Information Collection

Hud-50070

IC 264465 under ICR 202412-2501-006 · OMB 2501-0044.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 50070 HUD-50070	Form and Instruction
Form HUD 50070 Certification for a Drug-Free Workplace 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

IC Title:

HUD-50070

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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 50070				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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
Title	Document	Date Uploaded
HUD-50070		01/17/2024

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

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