OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Debts Owed To Public Housing Agencies and Terminations

IC 192077 under ICR 202304-2577-001 · OMB 2577-0266.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
EIV System Screen Shots 2019.docx Other-EIV Screen Shots
EIV System Screen Shots 2019.docx Other-EIV Screen Shots
Form HUD 52675 DEBTS OWED TO PUBLIC HOUSING AGENCIES AND TERMINATIONS
HUD-52675 form EIV System Debts Owned PRA XX.XX.XXXX.docx 		Form and Instruction
Form HUD 52675 DEBTS OWED TO PUBLIC HOUSING AGENCIES AND TERMINATIONS
HUD-52675 form EIV System Debts Owned PRA XX.XX.XXXX.docx 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-EIV Screen Shots EIV System Screen Shots 2019.docx Yes Yes Printable Only
Form and Instruction Form HUD 52675 DEBTS OWED TO PUBLIC HOUSING AGENCIES AND TERMINATIONS HUD-52675 form EIV System Debts Owned PRA XX.XX.XXXX.docx Yes Yes Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 298,216 0 252,208 0 0 46,008
Annual IC Time Burden (Hours) 24,841 0 0 0 0 24,841
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.