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EIV User Access Authorization
Enterprise Income Verification (EIV) System User Access Authorization Form and Rules of Behavior and User Agreement
OMB: 2577-0267
IC ID: 192150
OMB.report
HUD/PIH
OMB 2577-0267
ICR 202303-2577-002
IC 192150
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
EIV User Access Authorization
Agency IC Tracking Number:
2577-0267
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection 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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
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
13,703
0
-17
0
0
13,720
Annual IC Time Burden (Hours)
10,754
0
53
0
0
10,701
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.