Information Collection

Annual Contributions Contract (ACC)

IC 272341 under ICR 202408-2577-004 · OMB 2577-0075.

Documents and Forms

Document Name Document Type
Form HUD 53012 Annual Contributions Contract (ACC) Form
HUD 53012 Annual Contributions Contract 53012 (1).docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Contributions Contract (ACC)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 200

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD 53012	Annual Contributions Contract	53012 (1).docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: ACC	FR Citation: 88 FR 7076

Number of Respondents: 42	Number of Respondents for Small Entity: 42

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	42	42
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	1,890	1,890

Documents for IC

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.