Information Collection

EIV User Access Authorization

IC 192150 under ICR 201603-2577-002 · OMB 2577-0267.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-52676-1 EIV User Access Authorization	Form and Instruction
HUD-52676-1 Enterprise Income Verification (EIV) System User Access Exhibit B1 HUD Form 52676I EIV User Access and Rules Instructions 2016.pdf	Form and Instruction
HUD-HUD-52676 Enterprise Income Verification (EIV) System User Access Exhibit B2 HUD Form 52676 EIV User Access Authorization Form and Rules of Behavior and User Agreement 2016.pdf	Form and Instruction

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-52676-1	Enterprise Income Verification (EIV) System User Access Authorization Form and Rules of Behavior and User Agreement Instructions	Exhibit B1 HUD Form 52676I EIV User Access and Rules Instructions 2016.pdf		Yes	Yes	Fillable Printable
Form and Instruction	HUD-HUD-52676	Enterprise Income Verification (EIV) System User Access Authorization Form and Rules of Behavior and User Agreement	Exhibit B2 HUD Form 52676 EIV User Access Authorization Form and Rules of Behavior and User Agreement 2016.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: 12,777

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	13,209	-398	13,607
Annual IC Time Burden (Hours)	10,724	-12	10,736
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.