Fillable Race and Ethnic Data Collection Form - HUD - 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
Address of Property
Name of Owner/Managing Agent
Type of Assistance or Program Title:
Name of Head of Household
Name of Household Member
Hispanic or Latino Not-Hispanic or...
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