Information Collection

Standardized form for "Race and Ethnic Data Collection"

IC 27690 under ICR 202301-2535-001 · OMB 2535-0113.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.