Non-Substantive Change Request Memo

Non-Sub Change 0920-1303 Declaration Form.docx

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

Non-Substantive Change Request Memo

OMB: 0920-1303

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Non-Substantive Change Request Memo

TEMPORARY HALT IN RESIDENTIAL EVICTIONS TO PREVENT THE FURTHER SPREAD OF COVID-19 (Evictions EO)

(OMB Control No. 0920-1303)
































Program Contact


Jeffrey M. Zirger

HEALTH SCIENTIST

Information Collection Review Office

Office of Scientific Integrity

Office of Science

Centers for Disease Control and Prevention

1600 Clifton Road, NE MS D-74

Atlanta, GA 30333

Telephone: (404) 639-7118

Mobile: (470) 217-8909

Fax: (404) 639-3249

Email: [email protected]


Submission Date: December 29, 2020

The Centers for Disease Control and Prevention (CDC) requests a nonmaterial/non-substantive change of the currently approved Information Collection Request: “TEMPORARY HALT IN RESIDENTIAL EVICTIONS TO PREVENT THE FURTHER SPREAD OF COVID-19 (Evictions EO)”


The requested change includes the addition to both the English and Spanish version of the declaration of the following language:


“Even if you have provided a declaration to your landlord, the Order does not prevent your landlord from seeking a hearing, if authorized by State or local law and in accordance with State or local court procedure, to challenge the truthfulness of your declaration.”


CDC is also proposing a fillable PDF version of the declaration.


This Non-Substantive Change Request results in no changes to currently approved information collection instruments and no change in burden hours.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWattenmaker, Lauren (CDC/DDID/NCEZID/DHQP)
File Modified0000-00-00
File Created2021-05-04

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