Information Collection

Restrictions on Assistance to Noncitizens

IC 262212 under ICR 202606-2577-001 · OMB 2577-0295.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 9886-A Authorization for the Release of Information Privacy Act Notice Restrictions on Assistance to Noncitizens	Form
HUD 9886-A Authorization for the Release of Information Privacy Act Final - HUD Form 9886-A.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	HUD 9886-A				Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 185,053

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	305,338	83,835	-331,088	0	552,591
Annual IC Time Burden (Hours)	42,727	16	-97,754	0	140,465
Annual IC Cost Burden (Dollars)	0	0	-408,980	408,980	0

Documents for IC

table that charts IC Documents
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].