Obligated Funds Certification

Emergency Rental Assistance Program (ERA1)

Documents and Forms

Document Name Document Type
Obligated Funds Certification Form and Instruction
Obligated Funds Certification Form and Instruction
Obligation Certification 1505-0266 Obligation Certification 10-22-2021.docx Form and Instruction
Obligation Certification 1505-0266 Obligation Certification 10-22-2021.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Obligated Funds Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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 and Instruction	n/a	Obligation Certification	1505-0266 Obligation Certification 10-22-2021.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,150	1,150
Annual IC Time Burden (Hours)	-575	575
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.