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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.