HUD 9886-Cambodian Authorization for the Release of Information

U.S. Department of Housing
åksYg eKhdìan nwg kar

esck¶Ii Gnujati [ lat¨tdag Bt_man
dMNwg GMBIcºab' Privacy Act

GPivDó bUuri

Authorization for the Release of Information/
Privacy Act Notice
GC©aFr PHA sUm[ lat åtdag Bt_man

Office of Public and Indian Housing

and Urban Development

(ExÃgecal ebi min man )

nak'Edl dak'Bak´sUmCMnYy enAeåkamkmµviFi dUcsageåkamenH dMrUv [

Gas&ydìan, eQµaH nak’Tak’Tg nwg «f© Ex

cuHht¶elxa .

Gas^ydÄan, eQµaH nak’Tak’Tg

GaCa©Fr: Ep~k 904 «n ma¨tacºab’rbs’ elak Stewart B. McKinney
Homeless Assistance Amendments Act of 1988, VnåtUv EK lMG ecjBi Ep~k
903 rbs’ GaCÄaFr eKhdìan nwg karGPivDôburi

en q~aM 1992 enA vKð

3003 enma¨tacõab’ Omnibus Budget Reconciliation Act of 1993. cºab’enaH

cºab'enaHdMrUv [elaknak' cuHht¶elxaelikicÍsn´a Gnujati [Ggðkar
: (1) HUD and the Housing Agency/Authority (HA)edimºies~i[bJØak' ebovt¶
BisMNak'neyaCk' Bimun É enAeBlenH (2) HUD and the HA
toTamTarsUm[bJØak'GMBi ¨Vk'Exnwg ¨bak'CMnYyeBlEdlKµankargareFÃI;

[bJØak'emilGMBiBt_man¨bak'cMNUl . ehtuduec~aHehiy. HUD or the HA
GacTamTar sUmykBt_man Bi GgðkarhirjvtÄè edimºip¶l'kMrit

elaknak'suxcit¶Gnujati [ Ggðkar hiD nwg Ggðkar ha

ejiyrdì

GacTmÂak'ecaldMeNirkardakk'Bak´sUmCMnUy ehiy rdì GacBicarNa

grievance procedures and

Wage

Information

Collection

Agencies.

karyl'¨BmenH mankMriwtEt Bt_manGMBiebovt nwgåbak'CMnUy(

edaymasinkumõTr rk eXij¨bPBen¨bak'cMNU

x©µuVnTTUl k~¬gry:eBl 5 q~aM

rbs'elaknak' .
kare¨bi¨bas'Bt_manEdlVnTTYlmk.:

Ggðkar

VnTTYlkardMruv

Bt_manGMBi¨bPB¨Vk'cMNUl

HUD

hid

edayeyageTAtamma¨taccºa'b Privacy Act of 1974, 5 U.S.C. 552a. Ggûkar
dl'

bdiesFkardak'Bak´suMCMnYuy

TTYlVnmkBi

edimºiFana fa elaknak'GacTTYlykVnnUvCMnUYy tamkMrit ¨tIm¨tUv

lat¨tdagBt_manenaH

GacnaM[

¨bPBBt_man EdlVnTTUlyk

es~isUmBt_manGMBi¨bak'cMNUlBI¨bPBdUcEcgk~¬gåkdas bMeBjenH

Gac

cuHht¶elxa:

Section 8 informal hearing procedures.

eKaledA: edayyl'¨BmcuHht¶elxaeli åkdass~amenH

hID

minVn

dak'Bak´bëwg eyageTAtamma¨tacºab'HA’s

«nkaryl'¨Bm [CMnYy.

rk§aTuk

Turnkey III Homeownership Opportunities

ebikalNaxkxan

U.S. Internal Revenue Services¶iGMBiBt_man¨bak'cMNUl .cºab'k_VndMrUv

[karBar

PHA-EdlCamÍas' pæHCYl

Mutual Help Homeownership Opportunity
Section 23 and 19(c) leased housing
Section 23 Housing Assistance Payments
HA-owned rental Indian housing
Section 8 Rental Certificate
Section 8 Rental Voucher
Section 8 Moderate Rehabilitation

rk eXij kug 42 U.S.C. 3544.

(3) HUD es~isUm Bi GgðkarU.S. Social Security Administration and the

Ggðkar
Ggðkar

Ggðkar

rdìaPiVl

nwg

nKrVlkicÍ dl' TIP~ak'garshBn© k~¬geKaledA sMrab'kargar nwgCYy
k~¬gkarp¶l' CMnUy rkpæH [enA . Ggûkar HA k_VndMrUv CYykarBar tkarBar
Bt_manhirjvtÄè euageTAtam cºab'rdì ; buKûlik hid nwg

HUD and HA

GacTTU;TN¶kmµ ebikallat¨tdagBt_,amemeaH eday xuscºab .

ebovtbueNúaH .
åksYgykBnìdaU.S. Internal Revenue Service (HUD only)
(karylBåmenaH åtwm Et åbak’cMNUl Vn mk Bi karåbAk’ nwg
åbak’cMeNj .Bt_manenaH
GMBIåVk’cMNUlrbs’xMu VnmkBIåbPBTaMgenaH
edimºibJØak’Bt_manenaHfaBwtEdlxMup¶l’[ ku~gkar

etinrNaCanak'cuHht¶elxaeli¨kdasbMeBjenH

p¶l’ karTTUlyl’åBm ykkmviFI CYyrkpæH nwgåbeyaCn_dET

smaCikm~ak'@rbs'¨KYsarnak'manGayuelisBi18
ht¶elxiEnÄmGacykVnBi smaCikåKYsar åKb'Gayuelis Bi 18q~aM.

U.S. Social Security Administration (HUD only) (tamkaryl¨Bm ¨twmEt

GacykVnmkBI(k)nuieyaCk(x)sÄab&nhirjvtuÄ .xMuyl’dwg fa Bt_man

äkCn min Gac TTYlykBt_man k~¬gåkdasbMeBjenaHVneLiy .

q~aM¨tUvcuHhtelxaelikicÍsn´aåkdasyl'¨BmenH

enAeBlEdlxµuVnCMnYyBiGgðkareKhDìan.I

.

EdlmkCamUy. ehtudUecHehiy åkdasbMeBj
Enkaryl’åBmenaHGnujati [latåtdagBt_man BInieyaCk nwg
sÄab&Nhirjvtu©sMrab’k~ugry:eBl 5 q~aM,

enAeBlEdlx©¬MuVnTTYlyknUvåbeyaCn_BikmµviFipæHenH.
¨kdass~amedimVn¨tUvTuk edayGgðkarEdles~IsMu

TMB&r 1 of 3

form HUD-9886-Cambodian (7/94)
ref. Handbooks 7420.7, 7420.8, & 7465.1

karyl’åBm: xMuyl’åBmGnujati [ Ggðkar HUD nwg HA Edimºies~isUmykBt_manBiåbPBdUcenAxageliåkdasenHkugeKalbMNg

bMNgnwg bJÍak’kardak’Bak´sUmCMnYyBikmµviFIeKhdían rbs’Ggðkar HUD . x©Muyl’ehiyfa Ggðkar HA

EdlVnTTUlBt_manGMBiåbak’cMNUlenAeåkamkaryl’åBmenH minGacykBt_manenHeTAeåbiedimºibdiesF, kat’ bnÄy

òbJÎb’CMnUyedayminVnbJÍak’cºas’GMBIcMnYn eTaHCaxMu©manlTìPaBykfvika É enAeBlEdlfvikaenaHVnmkdl’Ed.
bEnÄm, xMu©¨tUvmansiTiënwg t va” karsMercdUec~aH .

karyl’åBmenaH nwwg Gs’siTìi kugry:eBl 15Ex eåkayBicuHhte¶lxa.
. hatelxa

emåKYsar

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elxSocial rbs’emåKYsar

smaCikåKYsar Gayuelis 18 q~aM

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Priya

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smaCikåKYsar GAyuelis 18q~aM

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smaCikåKYsar GAyuelis 18qaM

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smaCikåKYsar GAyuelis 18q~aM

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smaCikåKYsar GAyuelis 18qaM

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smaCikåKYsar GAyuelis 18q~aM

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cºab’ Privacy Act Notice. Authority: åksYg (HUD)iVnåtUvGnujati [ es~iykBt_man tamcºab’rbs ’srG U.S. Housing Act
of 1937 (42 U.S.C. 1437 et. seq.), Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d), Fair Housing Act (42 U.S.C. 3601-19).
cºab’ Housing and Community Development Act of 1987 (42 U.S.C. 3543) dMrUv [ nak’dak’Bak bgúajelxåbcaMxYn Social
Security Number rbs’smaCikåKYsaråKb’K~a

EdlmanGayu

elis

BI

6

qaM

edimºiGacBinit´emilsMNMUerog

nwg

p¶l’bnæb’edktamTMhMu eKalbMNg : ¨bak’cMNUlrbs’nak’ nwg Bt_manep§g VnåtUvGgðkar hid kt’Tukk~^ugbJÃi .

eKalbMNg

:Bt_manenåbak’cMNUl

ykåbak’cMNUlåKYsarTagGs’

nwg

VnåtUvTukmUykEnÂg

Bt_mandET

edimºiTukecjEfÂePÂig

edimºiCYykmµviFi

hid

nwgTwk

.

eKaledAm´"ageTot

,karBaråbeyaCn_rbs’rdíaPiVl

KI

ehiynwg

bJÍak’GMBi PaBåtimåtUvEnBt_man. elaknak’åtUv p¶l’Bt_man TagGs’EdlGgðkar hid TamTar manTMag Social Security

Numbers rbselaknak’ nwg smaCikåKYsarEdlmanGayuelis BI 6 q~aM, . karp¶l’ elx Social Security Numbers

rbs’selaknak’ nwg smaCikåKYsarEdlmanGayuelisBi 6 q~aM CakarcaMVc’ . karmin¨BmeFiÃdUec~aH nwg naM[ yiteBl
É bdiesF Bak´sUmCMnUyenaH .

kaarBin&yeTas eli karrMelaBeli karyl’åBm
¨kdass~amedimVn¨tUvTuk edayGgðkarEdles~IsMu

:
TMB&r 2 of 3

form HUD-9886-Cambodian (7/94)
ref. Handbooks 7420.7, 7420.8, & 7465.1

Ggðkar hiD nwg hG (É buKliKrbs’ hid nwg hG É mas’pæH GacTTYlTNëkmµebikalNa latåtdagBt_man Kµankar
Gnujati É eåbiBt_manenaH minsmrm´ ecjmkBi åkdasbMeBjyl’¨Bm .

kareåbiBt_man VnmkBi åkdas HUD 9886 iVnåtUvham edaysar Et cºab’Ecg ku~gs HUD 9886. nrNamUy Edldwg ¾

ehiy ehiymanbMNg nwg latåtdagBt_manenaH GacTTYleTas mCôim ehiyåtUvBin&yåbak’ 5 Ban’dular Éelis,
nak'dak’Bak´ É nak’cUlrYmEdlVnåtUvbHBal’ edaysarEt karlatåtdagBt_man Gacb¶iwg [sgCMgIcit¶ smrm,´

åbqMag mwgmåni¶ ò buKðlikrbs’ Ggðkar hid nwg hG É mÍas’pæH EdlVnlatåtdagBt_manedayKµankarGnujati .

äksarenH Ca esck¶IbkE¨b rbs' äksar¨sbcºab'rbs'Ggðkar HUD Edl Vn¨tUvp§Bp§ay. Ggðkar HUD p¶l'

karbkE¨b dl' Gs'elak G~k, Edl Ca karsmrm´ gay¨sYlnwgCYyelak G~k [ yl'dwg GMBIsiTìirbs'elak G~k

nwgkatBÃkicÍ . äksarCaPasaGg'eKÂ enH mansPaBtampÂèvkar ¨sbcºab' nwg mansuBlPaB . äksar bkE¨bPasa
minEmn äksar tampÂèvkareT

¨kdass~amedimVn¨tUvTuk edayGgðkarEdles~IsMu

TMB&r 3 of 3

form HUD-9886-Cambodian (7/94)
ref. Handbooks 7420.7, 7420.8, & 7465.1