Standardized form for "Race and Ethnic Data Collection"

Race and Ethnic Data Collection

Documents and Forms

Document Name Document Type
Form HUD-27061 Standardized form for "Race and Ethnic Data Collection" Form and Instruction
HUD-27061 Race and Ethnic Data Reporting Form Final - HUD-27061_Race and Ethnic Data Reporting Form.docx www.hud.gov/sites/dfiles/OCHCO/documents/27061.pdf Form and Instruction
HUD-27061 Race and Ethnic Data Reporting Form Final - HUD-27061_Race and Ethnic Data Reporting Form.docx www.hud.gov/sites/dfiles/OCHCO/documents/27061.pdf Form and Instruction
Final - Supporting Statement.docx Supporting Statement IC Document
Final - Supporting Statement.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Standardized form for "Race and Ethnic Data Collection"	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 1.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-27061	Race and Ethnic Data Reporting Form	Final - HUD-27061_Race and Ethnic Data Reporting Form.docx	https://www.hud.gov/sites/dfiles/OCHCO/documents/27061.pdf	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,375	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	17,250	13,150	4,100
Annual IC Time Burden (Hours)	8,625	6,575	2,050
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	Final - Supporting Statement.docx	01/27/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.