Penalty for False or Fraudulent Statement:
US. C. Title 18, Sec. 1001, provides: “whoever, in any matter, within the jurisdiction of any department or agency of the United States knowingly falsifies… or makes or uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years, or both.”
Data Privacy Act: The information being collected is considered private and will not be available to the public. This information will be used only to determine eligibility for the Household Assistance Program.
Failure to provide the requested information may jeopardize the application for rent/mortgage/utility assistance.