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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

IC 243342 under ICR 202104-0920-010 · OMB 0920-1303.

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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
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Evictions Declaration Final 28AUG2020.docx NA Yes Yes Fillable Fileable
Instruction Evictions Declaration Final 28AUG2020_FINAL-Spanish.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1303 Evictions Declaration 29DEC2020 EvictionDeclaration_12.29.2020.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1303 Evictions Declaration 29DEC2020_Spanish EvictionDeclaration_12.29.2020-es.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1303 Evictions Declaration 29JAN2021 Eviction Declaration Form 1.29.21.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1303 Evictions Declaration - Spanish 29JAN2021 EvictionDeclarationES 1.29.21.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1303 Evictions Declaration_Fillable PDF_508 322024_A_EvictionDeclare_508.pdf NA Yes Yes Fillable Fileable
Form and Instruction 0920-1303 Evictions Declaration_Fillable PDF_508 - Spanish 322024_B_EvictionDeclare_esp_508.pdf NA Yes Yes Fillable Fileable
Form and Instruction 0920-1303 Eviction Protection Declaration 29MAR2021 CDC Eviction Declaration Form FINAL.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1303 CDC Eviction Protection Declaration 07APR2021 Eviction Protection Declaration 08APR2021.pdf NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

35,000,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 35,000,000 0 0 0 0 35,000,000
Annual IC Time Burden (Hours) 2,916,667 0 0 0 0 2,916,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CDC Evictions Protection Declaration - Somali NewEvictionNotice_d1_Somali.pdf 04/07/2021
CDC Evictions Protection Declaration - Traditional Chinese NewEvictionNotice_d1_Traditional Chinese.pdf 04/07/2021
CDC Evictions Protection Declaration - Hindi NewEvictionNotice_d1_Hindi.pdf 04/07/2021
CDC Evictions Protection Declaration - Haitian Creole NewEvictionNotice_d1_Haitian Creole.pdf 04/07/2021
CDC Evictions Protection Declaration - Russian NewEvictionNotice_d1_Russian.pdf 04/07/2021
CDC Evictions Protection Declaration - Amharic NewEvictionNotice_d1_Amharic.pdf 04/07/2021
CDC Evictions Protection Declaration - Spanish NewEvictionNotice_d3_ES-final.pdf 04/07/2021
CDC Evictions Protection Declaration - Arabic NewEvictionNotice_d1_Arabic.pdf 04/30/2021
CDC Evictions Protection Declaration - Korea NewEvictionNotice_d1_Korean.pdf 04/30/2021
CDC Evictions Protection Declaration - Tagalog NewEvictionNotice_d1_Tagalog.pdf 04/30/2021
CDC Evictions Protection Declaration - Vietnamese NewEvictionNotice_d1_Vietnamese.pdf 04/30/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.