Family Report, MTW Family Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 50058 MTW (Une Family report, MTW Family Report	Form and Instruction	Modified	Repair queued
Published Corrected 60-day FRN.pdf	Supplementary Document	Uploaded 2016-10-21	Available
IPA.docx	Supplementary Document	Uploaded 2016-10-21	Available
OMB 83-(002)-updated 5-10-17 (003).docx	Supporting Statement A	Uploaded 2017-05-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
42109	Family report, MTW Family Report	Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0083	ICR Reference No: 201608-2577-001
Status: Historical Active	Previous ICR Reference No: 201302-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0083
Title: Family Report, MTW Family Report
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/10/2017
	Date Received in OIRA: 12/06/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	36 Months From Approved
Responses	2,933,713	0	0
Time Burden (Hours)	1,104,087	0	0
Cost Burden (Dollars)	0	0	0

---

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.

---

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

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 66070	09/26/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 87579	12/05/2016
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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

---

ICR Summary of Burden

table that charts list 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	2,933,713	0	0	0	58,779	2,874,934
Annual Time Burden (Hours)	1,104,087	0	0	0	22,402	1,081,685
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The 83-I from 2013 was incorrect and stated that there were 35 MTW agencies when in fact there were 39 at the time. The current 83-I (attached) reflects that there are 39 MTW agencies, which results in increased burden hours from the 2013 approval. The correct number of burden hours is 1,104,087.

---

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

---

Common Form ICR:  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:

(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: 12/06/2016

---