Information Collection

EIV User Access Authorization

IC 192150 under ICR 202303-2577-002 · OMB 2577-0267.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HUD Form 52676i -07-03-19.docx	Instruction
HUD Form 52676i -07-03-19.docx	Instruction
HUD-52676 Enterprise Income Verification (EIV) System User Access Form HUD-52676.docx	Form
HUD-52676 Enterprise Income Verification (EIV) System User Access Form HUD-52676.docx	Form

IC Title:

Agency IC Tracking Number:

2577-0267

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			HUD Form 52676i -07-03-19.docx		Yes	Yes	Printable Only
Form	HUD-52676	Enterprise Income Verification (EIV) System User Access Authorization Form and Rules of Behavior and User Agreement	Form HUD-52676.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13,192

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,703	-17	13,720
Annual IC Time Burden (Hours)	10,754	53	10,701
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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