TEMPORARY HALT IN RESIDENTIAL EVICTIONS TO PREVENT THE FURTHER SPREAD OF COVID-19

Forms and Documents

Document Name	Status
Non-Sub Change 0920-1303 Declaration Form 07APR2021.docx Justification for No Material/Nonsubstantive Change	2021-04-07
Emergency Memo 25MAR2021.pdf Supplementary Document	2021-03-29
Non-Sub Change 0920-1303 Declaration Form 02.04.2021.docx Justification for No Material/Nonsubstantive Change	2021-02-09
Non-Sub Change 0920-1303 Declaration Form 1.29.21.docx Justification for No Material/Nonsubstantive Change	2021-01-29
Non-Sub Change 0920-1303 Declaration Form.docx Justification for No Material/Nonsubstantive Change	2020-12-30
EvictionMoratoriaOrderFAQs.pdf Supplementary Document	2020-10-16
0920-1303 Change Memo - FAQ.docx Justification for No Material/Nonsubstantive Change	2020-10-16
0920-1303 Change Memo - Spanish_Declaration only.docx Justification for No Material/Nonsubstantive Change	2020-09-25
Eviction Order Emergency Request MEMO.docx Supplementary Document	2020-08-31
SSA Evictions EO 31AUG2020_JZ.docx Supporting Statement A	2020-08-31

IC Document Collections

IC ID	Document Title	Status
243342	DECLARATION UNDER PENALTY OF PERJURY FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S TEMPORARY HALT IN EVICTIONS TO PREVENT FURTHER SPREAD OF COVID-19 Instruction	Modified

ICR Details

OMB Control No: 0920-1303	ICR Reference No: 202104-0920-001
Status: Received in OIRA	Previous ICR Reference No: 202103-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1303
Title: TEMPORARY HALT IN RESIDENTIAL EVICTIONS TO PREVENT THE FURTHER SPREAD OF COVID-19
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 03/31/2021
Date Submitted to OIRA: 04/07/2021

	Requested	Previously Approved
Expiration Date	09/30/2021	09/30/2021
Responses	35,000,000	35,000,000
Time Burden (Hours)	2,916,667	2,916,667
Cost Burden (Dollars)	0	0

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Abstract: To respond to the health threat caused by COVID-19, federal, state, and local governments have taken unprecedented or exceedingly rare actions, including border closures, restrictions on travel, stay-at-home orders, mask requirements, and eviction moratoria. Despite these best efforts, COVID-19 continues to spread and further action is needed. Eviction moratoria—like quarantine, isolation, and social distancing—can be an effective public health measure utilized to prevent the spread of communicable disease. Eviction moratoria facilitate self-isolation by people who become ill or who are at risk for severe illness from COVID-19 due to an underlying medical condition. They also allow state and local authorities to more easily implement stay-at-home and social distancing directives to mitigate the community spread of COVID-19. Furthermore, housing stability helps protect public health because homelessness increases the likelihood of individuals moving into congregate settings, such as homeless shelters, which then puts individuals at higher risk to COVID-19. This Non-Substantive Change Request is submitted to make a minor edit to the Evictions Protection Declaration Form and for the Form to be translated into additional languages..

Emergency Justfication: In line with the Extension of the Eviction Moratorium Order, CDC requests an Emergency Revision of the 0920-1303 collection to allow tenants, lessees, or residents of residential properties to provide a copy of the declaration to the landlord, owner of the residential property, or other person who has a right to have the individual evicted or removed.

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Authorizing Statute(s): EO: EO 13945 Name/Subject of EO: Fighting the Spread of COVID–19 by Providing Assistance to Renters and Homeowners
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
DECLARATION UNDER PENALTY OF PERJURY FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S TEMPORARY HALT IN EVICTIONS TO PREVENT FURTHER SPREAD OF COVID-19	0920-1303, 0920-1303, 0920-1303, 0920-1303, 0920-1303, 0920-1303, 0920-1303, 0920-1303	Evictions Declaration 29DEC2020 ,   Evictions Declaration 29DEC2020_Spanish ,   Evictions Declaration 29JAN2021 ,   Evictions Declaration - Spanish 29JAN2021 ,   Evictions Declaration_Fillable PDF_508 ,   Evictions Declaration_Fillable PDF_508 - Spanish ,   Eviction Protection Declaration 29MAR2021 ,   CDC Eviction Protection Declaration 07APR2021

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ICR Summary of Burden

	Total Request	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	35,000,000	35,000,000	0	0	0	0
Annual Time Burden (Hours)	2,916,667	2,916,667	0	0	0	0
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:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? Yes

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Common Form ICR:  No

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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: 04/07/2021

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