Quarterly Progress Reports

Race and Ethnic Data
Reporting Form

U.S. Department of Housing and
Urban Development

OMB Approval No. 2535-0113
Expiration Date: 06/30/2026

HUD Program Title:

Grantee/Recipient UEI:

Grantee/Recipient Name:

Grantee Reporting Organization:

Reporting Period From: (mm/dd/yyyy)

Reporting Period To: (mm/dd/yyyy)

Racial Categories

Total Number of Race
Responses

Total Number of
Hispanic or Latino
Responses

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
American Indian or Alaska Native and White
Asian and White
Black or African American and White
American Indian or Alaska Native and Black or
African American
* Other multiple race combinations greater than
one percent: [Per the form instructions, write
in a description using the box on the right]
Balance of individuals reporting more than one race
Total:
* If the aggregate count of any reported multiple race combination that is not listed above exceeds 1% of the total population
being reported, you should separately indicate the combination. See detailed instructions under “Other multiple race
combinations.”
Public Reporting Burden Statement: This collection of information is estimated to average 0.50 hours per response, including the time
for reviewing instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the
collection of the requested information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this
burden can be sent to: U.S. Department of Housing and Urban Development, Office of the Chief Data Officer, R, 451 7th St SW, Room
8210, Washington, DC 20410-5000. Do not send completed forms to this address. HUD may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless the collection displays a valid OMB control number. HUD is authorized to collect
this information under the authority cited in the Notice of Funding Opportunity (NOFO) for the relevant financial assistance program. This
information is required to obtain the benefit sought in the grant program. This information will not be held confidential and may be made
available to the public in accordance with the Freedom of Information Act (5 U.S.C. §552).

1

Form HUD-27061

Instructions for the Race and Ethnic Data Reporting form (HUD-27061)
A. General Instructions:
This form is intended to be used by two categories of respondents: (1) applicants requesting funding from
the Department of Housing and Urban Development (HUD); and (2) organizations who receive HUD
Federal financial assistance that are required to report race and ethnic information.
In compliance with OMB direction to revise the standards for collection of racial data, HUD has revised its
standards as depicted on this form. The revised standards are designed to acknowledge the growing
diversity of the U.S. population. Using the revised standards, HUD offers organizations that are responding
to HUD data requests for racial information, the option of selecting one or more of nine racial categories to
identify the racial demographics of the individuals and/or the communities they serve or are proposing to
serve. HUD’s collection of racial data treats ethnicity as a separate category from race and has changed the
terminology for certain racial and ethnic groups from the way it has been requested in the past using two
distinct ethnic categories. The revised definitions of ethnicity and race have been standardized across the
Federal government and are provided below.
1. The two ethnic categories as revised by the Office of Management and Budget (OMB) are defined
below.
Hispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other
Spanish culture or origin, regardless of race. The term “Spanish origin” can be used in addition to
“Hispanic” or “Latino.”
Not Hispanic or Latino. A person not of Cuban, Mexican, Puerto Rican, South or Central American,
or other Spanish culture or origin, regardless of race.
2. The five racial categories as revised by the Office of Management and Budget are defined below:
American Indian or Alaska Native. A person having origins in any of the original peoples of North
and South America (including Central America), and who maintains tribal affiliation or community
attachment.
Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the
Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia,
Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American. A person having origins in any of the black racial groups of Africa. A
term such as “Haitian” can be used in addition to “Black” or “African American.”
Native Hawaiian or Other Pacific Islander. A person having origins in any of the original peoples
of Hawaii, Guam, Samoa, or other Pacific Islands.
White. A person having origins in any of the original peoples of Europe, the Middle East or North
Africa.
Note: The information required to be reported may be collected and submitted to HUD via the use of this
form or by other means, such as summary reports or via electronic reporting mechanisms. The primary
goal is a consistent manner of summarizing, across all HUD programs, the racial and ethnic data of the
population(s) served or proposed to be served by your organization.

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Form HUD-27061

B. Specific Instructions for Completing the Form:
Organizations using this form should collect the individual responses from the community of individuals
you intend to serve or those that you are serving, as applicable. After the individual collections are
gathered, you should report (via this form or by the use of other means such as electronic reports that
provide the summary data required by this form) the aggregate totals of the racial and ethnic data that you
collect via the applicable categories as described below:
Total Number of Racial Responses: Under this column you should indicate the total number of
responses collected in the blocks next to the applicable categories.
Total Number of Hispanic or Latino Responses: Under this column you should indicate the total
number of responses collected in the blocks next to the applicable racial categories (e.g., you would enter
the total number of Asian respondents that indicated they are Hispanic or Latino). When collecting this
information from beneficiaries of the Federal financial assistance all respondents should be required to
indicate their ethnic category, which requires either a “yes” or “no” response.
Other Multiple Race Combinations: Next to this racial category, indicate all racial categories (if any)
identified by respondents that do not fit one of the five single race categories or four double race
combinations above, and which have a total count that exceeds one percent of the total population being
reported. You must identify each such racial combination, including the actual count, the percentage of
the total population (in parenthesis), and the actual Hispanic or Latino count.
For example, if you obtain data that indicates the total population served is 200 and includes 10 Native
Hawaiian or Other Pacific Islander and White and 12 Native Hawaiian or Other Pacific Islander and
Asian, and those numbers (of Native Hawaiian or Other Pacific Islander and White and Native Hawaiian
or Other Pacific Islander and Asian) each equates to more than one percent of the total population being
served, and 2 of the Native Hawaiian or Other Pacific Islander and White indicate they belong to the
Hispanic/Latino ethic category and 3 of the Native Hawaiian or Other Pacific Islander and Asian indicate
they belong to the Hispanic/Latino ethnic category, you should complete the form as follows:
Racial Categories

* Other multiple race combinations:
[Per the form instruction, write in
a description using the box on the
right]

Total Number of Race
Responses

Total Number of Hispanic
or Latino Responses

Native Hawaiian or
Other Pacific Islander AND White
10 (5%)

2

Native Hawaiian or
Other Pacific Islander AND Asian
12 (6%)

3

How the percentage should apply will vary by program depending on whether the program is required to
provide data on the total community, or on the beneficiaries/individuals served or proposed to be served.
Balance of individuals reporting more than one race: This block is intended to capture the balance of
any racial categories that are not included in the list of nine above and are not included under “Other
multiple race combinations greater than one percent.” Indicate the total number of all racial categories
reported that do not fit the nine racial categories above, and do not equate to one percent of the total
population being reported. Be sure to also indicate the total number of all related Hispanic or Latino
responses.
Total: On the last row of the form, you should indicate the aggregate totals of all the information you
gathered including the total of all racial categories and the total of all the Hispanic or Latino categories.

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Form HUD-27061