Family Report, MTW Family Report

Forms and Documents

Document Name	Status
Form HUD 50058 MTW Family report, MTW Family Report Form and Instruction	Modified
IPA Template 03-01-13.docx Supplementary Document	2013-03-01
OMB 83-I - 10-31-13 Revised Version.docx Supporting Statement A	2013-10-31

IC Document Collections

IC ID	Document Title	Status
42109	Family report, MTW Family Report Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0083	ICR Reference No: 201302-2577-002
Status: Historical Active	Previous ICR Reference No: 201002-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0083
Title: Family Report, MTW Family Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/01/2013
	Date Received in OIRA: 04/17/2013
Terms of Clearance: HUD shall continue to account for the full cost and time burden of this collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2016	36 Months From Approved	10/31/2013
Responses	2,874,934	0	2,868,004
Time Burden (Hours)	1,081,685	0	1,079,075
Cost Burden (Dollars)	0	0	0

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Abstract: Tenant data is collected understand demographic, family profile, income, and housing information for participants in the Public Housing, Section 8 Housing Choice Voucher, Section 8 Project Based Certificate, Section 8 Moderate Rehabilitation, and Moving to Work Demonstration programs. This data also allows HUD to monitor the performance of programs and the performance of public housing agencies that administer the programs.

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Authorizing Statute(s): US Code: 42 USC 1437 et seq Name of Law: United States Housing Act of 1937
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 50149	08/20/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 16278	03/14/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Family report, MTW Family Report	HUD 50058 MTW, HUD 50058 MTW (Unedited Version)	Moving to Work Family Report ,   Moving to Work Family Report

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ICR Summary of Burden

	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	2,874,934	2,868,004	0	0	6,930	0
Annual Time Burden (Hours)	1,081,685	1,079,075	0	2,610	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a revision to a currently approved collection. • The changes in the calculations in #13 and Supporting Statement #12 are due to the MTW Program increasing from 25 participating housing agencies at the time of the last form approval to 35 housing agencies at this time. • The main reason for the form change is to add the ability to collect information on local, non-traditional families. o The current 50058-MTW is not set up to collect this information. Therefore, there are families that MTW agencies are serving that are not being reported on in the PIC system. o This is causing an undercounting of families served with MTW funds. Also, there were five MTW agencies added since this form was last updated. o This increase in participation in the MTW program has increased the number of respondents and the burden hours. The MTW program has added Tacoma, Orlando, Champaign, Boulder and Lexington-Fayette housing authorities. • The other minor change is a clarification to add category of H = Traditional Homeownership in Section 1.c. This category is currently accepted and data is collected in Section 22, but is not listed in the choices under 1.C. The changes to the HUD-50058 MTW form are as follows: • Create a Local, Non-Traditional Assistance "LN" program code categorization in Section 1.C Form 50058-MTW to track households that are provided assistance through local, non-traditional MTW programs in addition to public housing, tenant-based and project-based assistance. • Add the categories of H = Traditional Homeownership. This category is currently accepted but is not listed in the choices under 1.C, so this is a clarification. • Add LH = Local, Non-Traditional Homeownership which is another classification for homeownership assistance that does not fall under Sections 8 and 9 of the 1937 Act and thus needs the Local, Non-Traditional categorization. • Add Local, Non-Traditional Assistance to the heading of Section 21 of Form 50058-MTW to allow detailed reporting on this type of assistance. • Add LH = Local, Non-Traditional Homeownership to Section 22 of Form 50058-MTW to allow detailed reporting on this type of assistance. There are no changes to the standard 50058 form.

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Annual Cost to Federal Government: $3,143,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/17/2013

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