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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.