Information Collection

Housing Discriminated Information Gorm 903.1

IC 253567 under ICR 202205-2529-001 · OMB 2529-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2529-0011 can be found here:

Documents and Forms

Document Name Document Type
Form Form 930.1 Housing Discriminated Information Gorm 903.1 Form and Instruction
Form 930.1 Housing Discrimation Claim Form PRA Housing Discrimination Claim Form 3-14-2022_Arabic.docx Form and Instruction
Form 930.1 Housing Discrimation Claim Form PRA Housing Discrimination Claim Form 3-14-2022_Arabic.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Housing Discriminated Information Gorm 903.1	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	Form 930.1	Housing Discrimation Claim Form	PRA Housing Discrimination Claim Form 3-14-2022_Arabic.docx		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: 20,548	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	20,548	20,548
Annual IC Time Burden (Hours)	15,411	15,411
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.