U.S. Department of Housing OMB Approval No. 2529-0033
Bases and Issues In Tests and Urban Development (Exp. 10/31/2009)
 
	                                                              Office
	of Fair Housing and Equal Opportunity
	                               
	
	Quarter: _______________________
Organization: ______________________________________ Total number of tests conducted1: ___________________
Issue | 
		Number of Complaint-Based Tests2  | 
		Number of Audit Tests2 | 
	
Rental | 
		
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Sales | 
		
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Lending | 
		
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Insurance | 
		
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Reasonable Modification  | 
		
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Reasonable Accommodation  | 
		
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Design and Construction  | 
		
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Other | 
		
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Basis | 
		Number of Complaint-Based Tests  | 
		Number of Audit Tests2 | 
	
Race | 
		
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Color | 
		
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Religion | 
		
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National Origin | 
		
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Sex | 
		
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Disability | 
		
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Familial Status | 
		
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1 Total number of tests conducted-The number of individual tests conducted regardless of the number of bases or issues in the test. For example, a test for rental discrimination and the making of a reasonable accommodation would be counted as one test. Each test in a paired or triad test would be counted separately.
form HUD-904-B
(8/22/2006)
	
| File Type | application/msword | 
| File Title | Basis | 
| Author | H17862 | 
| Last Modified By | H09164 | 
| File Modified | 2007-01-11 | 
| File Created | 2007-01-11 |