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Annual Contributions Contract (ACC)
Inventory Removal Application Forms
OMB: 2577-0075
IC ID: 272341
OMB.report
HUD/PIH
OMB 2577-0075
ICR 202408-2577-004
IC 272341
( )
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
42
0
42
0
0
0
Annual IC Time Burden (Hours)
42
0
42
0
0
0
Annual IC Cost Burden (Dollars)
1,890
0
1,890
0
0
0
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.
