Information Collection Request

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

ICR 202108-0920-003 · OMB 0920-1303 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-1303 Evictions Declaration 03AUG2021 Form and Instruction Modified Repair queued
Form 0920-1303 CDC Eviction Protection Declaration 01JUL2021 - English Form and Instruction Modified Available
Form 0920-1303 CDC Eviction Protection Declaration 07APR2021 Form and Instruction Modified Available
Form 0920-1303 Eviction Protection Declaration 29MAR2021 Form and Instruction Modified Repair queued
Form 0920-1303 Evictions Declaration_Fillable PDF_508 - Spanish Form and Instruction Modified Available
Form 0920-1303 Evictions Declaration_Fillable PDF_508 Form and Instruction Modified Available
Form 0920-1303 Evictions Declaration - Spanish 29JAN2021 Form and Instruction Modified Available
Form 0920-1303 Evictions Declaration 29JAN2021 Form and Instruction Modified Available
Form 0920-1303 Evictions Declaration 29DEC2020_Spanish Form and Instruction Modified Available
Form 0920-1303 Evictions Declaration 29DEC2020 Form and Instruction Modified Available
CDC Eviction Order FINAL 03AUG2021.docx Supplementary Document Uploaded 2021-08-03 Available
Emergency Request Memo_signed 03AUG2021.pdf Supplementary Document Uploaded 2021-08-03 Available
Non-Sub Change 0920-1303 Declaration Form 29Jun2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-07-01 Available
Non-Sub Change 0920-1303 Translation 30APR2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-04-30 Repair queued
0920-1303 Change Memo - FAQ 13APR2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-04-13 Available
Eviction-Moratoria-Order-FAQs-02012021-508.pdf Supplementary Document Uploaded 2021-04-13 Available
Non-Sub Change 0920-1303 Declaration Form 08APR2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-04-08 Available
Emergency Memo 25MAR2021.pdf Supplementary Document Uploaded 2021-03-29 Available
Non-Sub Change 0920-1303 Declaration Form 02.04.2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-02-09 Available
Non-Sub Change 0920-1303 Declaration Form 1.29.21.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-01-29 Available
Non-Sub Change 0920-1303 Declaration Form.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-12-30 Repair queued
EvictionMoratoriaOrderFAQs.pdf Supplementary Document Uploaded 2020-10-16 Available
0920-1303 Change Memo - FAQ.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-10-16 Available
0920-1303 Change Memo - Spanish_Declaration only.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-09-25 Available
Eviction Order Emergency Request MEMO.docx Supplementary Document Uploaded 2020-08-31 Available
SSA Evictions Eviction Order_03AUG2021_FINAL.docx Supporting Statement A Uploaded 2021-08-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
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 Form and Instruction ModifiedEvictions Declaration 03AUG2021
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 Form and Instruction ModifiedCDC Eviction Protection Declaration 01JUL2021 - English
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 Form and Instruction ModifiedCDC Eviction Protection Declaration 07APR2021
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 Form and Instruction ModifiedEviction Protection Declaration 29MAR2021
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 Form and Instruction ModifiedEvictions Declaration_Fillable PDF_508 - Spanish
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 Form and Instruction ModifiedEvictions Declaration_Fillable PDF_508
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 Form and Instruction ModifiedEvictions Declaration - Spanish 29JAN2021
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 Form and Instruction ModifiedEvictions Declaration 29JAN2021
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 Form and Instruction ModifiedEvictions Declaration 29DEC2020_Spanish
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 Form and Instruction ModifiedEvictions Declaration 29DEC2020
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

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2022 6 Months From Approved
6,400,000 0 0
533,333 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
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, 0920-1303, 0920-1303 ,   ,   ,   ,   ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved 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 6,400,000 0 0 6,400,000 0 0
Annual Time Burden (Hours) 533,333 0 0 533,333 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No