VERIFICATION OF INCOME

ICR 198208-3067-010

OMB: 3067-0041

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
175729 Migrated
ICR Details
3067-0041 198208-3067-010
Historical Active 198201-3067-008
FEMA
VERIFICATION OF INCOME
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/19/1982
Approved with change 08/19/1982
Retrieve Notice of Action (NOA) 08/19/1982
  Inventory as of this Action Requested Previously Approved
09/30/1982 09/30/1982 09/30/1982
4,000 0 4,000
50 0 1,000
0 0 0

THIS IS NEEDED TO VERIFY ONE PORTION (INCOME) OF TEMPORARY HOUSING OCCUPANT'S FINANCIAL STATUS, UPON WHICH CERTAIN FORMS OF TEMPORARY HOUSING ASSISTANCE ARE BASED (OBTAINING ADEQUATE ALTERNATE HOUSING, RENT ON HOUSING AFTER RENT-FREE PERIOD, AND COST FOR A MOBILE HOME).

None
None


No

1
IC Title Form No. Form Name
VERIFICATION OF INCOME HUD, 99016

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,000 4,000 0 0 0 0
Annual Time Burden (Hours) 50 1,000 0 0 -950 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/19/1982


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