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Federal forms, ICRs, and supporting documents

Information Collection Request

STATEMENT OF LOCAL AUTHORITY AS TO COMPLIANCE UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964

ICR 197904-2502-006 · OMB 2502-0064 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
143634 STATEMENT OF LOCAL AUTHORITY AS TO COMPLIANCE UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 Form Migrated
ICR Details
2502-0064 197904-2502-006
Historical Active 197603-2502-001
HUD/OH
STATEMENT OF LOCAL AUTHORITY AS TO COMPLIANCE UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964
Extension without change of a currently approved collection   No
Regular
Approved without change 04/27/1979
Retrieve Notice of Action (NOA) 04/16/1979
  Inventory as of this Action Requested Previously Approved
05/31/1982 05/31/1982 05/31/1979
12 0 12
3 0 3
0 0 0
AUTHORITY FOR THIS FORM DERIVED FROM 24 CFR SUBTITLE A, PART I. THIS FORM IS USED AS A CERTIFICATION BY DIRECTORS OF PUBLIC HOUSING AGENCIES REGARDING THERE COMPLIANCE AND NONCOMPLIANCE WITH DHUD REGULATIONS IMPLEMENTING TITLE VI OF THE CIVIL RIGHTS ACT OF 1964.
None
None
No
1
IC Title Form No. Form Name
STATEMENT OF LOCAL AUTHORITY AS TO COMPLIANCE UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 HUD-53037
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 12 12 0 0 0 0
Annual Time Burden (Hours) 3 3 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/16/1979