Information Collection Request

Fair Housing Initiatives Program Grant

ICR 202409-2529-001 · OMB 2529-0033 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form HUD 904-C Bases & Issues of Reports of Discrimination Form and Instruction Unchanged Available
Form HUD 904-B Bases & Issues in Test Form and Instruction Unchanged Source copy available
Form HUD 904-A Type of Closure Form and Instruction Unchanged Available
Form HUD 96010 Logic Model Form and Instruction Unchanged Available
Form HUD 27061 Race and Ethnic Data Reporting Form Form and Instruction Unchanged Available
Form SF LLL Disclosure of Lobbying Activities Form and Instruction Unchanged Available
Form 2880 Applicant/Recipient Disclusre/Update Report Form and Instruction Unchanged Available
Form 424CBW Grant Applicaiotn Detailed Budget Worksheet Form and Instruction Unchanged Available
Form 424CB Budget Sheet Form Unchanged Available
Form 424 Application for Federal Assistance Form and Instruction Unchanged Available
Form 424 Fair Housing Initiatives Program Grant Form and Instruction Unchanged Missing upstream
83c.2529-0033_FHIP_8.22.2024doc (003).docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-17 Repair queued
83c.2529-0033_FHIP_8.22.2024doc (003).docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-17 Repair queued
30 day 2529-0033.pdf Supplementary Document Uploaded 2023-09-27 Repair queued
30 day 2529-0033.pdf Supplementary Document Uploaded 2023-09-27 Repair queued
2529-0033 FHIP Info Collection_Supporting Statement A .docx Supporting Statement A Uploaded 2023-09-27 Repair queued
2529-0033 FHIP Info Collection_Supporting Statement A .docx Supporting Statement A Uploaded 2023-09-27 Repair queued
2016 PRA Signed IPA_4-22-16.pdf Supplementary Document Uploaded 2016-06-24 Available
2016 PRA Signed IPA_4-22-16.pdf Supplementary Document Uploaded 2016-06-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
27656 Fair Housing Initiatives Program Grant Form and Instruction UnchangedBases & Issues of Reports of Discrimination
27656 Fair Housing Initiatives Program Grant Form and Instruction UnchangedBases & Issues in Test
27656 Fair Housing Initiatives Program Grant Form and Instruction UnchangedType of Closure
27656 Fair Housing Initiatives Program Grant Form and Instruction UnchangedLogic Model
27656 Fair Housing Initiatives Program Grant Form and Instruction UnchangedRace and Ethnic Data Reporting Form
27656 Fair Housing Initiatives Program Grant Form and Instruction UnchangedDisclosure of Lobbying Activities
27656 Fair Housing Initiatives Program Grant Form and Instruction UnchangedApplicant/Recipient Disclusre/Update Report
27656 Fair Housing Initiatives Program Grant Form and Instruction UnchangedGrant Applicaiotn Detailed Budget Worksheet
27656 Fair Housing Initiatives Program Grant Form UnchangedBudget Sheet
27656 Fair Housing Initiatives Program Grant Form and Instruction UnchangedApplication for Federal Assistance
27656 Fair Housing Initiatives Program Grant Form and Instruction Unchanged
27656 Fair Housing Initiatives Program Grant Other-Certification of Consistency with the Consolidated Plan Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2026 10/31/2026 10/31/2026
1,786 0 1,786
50,536 0 50,536
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Fair Housing Initiatives Program Grant HUD 27061, HUD 96010, HUD 904-A, HUD 904-B, HUD 904-C, 424, 424CB, 424CBW, 2880, SF LLL ,   ,   ,   ,   ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,786 1,786 0 0 0 0
Annual Time Burden (Hours) 50,536 50,536 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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