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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
Document Name
Document Type
Other-EIV Screen Shots
Other-EIV Screen Shots
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Debts Owed To Public Housing Agencies and Terminations
 
No Modified
 
Required to Obtain or Retain Benefits
 
24 CFR 5.233

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

Community and Social Services Social Services

 

3,834 0
   
Individuals or Households
 
   100 %

  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

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.