Information Collection

HUD-Administered Small Cities Program Performance Assessment Report

IC 27395 under ICR 201111-2506-004 · OMB 2506-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0020 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-4052 HUD-Administered Small Cities Program Performance Assessment Report Form
HUD-4052 Instructions for Completing the CDBG Small Cities Perfor 4052r.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HUD-Administered Small Cities Program Performance Assessment Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 570.420

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-4052	Instructions for Completing the CDBG Small Cities Performance Assessment Report	4052r.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	40	-25	65
Annual IC Time Burden (Hours)	160	-100	260
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.