Information Collection

Emergency Waivers Reporting (EWR)

IC 241321 under ICR 202004-2577-001 · OMB 2577-0292.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0292 can be found here:

Documents and Forms

Document Name Document Type
Form HUD Form XXXX Emergency Waivers Reporting (EWR) Form
HUD Form XXXX COV MDD Form A COV MDD form A.docx Form
HUD Form XXXX COV MDD Form B COV MDD form B.docx Form
HUD Form XXXX COV MDD Form C COV MDD form C.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Emergency Waivers Reporting (EWR)	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD Form XXXX	COV MDD Form A	COV MDD form A.docx	Yes	Yes	Fillable Fileable Signable
Form	HUD Form XXXX	COV MDD Form B	COV MDD form B.docx	Yes	Yes	Fillable Fileable Signable
Form	HUD Form XXXX	COV MDD Form C	COV MDD form C.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,100	5,100
Annual IC Time Burden (Hours)	5,100	5,100
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.