EIV User Access Authorization

Enterprise Income Verification (EIV) System User Access Authorization Form and Rules of Behavior and User Agreement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0267 can be found here:

Documents and Forms

Document Name Document Type
Form HUD Form XXXX EIV User Access Authorization Form and Instruction
HUD Form XXXX EIV User Access Authorization EIV User Access Authorization Form 090209.docx Form and Instruction

Information Collection (IC) Details

IC Title:	EIV User Access Authorization	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD Form XXXX	EIV User Access Authorization	EIV User Access Authorization Form 090209.docx		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,417	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,417	17,417
Annual IC Time Burden (Hours)	18,288	18,288
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.