Housing Discrimination Information Form ("HUD-903.1")

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 903.-1 Are you a victim of Housing Discrimination? Somalian	Form and Instruction	Unchanged	Available
Form HUD 903k Are You a Victim of Housing Discrimination - Korean	Form and Instruction	Unchanged	Available
Form HUD 903-a Are You a Victim of Housing Discrimination - Spanish	Form and Instruction	Unchanged	Available
Form HUD 9031cam Are You a Victim of Housing Discrimination - Cambodian	Form and Instruction	Unchanged	Available
Form HUD 9031rus Are You a Victim of Housing Discrimination - Russian	Form and Instruction	Unchanged	Available
Form HUD 903-1f Are You a Victim of Housing Discrimination - Vietnamese	Form and Instruction	Unchanged	Available
Form HUD 903-1c Are You a Victim of Housing Discrimination - Arabic	Form and Instruction	Unchanged	Available
Form HUD 903-1b Are You a Victim of Housing Discrimination - Chinese	Form and Instruction	Unchanged	Available
Form HUD-903.1 Are you a Victim of Housing discrimination	Form and Instruction	Unchanged	Available
Form HUD-903.1 Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Repair queued
Form HUD 903.1 Housing Discrimination	Form and Instruction	Modified	Available
Form Form 930.1 Housing Discrimation Claim Form	Form and Instruction	Modified	Available
Form Form 930.1 Housing Discriminated Information Gorm 903.1	Form and Instruction	Modified	Repair queued
OMB-2529-0011 Form HUD-903.1 Series- with highlights 3-22-23.docx	Supplementary Document	Uploaded 2023-04-04	Available
OMB-2529-0011 Form HUD-903.1 Series- with highlights 3-22-23.docx	Supplementary Document	Uploaded 2023-04-04	Repair queued
2023-OMB-2529-0011 Form OMB 83-C PRA CHANGE WORK SHEET signed 3-22-23.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-04	Available
2023-OMB-2529-0011 Form OMB 83-C PRA CHANGE WORK SHEET signed 3-22-23.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-04	Repair queued
30 DAY fr.pdf	Supplementary Document	Uploaded 2022-05-17	Available
30 DAY fr.pdf	Supplementary Document	Uploaded 2022-05-17	Repair queued
OMB-2529-0011-I SUPPORTING STATEMENT REV..docx	Supporting Statement A	Uploaded 2022-05-17	Available
OMB-2529-0011-I SUPPORTING STATEMENT REV..docx	Supporting Statement A	Uploaded 2022-05-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Are you a victim of Housing Discrimination? Somalian
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Are You a Victim of Housing Discrimination - Korean
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Are You a Victim of Housing Discrimination - Spanish
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Are You a Victim of Housing Discrimination - Cambodian
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Are You a Victim of Housing Discrimination - Russian
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Are You a Victim of Housing Discrimination - Vietnamese
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Are You a Victim of Housing Discrimination - Arabic
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Are You a Victim of Housing Discrimination - Chinese
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged	Are you a Victim of Housing discrimination
27649	Housing Discrimination Information Form ("HUD-903.1")	Form and Instruction	Unchanged
253567	Housing Discriminated Information Gorm 903.1	Form and Instruction	Modified	Housing Discrimination
253567	Housing Discriminated Information Gorm 903.1	Form and Instruction	Modified	Housing Discrimation Claim Form
253567	Housing Discriminated Information Gorm 903.1	Form and Instruction	Modified

ICR Details

OMB Control No: 2529-0011	ICR Reference No: 202304-2529-001
Status: Historical Inactive	Previous ICR Reference No: 202205-2529-001
Agency/Subagency: HUD/FHEO	Agency Tracking No:
Title: Housing Discrimination Information Form ("HUD-903.1")
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 04/14/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/06/2023
Terms of Clearance: This change is considered substantive and as such should be processed under normal ICR revision procedures or emergency procedures as appropriate.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2025	09/30/2025	09/30/2025
Responses	32,542	0	32,542
Time Burden (Hours)	24,407	0	24,407
Cost Burden (Dollars)	5,877	0	5,877

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Abstract: This information collect is necessary to establish HUD's authority to file and investigate housing discrimination complaints under the Fair Housing Act of 1968, as amended. HUD uses this information to contact aggrieved persons, and to verify the required eleements of Fair Housing Act jurisdiction: Complainant's standing: covered Respondents: covered dwelling(s); covered transactions (subject matter); and timely filling (statute of limitations).

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 33721	06/25/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 27178	05/06/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Housing Discriminated Information Gorm 903.1	Form 930.1, HUD 903.1	Housing Discrimation Claim Form ,   Housing Discrimination
Housing Discrimination Information Form ("HUD-903.1")	HUD 903k, HUD 903-1f, HUD 903-1b, HUD 903-a, HUD 9031cam, HUD 9031rus, HUD-903.1, HUD 903-1c, HUD 903.-1	Are you a Victim of Housing discrimination ,   Are You a Victim of Housing Discrimination - Chinese ,   Are You a Victim of Housing Discrimination - Arabic ,   Are You a Victim of Housing Discrimination - Vietnamese ,   Are You a Victim of Housing Discrimination - Russian ,   Are You a Victim of Housing Discrimination - Cambodian ,   Are You a Victim of Housing Discrimination - Spanish ,   Are You a Victim of Housing Discrimination - Korean ,   Are you a victim of Housing Discrimination? Somalian

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a reinstatement with revised title and minor text revisions. Revised the estimated total annual responses.

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Annual Cost to Federal Government: $372,843

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/06/2023

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