Information Collection

Collection of Information from HUD Lead Hazard Control Grantees

IC 207396 under ICR 201306-2539-001 · OMB 2539-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2539-0025 can be found here:

Documents and Forms

Document Name Document Type
Form New Collection of Information from HUD Lead Hazard Control Grantees Form
New Lead Clearance Questionnaire Lead Clearance Questionnaire_15Jan13_6pm.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Collection of Information from HUD Lead Hazard Control Grantees	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	New	Lead Clearance Questionnaire	Lead Clearance Questionnaire_15Jan13_6pm.docx		Yes	No	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	800	800
Annual IC Cost Burden (Dollars)	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.