HUD
Race and Ethnic Data Reporting Form U.S. Department of Housing and Urban Development Office of Housing OMB Approval No. 2502-0204 (Exp. 03/31/2014) Name of Property Project No. Address of Property Name of Owner/Managing Agent Type of Assistance or Program Title: Name of Head of Household Name of Household Member Date (mm/dd/yyyy): Ethnic Categories* Select One Hispanic or Latino Not-Hispanic or Latino Racial Categories* Select All that Apply American Indian or Alaska Native Asian Moreform HUD-27061-H (9/2003). 1. Race and Ethnic Data. U.S. Department of Housing. OMB Approval No. 2502-0204. Reporting Form and Urban Development Less
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