Information Collection

Certificate of Need for Health Facility and Assurance of Enforcement of State Standards

IC 27066 under ICR 200705-2502-003 · OMB 2502-0210.

Documents and Forms

Document Name Document Type
Form HUD-2576-HF Certificate of Need for Health Facility and Assurance of Enforcement of State Standards Form
HUD-2576-HF Certificate of Need for Health Facility and Assurance of 2576-hf.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certificate of Need for Health Facility and Assurance of Enforcement of State Standards	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 232

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-2576-HF	Certificate of Need for Health Facility and Assurance of Enforcement of State Standards	2576-hf.pdf		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
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.