Information Collection

At Risk Receivership/Substandard/Troubled Program

IC 252313 under ICR 202403-2577-005 · OMB 2577-0301.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0301 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-50075.1 At Risk Receivership/Substandard/Troubled Program	Form and Instruction
Form HUD-50075.1 At Risk Receivership/Substandard/Troubled Program	Form and Instruction
HUD-50075.1 Annual Statement/Performance and Evaluation Report 50075.1.pdf	Form and Instruction
HUD-50075.1 Annual Statement/Performance and Evaluation Report 50075.1.pdf	Form and Instruction
424-b Instructions for the HUD 424-B Assurances and Certificat 424-B.pdf www.hud.gov/sites/dfiles/OCHCO/documents/424-B.pdf	Form and Instruction
424-b Instructions for the HUD 424-B Assurances and Certificat 424-B.pdf www.hud.gov/sites/dfiles/OCHCO/documents/424-B.pdf	Form and Instruction
2880 Disclosure/Update Report 2880.pdf www.hud.gov/sites/dfiles/OCHCO/documents/2880.pdf	Form and Instruction
2880 Disclosure/Update Report 2880.pdf www.hud.gov/sites/dfiles/OCHCO/documents/2880.pdf	Form and Instruction
SF-424 Application for Federal Assistance SF-424 SF424_4_0-V4.0.pdf www.hud.gov/sites/dfiles/CPD/documents/SF424_4_0-V4.0.pdf	Form and Instruction
SF-424 Application for Federal Assistance SF-424 SF424_4_0-V4.0.pdf www.hud.gov/sites/dfiles/CPD/documents/SF424_4_0-V4.0.pdf	Form and Instruction
SFLLL DISCLOSURE OF LOBBYING ACTIVITIES SFLLL_2_0-V2.0.pdf www.hud.gov/sites/dfiles/CPD/documents/SFLLL_2_0-V2.0.pdf	Form and Instruction
SFLLL DISCLOSURE OF LOBBYING ACTIVITIES SFLLL_2_0-V2.0.pdf www.hud.gov/sites/dfiles/CPD/documents/SFLLL_2_0-V2.0.pdf	Form and Instruction

IC Title:

At Risk Receivership/Substandard/Troubled Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	HUD-50075.1	Annual Statement/Performance and Evaluation Report	50075.1.pdf		Yes	Yes	Fillable Printable
Form and Instruction	424-b	Instructions for the HUD 424-B Assurances and Certifications	424-B.pdf	https://www.hud.gov/sites/dfiles/OCHCO/documents/424-B.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2880	Disclosure/Update Report	2880.pdf	https://www.hud.gov/sites/dfiles/OCHCO/documents/2880.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF-424	Application for Federal Assistance SF-424	SF424_4_0-V4.0.pdf	https://www.hud.gov/sites/dfiles/CPD/documents/SF424_4_0-V4.0.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SFLLL	DISCLOSURE OF LOBBYING ACTIVITIES	SFLLL_2_0-V2.0.pdf	https://www.hud.gov/sites/dfiles/CPD/documents/SFLLL_2_0-V2.0.pdf	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 110

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	110	110
Annual IC Time Burden (Hours)	680	680
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.