Information Collection

Veterans Home Rehabilitation Program

IC 223986 under ICR 202506-2506-001 · OMB 2506-0213.

Documents and Forms

Document Name Document Type
Form HUD 2880 Veterans Home Rehabilitation Program Form
Form HUD 2880 Applicant/Recipent Disclosure /Update Report Veterans Home Rehabilitation Program Form
Form HUD 27061 Race adn Ethnic Data Reporting Form Veterans Home Rehabilitation Program Form
Form HUD 50153 Certification of Consistency with Promise Zone Goals and Implementation Veterans Home Rehabilitation Program Form
HUD 2880 Applicant/Recipent Disclosure /Update Report FInal - HUD-2880.pdf Form
HUD 2880 Applicant/Recipent Disclosure /Update Report FInal - HUD-2880.pdf Form
HUD 27061 Race adn Ethnic Data Reporting Form Final - HUD-27061.pdf Form
HUD 27061 Race adn Ethnic Data Reporting Form Final - HUD-27061.pdf Form
HUD 50153 Certification of Consistency with Promise Zone Goals and Final - HUD 50153.pdf Form
HUD 50153 Certification of Consistency with Promise Zone Goals and Final - HUD 50153.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Veterans Home Rehabilitation Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD 2880	Applicant/Recipent Disclosure /Update Report	FInal - HUD-2880.pdf	Yes	No	Fillable Printable
Form	HUD 27061	Race adn Ethnic Data Reporting Form	Final - HUD-27061.pdf	Yes	No	Fillable Printable
Form	HUD 50153	Certification of Consistency with Promise Zone Goals and Implementation	Final - HUD 50153.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 175	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	175	-25	200
Annual IC Time Burden (Hours)	269	-2,075	2,344
Annual IC Cost Burden (Dollars)	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.

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