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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.