Information Collection Request

Housing Discrimination Information Form ("HUD-903.1")

ICR 202306-2529-001 · OMB 2529-0011 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form HUD 903.-1 Are you a victim of Housing Discrimination? Somalian Form and Instruction Removed Available
Form HUD 903k Are You a Victim of Housing Discrimination - Korean Form and Instruction Removed Available
Form HUD 903-a Are You a Victim of Housing Discrimination - Spanish Form and Instruction Removed Available
Form HUD 9031cam Are You a Victim of Housing Discrimination - Cambodian Form and Instruction Removed Available
Form HUD 9031rus Are You a Victim of Housing Discrimination - Russian Form and Instruction Removed Available
Form HUD 903-1f Are You a Victim of Housing Discrimination - Vietnamese Form and Instruction Removed Available
Form HUD 903-1c Are You a Victim of Housing Discrimination - Arabic Form and Instruction Removed Available
Form HUD 903-1b Are You a Victim of Housing Discrimination - Chinese Form and Instruction Removed Available
Form HUD-903.1 Are you a Victim of Housing discrimination Form and Instruction Removed Available
Form HUD 903.1 Somali Report Housing Discrimination Form New Available
Form HUD 903.1RUS Report Housing Discrimination Form New Available
Form HUD 903.1KOR Report Housing Discrimination Form New Available
Form HUD 903.1Cam Report Housing Discrimination Form New Available
Form HUD 903.1 Report Housing Discrimination Form New Available
Form HUD 903.1C Report Housing Discrimination Form New Available
Form HUD 903.1B Chinese Report Housing Discrimination Form New Available
Form HUD 903.1 A Spanis Report Housing Discrimination Form New Available
Form Form 930.1 Housing Discrimation Claim Form Form and Instruction Unchanged Available
2022-OMB-2529-0011 Form HUD-903.1 Series--REPORT HOUSING DISCRIMINATION.vawa2.rev with highlights 3-22-23.docx Supplementary Document Uploaded 2023-06-08 Available
2023 OMB-2529-0011 SUPPORTING STATEMENT Rev.3 REPORT HOUSING DISCRIMINATION.docx Supporting Statement A Uploaded 2023-06-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
27649 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction RemovedAre you a victim of Housing Discrimination? Somalian
27649 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction RemovedAre You a Victim of Housing Discrimination - Korean
27649 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction RemovedAre You a Victim of Housing Discrimination - Spanish
27649 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction RemovedAre You a Victim of Housing Discrimination - Cambodian
27649 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction RemovedAre You a Victim of Housing Discrimination - Russian
27649 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction RemovedAre You a Victim of Housing Discrimination - Vietnamese
27649 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction RemovedAre You a Victim of Housing Discrimination - Arabic
27649 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction RemovedAre You a Victim of Housing Discrimination - Chinese
27649 Housing Discrimination Information Form ("HUD-903.1") Form and Instruction RemovedAre you a Victim of Housing discrimination
260586 The Report Husing Discrimination Gorm HUD 903-1 Form NewReport Housing Discrimination
260586 The Report Husing Discrimination Gorm HUD 903-1 Form NewReport Housing Discrimination
260586 The Report Husing Discrimination Gorm HUD 903-1 Form NewReport Housing Discrimination
260586 The Report Husing Discrimination Gorm HUD 903-1 Form NewReport Housing Discrimination
260586 The Report Husing Discrimination Gorm HUD 903-1 Form NewReport Housing Discrimination
260586 The Report Husing Discrimination Gorm HUD 903-1 Form NewReport Housing Discrimination
260586 The Report Husing Discrimination Gorm HUD 903-1 Form NewReport Housing Discrimination
260586 The Report Husing Discrimination Gorm HUD 903-1 Form NewReport Housing Discrimination
260586 The Report Husing Discrimination Gorm HUD 903-1 Other-DI 7927 New
253567 Housing Discriminated Information Gorm 903.1 Form and Instruction UnchangedHousing Discrimation Claim Form

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2023 6 Months From Approved 09/30/2025
48,810 0 32,542
36,607 0 24,407
0 0 5,877





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Housing Discriminated Information Gorm 903.1 Form 930.1
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 ,   ,   ,   ,   ,   ,   ,   ,  
The Report Husing Discrimination Gorm HUD 903-1 HUD 903.1 A Spanish, HUD 903.1B Chinese, HUD 903.1C, HUD 903.1, HUD 903.1Cam, HUD 903.1KOR, HUD 903.1RUS, HUD 903.1 Somali ,   ,   ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 48,810 32,542 0 16,268 0 0
Annual Time Burden (Hours) 36,607 24,407 0 12,200 0 0
Annual Cost Burden (Dollars) 0 5,877 0 -5,877 0 0


Reginfo record details
  No