Information Collection

At Risk Receivership/Substandard/Troubled Program

IC 252313 under ICR 202203-2577-004 · OMB 2577-0301.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0301 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-50075.1 At Risk Receivership/Substandard/Troubled Program	Form and Instruction
HUD-50075.1 Annual Statement/Performance and Evaluation Report 50075.1.pdf	Form and Instruction
HUD-50075.1 Annual Statement/Performance and Evaluation Report 50075.1.pdf	Form and Instruction

IC Title:

At Risk Receivership/Substandard/Troubled Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Form and Instruction	HUD-50075.1	Annual Statement/Performance and Evaluation Report	50075.1.pdf		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: 110

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	680	680
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.