Information Collection

Family report, MTW Family Report, MTW Expansion Family Report

IC 42109 under ICR 202304-2577-002 · OMB 2577-0083.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0083 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 50058 MTW (Une Family report, MTW Family Report, MTW Expansion Family Report	Form and Instruction
Form HUD 50058 MTW (Une Moving to Work Family Report Family report, MTW Family Report, MTW Expansion Family Report	Form and Instruction
Form 50058 MTW Expansion Family Report Family report, MTW Family Report, MTW Expansion Family Report	Form and Instruction
Form HUD 50058 Family Report Family report, MTW Family Report, MTW Expansion Family Report	Form and Instruction
Interconnection Security Agreement - IMS PIC Mod - Production.docx	Other-ISA - IMS PIC
Interconnection Security Agreement - IMS PIC Mod - Production.docx	Other-ISA - IMS PIC
InterconnectionSecurityAgreementMTWApplicationUAT.docx	Other-ISA - MTW App UAT
InterconnectionSecurityAgreementMTWApplicationUAT.docx	Other-ISA - MTW App UAT
Memorandum of Understanding - IMS PIC Mod - Production.docx	Other-MOU - IMS PIC
Memorandum of Understanding - IMS PIC Mod - Production.docx	Other-MOU - IMS PIC
HUD 50058 MTW (Une Moving to Work Family Report HUD 50058 MTW.pdf	Form and Instruction
HUD 50058 MTW (Une Moving to Work Family Report HUD 50058 MTW.pdf	Form and Instruction
50058 MTW Expansion Family Report 50058 MTW Expanson Report.pdf	Form and Instruction
50058 MTW Expansion Family Report 50058 MTW Expanson Report.pdf	Form and Instruction
HUD 50058 Family Report 50058 Family Report.PDF	Form and Instruction
HUD 50058 Family Report 50058 Family Report.PDF	Form and Instruction

IC Title:

Family report, MTW Family Report, MTW Expansion Family Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 908.101

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 50058 MTW (Unedited Version)	Yes	Yes	Fillable Fileable
Form and Instruction	50058	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50058	Yes	Yes	Fillable Fileable
Other-ISA - IMS PIC		Yes	Yes	Fillable Fileable Signable
Other-ISA - MTW App UAT		Yes	Yes	Fillable Fileable Signable
Other-MOU - IMS PIC		Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,153

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
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-2,933,713	2,933,713
Annual IC Time Burden (Hours)	-1,104,087	1,104,087
Annual IC Cost Burden (Dollars)	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.

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