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⚠️ Notice: This information collection may be referencing outdated material.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
Exhibit B1 - Form HUD 52676I 3.12.13.pdf Instruction
HUD-52676 Enterprise Income Verification (EIV) System User Access Exhibit B2 - Form HUD 52676 3 12 13.pdf Form

Information Collection (IC) Details

IC Title:	EIV User Access Authorization	Agency IC Tracking Number:	2577-0267

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Exhibit B1 - Form HUD 52676I 3.12.13.pdf		Yes	Yes	Paper Only
Form	HUD-52676	Enterprise Income Verification (EIV) System User Access Authorization Form and Rules of Behavior and User Agreement	Exhibit B2 - Form HUD 52676 3 12 13.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,107	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	13,607	-3,810	17,417
Annual IC Time Burden (Hours)	10,736	-7,552	18,288
Annual IC Cost Burden (Dollars)	0	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.