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View Information Collection (IC)

Debts Owed To Public Housing Agencies and Terminations
 
No Modified
 
Required to Obtain or Retain Benefits
 
24 CFR 5.233

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-EIV Screen Shots Yes Yes Printable Only
Form and Instruction Form HUD 52675 Yes Yes Fillable Printable

Community and Social Services Social Services

 

3,834 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 298,216 0 252,208 0 0 46,008
Annual IC Time Burden (Hours) 24,841 0 0 0 0 24,841
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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