Information Collection

Hud-50070

IC 264465 under ICR 202401-2501-001 · OMB 2501-0044.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2501-0044 can be found here:

Documents and Forms

Document Name Document Type
Form HUD 50070 HUD-50070 Form and Instruction
HUD 50070 Certification for a Drug-Free Workplace HUD 50070 (updated).pdf Form and Instruction
HUD 50070 Certification for a Drug-Free Workplace HUD 50070 (updated).pdf Form and Instruction
HUD 50070 (updated).pdf HUD-50070 IC Document
HUD 50070 (updated).pdf HUD-50070 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HUD-50070	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 50070	Certification for a Drug-Free Workplace	HUD 50070 (updated).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: n/a	FR Citation: 89 FR 1936

Number of Respondents: 30,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36,000	36,000
Annual IC Time Burden (Hours)	9,000	9,000
Annual IC Cost Burden (Dollars)	439,650	439,650

Documents for IC

Title	Document	Date Uploaded
HUD-50070	HUD 50070 (updated).pdf	01/17/2024

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