Family Report, MTW Family Report, MTW Expansion Family Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 50058 Family Report	Form and Instruction	Removed	Available
Form 50058 MTW Expansion Family Report	Form and Instruction	Removed	Available
Form HUD 50058 MTW (Une Moving to Work Family Report	Form and Instruction	Removed	Available
Form HUD 50058 MTW (Une Family report, MTW Family Report, MTW Expansion Family Report	Form and Instruction	Removed	Repair queued
Form HUD-50058 Family Report MTW	Form and Instruction	New	Available
Form HUD-50058 Family Report, MTW 50058 Form	Form and Instruction	New	Repair queued
83i and Supporting Statement 50058 EXPEDITED (F).docx	Supporting Statement A	Uploaded 2022-08-05	Repair queued
PRA Federal Register Notice 50058 EXPEDITED.docx	Supplementary Document	Uploaded 2022-08-05	Repair queued
PLAW-114publ201.pdf	Supplementary Document	Uploaded 2022-08-05	Repair queued
50058 new - emergency PRA.docx	Supplementary Document	Uploaded 2022-08-05	Repair queued
50058 MTW HOTMA changes.docx	Supplementary Document	Uploaded 2022-08-05	Available
DASLetter.50058.PRA.3.16.22 EXPEDITED_v3.docx	Supplementary Document	Uploaded 2022-07-08	Repair queued
50058 MTW HOTMA changes 04-19-22.docx	Supplementary Document	Uploaded 2022-07-08	Available
Signed-Approved PTA.pdf	Supplementary Document	Uploaded 2020-05-13	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
42109	Family report, MTW Family Report, MTW Expansion Family Report	Form and Instruction	Removed	Family Report
42109	Family report, MTW Family Report, MTW Expansion Family Report	Form and Instruction	Removed	MTW Expansion Family Report
42109	Family report, MTW Family Report, MTW Expansion Family Report	Form and Instruction	Removed	Moving to Work Family Report
42109	Family report, MTW Family Report, MTW Expansion Family Report	Form and Instruction	Removed
42109	Family report, MTW Family Report, MTW Expansion Family Report	Other-ISA - IMS PIC	Removed
255184	Family Report, MTW 50058 Form	Form and Instruction	New	Family Report MTW
255184	Family Report, MTW 50058 Form	Form and Instruction	New

ICR Details

OMB Control No: 2577-0083	ICR Reference No: 202207-2577-001
Status: Historical Inactive	Previous ICR Reference No: 202104-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0083
Title: Family Report, MTW Family Report, MTW Expansion Family Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 08/12/2022
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 10/26/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/05/2022
Terms of Clearance: Agency asked for request to be withdrawn.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2023	6 Months From Approved	12/31/2023
Responses	2,933,713	0	2,933,713
Time Burden (Hours)	1,104,087	0	1,104,087
Cost Burden (Dollars)	0	0	0

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Abstract: Tenant data is collected understand demographic, family profile, income, and housing information for participants in the Public Housing, Section 8 Housing Choice Voucher, Section 8 Project Based Certificate, Section 8 Moderate Rehabilitation, and Moving to Work Demonstration programs. This data also allows HUD to monitor the performance of programs and the performance of public housing agencies that administer the programs.

Emergency Justfication: This emergency review is necessary in this case to implement the requirements for HOTMA into both HUD’s systems and to allow PHAs sufficient time to make changes in their own systems.

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Authorizing Statute(s): US Code: 42 USC 1437 et seq Name of Law: United States Housing Act of 1937
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Family Report, MTW 50058 Form	HUD-50058	Family Report MTW
Family report, MTW Family Report, MTW Expansion Family Report	HUD 50058 MTW (Unedited Version), 50058, HUD 50058	Moving to Work Family Report ,   MTW Expansion Family Report ,   Family Report

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Form HUD-50058 and Form HUD-50058 MTW continues to be submitted in HUD’s system in its existing modules. The HUD-50058 MTW Expansion is submitted in the IMS/PIC Modernization system.

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Annual Cost to Federal Government: $3,143,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/05/2022

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