Information Collection

Housing Discrimination Information Form ("HUD-903.1")

IC 27649 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⚠️ Notice: This information collection may be referencing outdated material.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 HUD-903.1 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction
HUD-903.1 Are you a Victim of Housing discrimination 903-1.pdf Form and Instruction
HUD-903.1 Are you a Victim of Housing discrimination 903-1.pdf Form and Instruction
HUD 903-1b Are You a Victim of Housing Discrimination - Chinese 903-1b.pdf Form and Instruction
HUD 903-1b Are You a Victim of Housing Discrimination - Chinese 903-1b.pdf Form and Instruction
HUD 903-1c Are You a Victim of Housing Discrimination - Arabic 903-1c.pdf Form and Instruction
HUD 903-1c Are You a Victim of Housing Discrimination - Arabic 903-1c.pdf Form and Instruction
HUD 903-1f Are You a Victim of Housing Discrimination - Vietnamese 903-1f.pdf Form and Instruction
HUD 903-1f Are You a Victim of Housing Discrimination - Vietnamese 903-1f.pdf Form and Instruction
HUD 9031rus Are You a Victim of Housing Discrimination - Russian 903-1rus.pdf Form and Instruction
HUD 9031rus Are You a Victim of Housing Discrimination - Russian 903-1rus.pdf Form and Instruction
HUD 9031cam Are You a Victim of Housing Discrimination - Cambodian 903.1cam.pdf Form and Instruction
HUD 9031cam Are You a Victim of Housing Discrimination - Cambodian 903.1cam.pdf Form and Instruction
HUD 903-a Are You a Victim of Housing Discrimination - Spanish 903-a.pdf Form and Instruction
HUD 903-a Are You a Victim of Housing Discrimination - Spanish 903-a.pdf Form and Instruction
HUD 903k Are You a Victim of Housing Discrimination - Korean 903-k.pdf Form and Instruction
HUD 903k Are You a Victim of Housing Discrimination - Korean 903-k.pdf Form and Instruction
HUD 903.-1 Are you a victim of Housing Discrimination? Somalian HUD Form_903-1som.pdf Form and Instruction
HUD 903.-1 Are you a victim of Housing Discrimination? Somalian HUD Form_903-1som.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Housing Discrimination Information Form ("HUD-903.1")	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 24 CFR 14

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-903.1	Are you a Victim of Housing discrimination	903-1.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903-1b	Are You a Victim of Housing Discrimination - Chinese	903-1b.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903-1c	Are You a Victim of Housing Discrimination - Arabic	903-1c.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903-1f	Are You a Victim of Housing Discrimination - Vietnamese	903-1f.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9031rus	Are You a Victim of Housing Discrimination - Russian	903-1rus.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 9031cam	Are You a Victim of Housing Discrimination - Cambodian	903.1cam.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903-a	Are You a Victim of Housing Discrimination - Spanish	903-a.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903k	Are You a Victim of Housing Discrimination - Korean	903-k.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 903.-1	Are you a victim of Housing Discrimination? Somalian	HUD Form_903-1som.pdf	Yes	Yes	Fillable Fileable

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: 11,994	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 44 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	11,994	11,994
Annual IC Time Burden (Hours)	8,996	8,996
Annual IC Cost Burden (Dollars)	5,877	5,877

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.