Information Collection

Moving to Work Amendment to Consolidated Annual Contributions Contract(s) - MTW ACC

IC 235003 under ICR 201812-2577-003 · OMB 2577-0294.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0294 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-50166 Moving to Work Amendment to Consolidated Annual Contributions Contract(s) - MTW ACC	Form
HUD-50166 Moving to Work Amendment to Annual Contributions Contrac MTW Amendment - Final.docx	Form

IC Title:

Moving to Work Amendment to Consolidated Annual Contributions Contract(s) - MTW ACC

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-50166	Moving to Work Amendment to Annual Contributions Contract(s) FInal	MTW Amendment - Final.docx		Yes	Yes	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	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.