	HUD 40030	Yes	No	Fillable Fileable
Form and Instruction	HUD 40058-S	No		Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 61,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	61,800	61,800
Annual IC Time Burden (Hours)	56,000	56,000
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.

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