Information Collection

Housing Discriminated Information Gorm 903.1

IC 253567 under ICR 202306-2529-001 · OMB 2529-0011.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 930.1 Housing Discriminated Information Gorm 903.1	Form and Instruction
Form 930.1 Housing Discrimation Claim Form PRA Housing Discrimination Claim Form 3-14-2022_Arabic.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	Form 930.1	Housing Discrimation Claim Form	PRA Housing Discrimination Claim Form 3-14-2022_Arabic.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,548

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	Previously Approved
Annual Number of Responses for this IC	20,548	20,548
Annual IC Time Burden (Hours)	15,411	15,411
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.