Application for displacement/relocation assistance for person

OMB 2506-0016

Application for displacement/relocation for person (families, individuals, businesses, nonprofit organizations and farms) displaced by certain HUD programs. Periodically, HUD reviews a random sample of the Agency files to assure that persons did received the relocation payments to which they are entitled.

The latest form for Application for displacement/relocation assistance for person expires 2021-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form HUD-40054 Application for displacement/relocation assistance for person Form
30 Day Notice.pdf Supplementary Document
IPA Form_2015 (008).docx Supplementary Document
final 9-30-21 - Supporting Statement.docx Supporting Statement A
Application for displacement/relocation assistance for person Form

All Historical Document Collections

202106-2506-004 Approved without change	Reinstatement without change of a previously approved collection	2021-10-06
201803-2506-002 Approved without change	Revision of a currently approved collection	2018-04-30
201410-2506-004 Approved without change	Revision of a currently approved collection	2014-12-08
201110-2506-003 Approved with change	Extension without change of a currently approved collection	2011-10-31
200812-2506-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-12-04
200807-2506-006 Approved without change	Revision of a currently approved collection	2008-07-25
200505-2506-001 Approved without change	Revision of a currently approved collection	2005-05-16
200203-2506-001 Approved without change	Reinstatement without change of a previously approved collection	2002-03-12
199212-2506-001 Approved without change	Reinstatement with change of a previously approved collection	1992-12-23
199101-2506-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-01-31
199101-2506-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-01-18
199010-2506-001 Approved without change	Extension without change of a currently approved collection	1990-10-09
198906-2506-001 Approved without change	Reinstatement with change of a previously approved collection	1989-06-30
198602-2506-003 Approved without change	Reinstatement with change of a previously approved collection	1986-02-26
198402-2506-001 Disapproved and continue	Revision of a currently approved collection	1984-02-21
198212-2506-001 Approved without change	Revision of a currently approved collection	1982-12-23
198110-2506-009 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-10-01
198007-2506-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-07-16
198006-2506-001 Approved without change	Revision of a currently approved collection	1980-06-18
197909-2506-002 Approved without change	Revision of a currently approved collection	1979-09-10
197610-2506-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1976-10-21
197605-2506-001 Approved without change	Extension without change of a currently approved collection	1976-05-27
197410-2506-003 Approved without change	New collection (Request for a new OMB Control Number)	1974-10-15