Notice of Proposed Information Collection: Supplemental Information to Application for Assistance Regarding Identification of Family Member, Friend or Other Person or Organization Supportive of a Tenant for Occupancy in HUD Assisted Housing, 4048-4050 [E9-1165]

Download as PDF 4048 Federal Register / Vol. 74, No. 13 / Thursday, January 22, 2009 / Notices rmajette on PRODPC74 with NOTICES Washington, DC 20590, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. The Draft PEIS is also available at the project Web site, https://www.uscg-e2m.com/LoranPEIS/. Privacy Act: Anyone can search the electronic form of all comments received into any of our dockets by the name of the individual submitting the comment (or signing the comment, if submitted on behalf of an association, business, labor union, etc.). You may review a Privacy Act, system of records notice regarding our public dockets in the January 17, 2008, issue of the Federal Register (73 FR 3316). Background and Purpose Loran is a radionavigation system first developed during World War II and operated by the USCG. The current system (Loran–C) is a low frequency hyperbolic radionavigation system approved for use in the Coastal Confluence Zone (CCZ) and as a supplemental air navigation aid. Loran–C provides navigation, location, and timing services for both civil and military air, land, and marine users in the continental U.S. (CONUS) and Alaska. The USCG operates 18 CONUS Loran Stations, 6 Alaska Loran Stations, and 24 monitoring sites. The Draft PEIS on the Future of the Loran–C Program is a program-level document designed to provide the USCG with high-level analysis of the potential impacts on the human environment from the alternatives for the future of the Loran–C Program. The Draft PEIS evaluates the following five alternatives on the future of the USCG Loran–C Program: (1) No Action Alternative. The No Action Alternative refers to the current, existing conditions without implementation of the Proposed Action. (2) Decommission the USCG Loran–C Program and Terminate the North American Loran–C Signal. (3) Automate, Secure, and Unstaff Loran–C Stations. (4) Automate, Secure, Unstaff, and Transfer Management of the Loran–C Program to Another Government Agency. (5) Automate, Secure, Unstaff, and Transfer Management of the Loran–C Program to Another Government Agency to Deploy an eLoran system. The preferred alternatives include Automate, Secure, Unstaff, and Transfer Management of the Loran–C Program to Another Government Agency; or Automate, Secure, Unstaff, and Transfer Management of the Loran–C Program to Another Government Agency to Deploy an eLoran system. It is important to note that this draft PEIS does not obligate the VerDate Nov<24>2008 14:47 Jan 21, 2009 Jkt 217001 Coast Guard, DHS, or any other entity to undertake any specific course of action with respect to Loran. We are requesting your comments on the environmental concerns that you may have related to the Draft PEIS. This includes suggested analyses and methodologies for use in the Draft PEIS or possible sources of data for information not included in the Draft PEIS. Your comments will be considered in preparing the final PEIS. Dated: December 30, 2008. James A. Watson, Rear Admiral, U.S. Coast Guard, Director of Prevention Policy. [FR Doc. E9–1171 Filed 1–21–09; 8:45 am] BILLING CODE 4910–15–P DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR–5279–N–01] Notice of Proposed Information Collection: Supplemental Information to Application for Assistance Regarding Identification of Family Member, Friend or Other Person or Organization Supportive of a Tenant for Occupancy in HUD Assisted Housing AGENCY: Office of the Assistant Secretary for Housing-Federal Housing Commissioner, and the Office of the Assistant Secretary for Public and Indian Housing, HUD. ACTION: Notice. SUMMARY: The proposed information collection requirement described in this notice pertains to supplemental information that housing providers participating in federally assisted housing, as defined in this notice, are required to give an individual or family applying for assisted housing the option to provide as part of their application for occupancy. The supplemental information would provide an individual or family applying for assistance under these programs with the option of including in the application for assistance the name, address, phone number, and other relevant information of a family member, friend, or person associated with a social, health, advocacy, or similar organization, who is familiar with and may assist with the services and special care needed by the individual or family, and assist in resolving any tenancy issues arising during the tenancy of such tenant. The supplemental information is to be maintained by the housing provider as confidential information. The housing PO 00000 Frm 00068 Fmt 4703 Sfmt 4703 provider may not require the individual or family applying for occupancy to provide the information. The information collection pertaining to this supplemental information will be submitted to the Office of Management and Budget (OMB) for review, as required by the Paperwork Reduction Act of 1995. HUD is soliciting public comments on the subject proposal. DATES: Comments Due Date: March 23, 2009. ADDRESSES: Interested persons are invited to submit comments regarding this proposal. Comments should refer to the proposal by name and/or OMB Control Number and should be sent to: Lillian Deitzer, Departmental Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street, SW., Washington, DC 20410; e-mail Lillian_L._Deitzer@HUD.gov or telephone 202–402–8048. FOR FURTHER INFORMATION CONTACT: Willie Spearmon, Office of Multifamily Housing Programs, Office of Housing, Department of Housing and Urban Development, 451 7th Street, SW., Room 6134, Washington, DC 20410– 8000; telephone 202–708–3000 (this is not a toll-free number). Dina Elani, Office of Public and Indian Housing, 451 7th Street, SW., Room 4224, Washington, DC 20410–4000; telephone number 202–402–2071 (this is not a tollfree number). Persons with hearing or speech disabilities may access both numbers through TTY by calling the toll-free Federal Information Relay Service at 800–877–8339. SUPPLEMENTARY INFORMATION: I. Background Section 644 of the Housing and Community Development Act of 1992 (42 U.S.C. 13604) imposed on HUD the obligation to require housing providers participating in federally assisted housing to provide any individual or family applying for occupancy in HUDassisted housing with the option to include in the application for occupancy the name, address, telephone number, and other relevant information of a family member, friend, or person associated with a social, health, advocacy, or similar organization. The federally assisted housing programs covered by this notice are listed in the matrix that accompanies this notice. The objective of providing such information, if the information is provided, and if the applicant becomes a tenant, is to facilitate contact by the housing provider with the person or organization identified by the tenant, to assist in providing any delivery of E:\FR\FM\22JAN1.SGM 22JAN1 4049 Federal Register / Vol. 74, No. 13 / Thursday, January 22, 2009 / Notices services or special care to the tenant and assist with resolving any tenancy issues arising during the tenancy of such tenant. This supplemental application information is to be maintained by the housing provider and maintained as confidential information. While this statutory requirement to notify applicants for occupancy in HUDassisted housing of the option of providing such information is a longstanding one, HUD has discovered that applicants are not being consistently notified of the option to provide this information. Accordingly, HUD has determined that the best way to ensure that providers of federally assisted housing comply with this requirement is to require compliance through utilization of a standard form for housing providers to give to each applicant for occupancy that notifies them of their option to provide the information specified in section 644 of the Housing and Community Development Act of 1992, and provides for the information to be submitted. The standard form that HUD proposes for housing providers to use accompanies this notice. II. Proposed Information Collection To facilitate compliance with section 644 of the Housing and Community Development Act of 1992, HUD has designed a form that housing providers are required to provide to each applicant for occupancy that (1) notifies an applicant of the applicant’s option to provide the information specified in section 644 of the Housing and Community Development Act of 1992, (2) provides for the information to be submitted, and (3) advises of the confidentiality of the information included on the form. This notice provides a listing and description of that information, as well as a sample document (that is a sample of the document in which required information may be presented to HUD), and HUD is submitting the proposed information collection to OMB, as required by the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35), and is seeking review as allowed by the Paperwork Reduction Act of 1995. This notice is soliciting comments from members of the public and affected agencies concerning the proposed collection of information to: (1) Evaluate whether the proposed collection is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; (2) Evaluate the accuracy of the agency’s estimate of the burden of the proposed collection of information; Information to be collected is supplemental and optional contact information under the following programs Number of respondents * (3) Enhance the quality, utility, and clarity of the information to be collected; and (4) Minimize the burden of the collection of information on those who are to respond; including the use of appropriate automated collection techniques or other forms of information technology, e.g., permitting electronic submission of responses. Title of Proposal: Supplemental and Optional Contact Information for HUDAssisted Housing Occupants. OMB Control Number, if applicable: Pending. Description of the need for the information and proposed use: HUD is proposing this information collection to ensure compliance with section 644 of the Housing and Community Development Act of 1992, as discussed in section I of this notice. Agency form numbers, if applicable: HUD-Form 92006 (SAFAH). Frequency of Submission: Once with each application for occupancy in a HUD-assisted housing project, at the applicant’s option. Estimation of the total numbers of hours needed to prepare the information collection including number of respondents, frequency of response, and hours of response. Number of responses per respondent Estimated average time for requirement (in minutes) Estimated annual burden (in hours) Public Housing ......................................................................................... Tenant-Based Rental Vouchers .............................................................. Section 202 Project Rental Assistance Contracts (PRAC) ..................... Section 811 Project Rental Assistance Contracts (PRAC) ..................... Section 202/162 Project Assistance Contract (PAC) .............................. Section 8 Project-Based .......................................................................... Section 236 .............................................................................................. Section 221(d)(3) Below Market Interest Rate (BMIR) ........................... Rent Supplement ..................................................................................... Rental Assistance Payment (RAP) .......................................................... 98,906 188,898 17,852 5,968 197 230,910 7,504 499 831 1,143 1 1 1 1 1 1 1 1 1 1 .15 .15 .15 .15 .15 .15 .15 .15 .15 .15 14,835.90 28,334.70 2,677.80 895.20 29.55 34,636.50 1,125.60 74.85 124.65 171.45 Totals ................................................................................................ 552,708 .......................... .......................... 82,906.20 *NOTE: The number of respondents is the estimated number of total new admissions in the covered programs, and therefore the total number of potential respondents. However, not all newly admitted individuals and families may choose to complete Supplemental and Optional Contact Information for HUD-Assisted Housing Occupants. Status of the proposed information collection: Pending OMB approval. Attachment A rmajette on PRODPC74 with NOTICES Authority: The Paperwork Reduction Act of 1995, 44 U.S.C., Chapter 35. Dated: January 13, 2009. Ronald A. Spraker, General Deputy Assistant, Secretary for Housing—General Deputy, Federal Housing Commissioner. OMB Control # 2502-xxxx Exp. (xx/xx/xxxx) VerDate Nov<24>2008 14:47 Jan 21, 2009 Supplemental and Optional Contact Information for HUD-Assisted Housing Occupants Supplement to Application for Federally Assisted Housing This Form Is To Be Provided to Each Applicant for Federally Assisted Housing Applicant Name: Mailing Address: Jkt 217001 PO 00000 Frm 00069 Fmt 4703 Sfmt 4703 Telephone No: Optional Contact Person or Organization: You have the right by law to include, at your option and as part of your application for housing, the name, address, telephone number, and other relevant information of a family member, friend, or social, health, advocacy, or other organization. If you choose to exercise this option, please include the relevant information on this form. E:\FR\FM\22JAN1.SGM 22JAN1 4050 Federal Register / Vol. 74, No. 13 / Thursday, January 22, 2009 / Notices rmajette on PRODPC74 with NOTICES Name of Additional Contact Person or Organization: Relationship, if any, if individual is identified: Address: Telephone No: E-mail address (if applicable) or other contact information: Commitment of Housing Provider: If the applicant becomes a tenant of the federally assisted housing for which the applicant is providing, the information on this form shall be maintained during the period of the tenant’s occupancy in federally assisted housing for the purpose of facilitating contact with such additional contact person or organization to assist in providing any services or special care for the tenant and to assist in resolving any relevant tenancy issues arising during the tenancy of such tenant. Confidentiality Statement: The information provided on this form is confidential information and will not be disclosed to anyone else except as permitted by the applicant or applicable law. Legal Notification: The option of an applicant to provide information regarding an additional contact person or organization is required to be offered to each applicant for federally assisted housing by section 644 of the Housing and Community Development Act of 1992 (Pub. L. 102–55, approved October 28, 1992). The housing provider accepting the applicant’s application for assistance does not discriminate on the basis of race, sex, age, color, creed, religion, handicap, national origin, family composition or familial status in admission to, or participation in its federally assisted housing programs. The information collection requirements contained in this form were submitted to the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501–3520). The public reporting burden is estimated at 15 minutes per response. In accordance with the Paperwork Reduction Act, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless the collection displays a currently valid OMB control number. HUD-Form 92006 SAFAH BILLING CODE 4210–67–P 14:47 Jan 21, 2009 Bureau of Land Management [CO–922–09–1310–FI; COC69437] Notice of Proposed Reinstatement of Terminated Oil and Gas Lease AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Proposed Reinstatement of Terminated Oil and Gas Lease. SUMMARY: Under the provisions of 30 U.S.C. 188(d) and (e), and 43 CFR 3108.2–3(a) and (b)(1), the Bureau of Land Management (BLM) received a petition for reinstatement of oil and gas lease COC69437 from Westcliff Resources, LLC, for lands in Rio Blanco County, Colorado. The petition was filed on time and was accompanied by all the rentals due since the date the lease terminated under the law. FOR FURTHER INFORMATION CONTACT: Bureau of Land Management, Milada Krasilinec, Land Law Examiner, Branch of Fluid Minerals Adjudication, at 303– 239–3767. SUPPLEMENTARY INFORMATION: The lessee has agreed to the amended lease terms for rentals and royalties at rates of $5.00 per acre or fraction thereof, per year and 162⁄3 percent, respectively. The lessee has paid the required $500 administrative fee and $163 to reimburse the Department for the cost of this Federal Register notice. The lessee has met all the requirements for reinstatement of the lease as set out in Section 31(d) and (e) of the Mineral Lands Leasing Act of 1920 (30 U.S.C. 188), and the Bureau of Land Management is proposing to reinstate lease COC69437 effective August 1, 2008, under the original terms and conditions of the lease and the increased rental and royalty rates cited above. Jkt 217001 ACTION: Notice of proposed reinstatement of terminated oil and gas lease. SUMMARY: Under the provisions of 30 U.S.C. 188(d) and (e), and 43 CFR 3108.2–3(a) and (b)(1), the Bureau of Land Management (BLM) received a petition for reinstatement of oil and gas lease COC66236 from Red Willow Production, LLC., for lands in Jackson County, Colorado. The petition was filed on time and was accompanied by all the rentals due since the date the lease terminated under the law. FOR FURTHER INFORMATION CONTACT: Bureau of Land Management, Milada Krasilinec, Land Law Examiner, Branch of Fluid Minerals Adjudication, at 303– 239–3767. SUPPLEMENTARY INFORMATION: The lessee has agreed to the amended lease terms for rentals and royalties at rates of $10.00 per acre or fraction thereof, per year and 162⁄3 percent, respectively. The lessee has paid the required $500 administrative fee and $163 to reimburse the Department for the cost of this Federal Register notice. The lessee has met all the requirements for reinstatement of the lease as set out in Section 31(d) and (e) of the Mineral Lands Leasing Act of 1920 (30 U.S.C. 188), and the Bureau of Land Management is proposing to reinstate lease COC66236 effective September 1, 2008, under the original terms and conditions of the lease and the increased rental and royalty rates cited above. Dated: January 14, 2009. Milada Krasilinec, Land Law Examiner. [FR Doc. E9–1189 Filed 1–21–09; 8:45 am] BILLING CODE 4310–JB–P DEPARTMENT OF THE INTERIOR Bureau of Land Management Dated: January 14, 2009. Milada Krasilinec, Land Law Examiner. [FR Doc. E9–1188 Filed 1–21–09; 8:45 am] [CO–922–09–1310–FI; COC69412] BILLING CODE 4310–JB–P AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Proposed Reinstatement of Terminated Oil and Gas Lease. DEPARTMENT OF THE INTERIOR Bureau of Land Management [CO–922–09–1310–FI; COC66236] Notice of Proposed Reinstatement of Terminated Oil and Gas Lease [FR Doc. E9–1165 Filed 1–21–09; 8:45 am] VerDate Nov<24>2008 DEPARTMENT OF THE INTERIOR AGENCY: Bureau of Land Management, Interior. PO 00000 Frm 00070 Fmt 4703 Sfmt 4703 Notice of Proposed Reinstatement of Terminated Oil and Gas Lease SUMMARY: Under the provisions of 30 U.S.C. 188(d) and (e), and 43 CFR 3108.2–3(a) and (b)(1), the Bureau of Land Management (BLM) received a petition for reinstatement of oil and gas lease COC69412 from the following companies: (1) Whiting Oil & Gas Corp., E:\FR\FM\22JAN1.SGM 22JAN1

Agencies

[Federal Register Volume 74, Number 13 (Thursday, January 22, 2009)]
[Notices]
[Pages 4048-4050]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-1165]


=======================================================================
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DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

[Docket No. FR-5279-N-01]


Notice of Proposed Information Collection: Supplemental 
Information to Application for Assistance Regarding Identification of 
Family Member, Friend or Other Person or Organization Supportive of a 
Tenant for Occupancy in HUD Assisted Housing

AGENCY: Office of the Assistant Secretary for Housing-Federal Housing 
Commissioner, and the Office of the Assistant Secretary for Public and 
Indian Housing, HUD.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The proposed information collection requirement described in 
this notice pertains to supplemental information that housing providers 
participating in federally assisted housing, as defined in this notice, 
are required to give an individual or family applying for assisted 
housing the option to provide as part of their application for 
occupancy. The supplemental information would provide an individual or 
family applying for assistance under these programs with the option of 
including in the application for assistance the name, address, phone 
number, and other relevant information of a family member, friend, or 
person associated with a social, health, advocacy, or similar 
organization, who is familiar with and may assist with the services and 
special care needed by the individual or family, and assist in 
resolving any tenancy issues arising during the tenancy of such tenant. 
The supplemental information is to be maintained by the housing 
provider as confidential information. The housing provider may not 
require the individual or family applying for occupancy to provide the 
information. The information collection pertaining to this supplemental 
information will be submitted to the Office of Management and Budget 
(OMB) for review, as required by the Paperwork Reduction Act of 1995. 
HUD is soliciting public comments on the subject proposal.

DATES: Comments Due Date: March 23, 2009.

ADDRESSES: Interested persons are invited to submit comments regarding 
this proposal. Comments should refer to the proposal by name and/or OMB 
Control Number and should be sent to: Lillian Deitzer, Departmental 
Reports Management Officer, QDAM, Department of Housing and Urban 
Development, 451 7th Street, SW., Washington, DC 20410; e-mail 
Lillian_L._Deitzer@HUD.gov or telephone 202-402-8048.

FOR FURTHER INFORMATION CONTACT: Willie Spearmon, Office of Multifamily 
Housing Programs, Office of Housing, Department of Housing and Urban 
Development, 451 7th Street, SW., Room 6134, Washington, DC 20410-8000; 
telephone 202-708-3000 (this is not a toll-free number). Dina Elani, 
Office of Public and Indian Housing, 451 7th Street, SW., Room 4224, 
Washington, DC 20410-4000; telephone number 202-402-2071 (this is not a 
toll-free number). Persons with hearing or speech disabilities may 
access both numbers through TTY by calling the toll-free Federal 
Information Relay Service at 800-877-8339.

SUPPLEMENTARY INFORMATION:

I. Background

    Section 644 of the Housing and Community Development Act of 1992 
(42 U.S.C. 13604) imposed on HUD the obligation to require housing 
providers participating in federally assisted housing to provide any 
individual or family applying for occupancy in HUD-assisted housing 
with the option to include in the application for occupancy the name, 
address, telephone number, and other relevant information of a family 
member, friend, or person associated with a social, health, advocacy, 
or similar organization. The federally assisted housing programs 
covered by this notice are listed in the matrix that accompanies this 
notice.
    The objective of providing such information, if the information is 
provided, and if the applicant becomes a tenant, is to facilitate 
contact by the housing provider with the person or organization 
identified by the tenant, to assist in providing any delivery of

[[Page 4049]]

services or special care to the tenant and assist with resolving any 
tenancy issues arising during the tenancy of such tenant. This 
supplemental application information is to be maintained by the housing 
provider and maintained as confidential information.
    While this statutory requirement to notify applicants for occupancy 
in HUD-assisted housing of the option of providing such information is 
a long-standing one, HUD has discovered that applicants are not being 
consistently notified of the option to provide this information. 
Accordingly, HUD has determined that the best way to ensure that 
providers of federally assisted housing comply with this requirement is 
to require compliance through utilization of a standard form for 
housing providers to give to each applicant for occupancy that notifies 
them of their option to provide the information specified in section 
644 of the Housing and Community Development Act of 1992, and provides 
for the information to be submitted. The standard form that HUD 
proposes for housing providers to use accompanies this notice.

II. Proposed Information Collection

    To facilitate compliance with section 644 of the Housing and 
Community Development Act of 1992, HUD has designed a form that housing 
providers are required to provide to each applicant for occupancy that 
(1) notifies an applicant of the applicant's option to provide the 
information specified in section 644 of the Housing and Community 
Development Act of 1992, (2) provides for the information to be 
submitted, and (3) advises of the confidentiality of the information 
included on the form. This notice provides a listing and description of 
that information, as well as a sample document (that is a sample of the 
document in which required information may be presented to HUD), and 
HUD is submitting the proposed information collection to OMB, as 
required by the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35), 
and is seeking review as allowed by the Paperwork Reduction Act of 
1995.
    This notice is soliciting comments from members of the public and 
affected agencies concerning the proposed collection of information to:
    (1) Evaluate whether the proposed collection is necessary for the 
proper performance of the functions of the agency, including whether 
the information will have practical utility;
    (2) Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information;
    (3) Enhance the quality, utility, and clarity of the information to 
be collected; and
    (4) Minimize the burden of the collection of information on those 
who are to respond; including the use of appropriate automated 
collection techniques or other forms of information technology, e.g., 
permitting electronic submission of responses.
    Title of Proposal: Supplemental and Optional Contact Information 
for HUD-Assisted Housing Occupants.
    OMB Control Number, if applicable: Pending.
    Description of the need for the information and proposed use: HUD 
is proposing this information collection to ensure compliance with 
section 644 of the Housing and Community Development Act of 1992, as 
discussed in section I of this notice.
    Agency form numbers, if applicable: HUD-Form 92006 (SAFAH).
    Frequency of Submission: Once with each application for occupancy 
in a HUD-assisted housing project, at the applicant's option.
    Estimation of the total numbers of hours needed to prepare the 
information collection including number of respondents, frequency of 
response, and hours of response.

----------------------------------------------------------------------------------------------------------------
                                                                                   Estimated
 Information to be collected is supplemental     Number of        Number of       average time      Estimated
 and optional contact information under the    respondents *    responses per   for requirement   annual burden
             following programs                                   respondent      (in minutes)      (in hours)
----------------------------------------------------------------------------------------------------------------
Public Housing..............................           98,906                1              .15        14,835.90
Tenant-Based Rental Vouchers................          188,898                1              .15        28,334.70
Section 202 Project Rental Assistance                  17,852                1              .15         2,677.80
 Contracts (PRAC)...........................
Section 811 Project Rental Assistance                   5,968                1              .15           895.20
 Contracts (PRAC)...........................
Section 202/162 Project Assistance Contract               197                1              .15            29.55
 (PAC)......................................
Section 8 Project-Based.....................          230,910                1              .15        34,636.50
Section 236.................................            7,504                1              .15         1,125.60
Section 221(d)(3) Below Market Interest Rate              499                1              .15            74.85
 (BMIR).....................................
Rent Supplement.............................              831                1              .15           124.65
Rental Assistance Payment (RAP).............            1,143                1              .15           171.45
                                             -------------------------------------------------------------------
    Totals..................................          552,708  ...............  ...............       82,906.20
----------------------------------------------------------------------------------------------------------------
*Note: The number of respondents is the estimated number of total new admissions in the covered programs, and
  therefore the total number of potential respondents. However, not all newly admitted individuals and families
  may choose to complete Supplemental and Optional Contact Information for HUD-Assisted Housing Occupants.

    Status of the proposed information collection: Pending OMB 
approval.

    Authority: The Paperwork Reduction Act of 1995, 44 U.S.C., 
Chapter 35.

    Dated: January 13, 2009.
Ronald A. Spraker,
General Deputy Assistant, Secretary for Housing--General Deputy, 
Federal Housing Commissioner.
OMB Control  2502-xxxx
Exp. (xx/xx/xxxx)

Attachment A

Supplemental and Optional Contact Information for HUD-Assisted Housing 
Occupants

Supplement to Application for Federally Assisted Housing

This Form Is To Be Provided to Each Applicant for Federally Assisted 
Housing
    Applicant Name:
    Mailing Address:
    Telephone No:
    Optional Contact Person or Organization: You have the right by law 
to include, at your option and as part of your application for housing, 
the name, address, telephone number, and other relevant information of 
a family member, friend, or social, health, advocacy, or other 
organization. If you choose to exercise this option, please include the 
relevant information on this form.

[[Page 4050]]

    Name of Additional Contact Person or Organization:
    Relationship, if any, if individual is identified:
    Address:
    Telephone No:
    E-mail address (if applicable) or other contact information:
    Commitment of Housing Provider: If the applicant becomes a tenant 
of the federally assisted housing for which the applicant is providing, 
the information on this form shall be maintained during the period of 
the tenant's occupancy in federally assisted housing for the purpose of 
facilitating contact with such additional contact person or 
organization to assist in providing any services or special care for 
the tenant and to assist in resolving any relevant tenancy issues 
arising during the tenancy of such tenant.
    Confidentiality Statement: The information provided on this form is 
confidential information and will not be disclosed to anyone else 
except as permitted by the applicant or applicable law.
    Legal Notification: The option of an applicant to provide 
information regarding an additional contact person or organization is 
required to be offered to each applicant for federally assisted housing 
by section 644 of the Housing and Community Development Act of 1992 
(Pub. L. 102-55, approved October 28, 1992). The housing provider 
accepting the applicant's application for assistance does not 
discriminate on the basis of race, sex, age, color, creed, religion, 
handicap, national origin, family composition or familial status in 
admission to, or participation in its federally assisted housing 
programs.
    The information collection requirements contained in this form were 
submitted to the Office of Management and Budget (OMB) under the 
Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). The public 
reporting burden is estimated at 15 minutes per response. In accordance 
with the Paperwork Reduction Act, an agency may not conduct or sponsor, 
and a person is not required to respond to, a collection of 
information, unless the collection displays a currently valid OMB 
control number.

HUD-Form 92006
SAFAH

[FR Doc. E9-1165 Filed 1-21-09; 8:45 am]
BILLING CODE 4210-67-P
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