Information Collection

Emergency Waivers Reporting (EWR)

IC 241321 under ICR 202109-2577-001 · OMB 2577-0292.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-5884 Emergency Waivers Reporting (EWR)	Form and Instruction
HUD-5884 EWR for MDD HUD-5884 EWR for MDD.docx	Form and Instruction
HUD-5884 EWR for MDD HUD-5884 EWR for MDD.docx	Form and Instruction
HUD-5885 EWR for Future Waivers HUD-5885 EWR for Future Waivers.docx	Form and Instruction
HUD-5885 EWR for Future Waivers HUD-5885 EWR for Future Waivers.docx	Form and Instruction
HUD-5883 EWR for COVID HUD-5883 EWR for COVID.docx	Form and Instruction
HUD-5883 EWR for COVID HUD-5883 EWR for COVID.docx	Form and Instruction
HUD - ##### HUD Waiver Tracking HUD Waiver Tracking Tool MS Forms Screenshots.pdf	Form and Instruction
HUD - ##### HUD Waiver Tracking HUD Waiver Tracking Tool MS Forms Screenshots.pdf	Form and Instruction
83C.docx 83 C Change Request	IC Document
83C.docx 83 C Change Request	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-5884	EWR for MDD	HUD-5884 EWR for MDD.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-5885	EWR for Future Waivers	HUD-5885 EWR for Future Waivers.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-5883	EWR for COVID	HUD-5883 EWR for COVID.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD - #####	HUD Waiver Tracking	HUD Waiver Tracking Tool MS Forms Screenshots.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,100	5,100
Annual IC Time Burden (Hours)	5,100	5,100
Annual IC Cost Burden (Dollars)	187,986	187,986

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
83 C Change Request	83C.docx	09/02/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.