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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 202108-0920-014 · OMB 0920-1303.

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Information Collection (IC) Details

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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
Form and Instruction 0920-1303 CDC Eviction Protection Declaration 01JUL2021 - English English Declaration 6.24.pdf NA Yes Yes Fillable Fileable
Form and Instruction 0920-1303 Evictions Declaration 03AUG2021 Revised CDC Declaration_08.03.2021 final.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

6,400,000 0
   
Individuals or Households
 
   0 %

  Requested 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 6,400,000 0 0 0 0 6,400,000
Annual IC Time Burden (Hours) 533,333 0 0 0 0 533,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CDC Evictions Protection Declaration - Somali NewEvictionNotice_d1_Somali.PDF 07/01/2021
CDC Evictions Protection Declaration - Traditional Chinese NewEvictionNotice_d1_Chinese Hong Kong.PDF 07/01/2021
CDC Evictions Protection Declaration - Hindi NewEvictionNotice_d1_Hindi.PDF 07/01/2021
CDC Evictions Protection Declaration - Haitian Creole NewEvictionNotice_d1_Haitian Creole.PDF 07/01/2021
CDC Evictions Protection Declaration - Russian NewEvictionNotice_d1_Russian.PDF 07/01/2021
CDC Evictions Protection Declaration - Amharic NewEvictionNotice_d1_Amharic.PDF 07/01/2021
CDC Evictions Protection Declaration - Spanish 323605B_NewEvictionNotice__ESP_06292021.pdf 07/01/2021
CDC Evictions Protection Declaration - Arabic NewEvictionNotice_Arabic.PDF 07/01/2021
CDC Evictions Protection Declaration - Korean NewEvictionNotice_d1_Korean.PDF 07/01/2021
CDC Evictions Protection Declaration - Tagalog NewEvictionNotice_d1_Tagalog.PDF 07/01/2021
CDC Evictions Protection Declaration - Vietnamese NewEvictionNotice_d1_Vietnamese.PDF 07/01/2021
CDC Evictions Protection Declaration - Ahmeric 25AUG2021 Eviction Declaration_Amharic.pdf 08/25/2021
CDC Evictions Protection Declaration - Arabic 25AUG2021 Eviction Declaration_Arabic.pdf 08/25/2021
CDC Evictions Protection Declaration - Haitian Creole 25AUG2021 Eviction Declaration_Haitian Creole.pdf 08/25/2021
CDC Evictions Protection Declaration - Hindi 25AUG2021 Eviction Declaration_Hindi.pdf 08/25/2021
CDC Evictions Protection Declaration - Korean 25AUG2021 Eviction Declaration_Korean.pdf 08/25/2021
CDC Evictions Protection Declaration - Russian 25AUG2021 Eviction Declaration_Russian.pdf 08/25/2021
CDC Evictions Protection Declaration - Somali 25AUG2021 Eviction Declaration_Somali.pdf 08/25/2021
CDC Evictions Protection Declaration - Spanish 25AUG2021 Eviction Declaration_Spanish.pdf 08/25/2021
CDC Evictions Protection Declaration - Traditional Chinese 25AUG2021 Eviction Declaration_Traditional Chinese.pdf 08/25/2021
CDC Evictions Protection Declaration - Vietnamese 25AUG2021 Eviction Declaration_Vietnamese.pdf 08/25/2021
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