OMB.report

Federal forms, ICRs, and supporting documents

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 NameDocument Type
Form HUD-40054
Application for displacement/relocation assistance for person		 Form
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)

layout table

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
Form HUD-40054 Residential Claim for Moving and Related Expenses 40054.pdf Yes No Fillable Printable
Form HUD-40055 Claim for Actual Reasonable Moving and Related Expenses-Nonresidential 40055.pdf Yes No Fillable Printable
Form HUD-40056 Claim for Fixed Payment in Lieu of Payment for Actual Nonresdidential Moving and Related Expenses 40056.pdf Yes No Fillable Printable
Form HUD-40057 Claim for Replacement Housing Payment for 180-Day Homeoowner-Occupant (49 CFR 24.401) 40057.pdf Yes No Fillable Printable
Form HUD-40058 Claim for Rental Assistance or Down Payment Assistance (49 CFR 24.402 and 24.401 (f)) 40058.pdf Yes No Fillable Printable
Form HUD-40061 Selection of Most Representative Comparable Replacement Dwelling 40061.pdf Yes No Fillable Printable
Form and Instruction HUD-40072 Claim for Rental of Purchase Assistance 40072.pdf Yes No Fillable Printable
Form and Instruction HUD 40030 Claim for Temporary Relocation 40030 Claim for Temporary Relocation.doc Yes No Fillable Fileable
Form and Instruction HUD 40058-S Claim for Rental Assistance or Down payment Assistance 40058-S.pdf No   Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 61,800 0 0 0 61,800 0
Annual IC Time Burden (Hours) 56,000 0 0 0 56,000 0
Annual IC Cost Burden (Dollars) 0 0 0 0 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.