Notice of Funds Request Form

Homeowner Assistance Fund

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0269 can be found here:

Documents and Forms

Document Name Document Type
Notice of Funds Request Form Form and Instruction
Notice of Funds Request HAF Notice of Request Form.docx Form and Instruction
Notice of Funds Request HAF Notice of Request Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Notice of Funds Request Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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	n/a	Notice of Funds Request	HAF Notice of Request Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 651	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	651	651
Annual IC Time Burden (Hours)	163	163
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.