Information Collection Request

Enterprise Income Verification (EIV) System - Debts owed to Public Housing Agencies and Terminations

ICR 202304-2577-001 · OMB 2577-0266 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form HUD 52675 DEBTS OWED TO PUBLIC HOUSING AGENCIES AND TERMINATIONS Form and Instruction Modified Available
2577-0266 30 Day.pdf Supplementary Document Uploaded 2023-04-27 Repair queued
EIV SORN Published 2022-8-17.pdf Supplementary Document Uploaded 2023-04-25 Repair queued
24 CFR 982.552 Exhibit C.pdf Supplementary Document Uploaded 2019-08-21 Repair queued
2019 - Debts Owed 24 CFR 960.203 Exhibit B.pdf Supplementary Document Uploaded 2019-08-21 Repair queued
2019 Debt Owed 24CFR 5 Exhibit A.pdf Supplementary Document Uploaded 2019-08-21 Repair queued
2019 PTA Form Debts Owed and Terminations PRA-final.docx Supplementary Document Uploaded 2019-08-21 Repair queued
Supporting Statement - Final 4-4-2023.docx Supporting Statement A Uploaded 2023-04-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
192077 Debts Owed To Public Housing Agencies and Terminations Form and Instruction ModifiedDEBTS OWED TO PUBLIC HOUSING AGENCIES AND TERMINATIONS
192077 Debts Owed To Public Housing Agencies and Terminations Other-EIV Screen Shots Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2026 36 Months From Approved 06/30/2023
298,216 0 46,008
24,841 0 24,841
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Debts Owed To Public Housing Agencies and Terminations Form HUD 52675

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 298,216 46,008 0 252,208 0 0
Annual Time Burden (Hours) 24,841 24,841 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No