Information Collection Request

Implementation of the Violence Against Women Reauthorization Act of 2013

ICR 202501-2577-003 · OMB 2577-0286 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form HUD-5384 VAWA ET Data Collection Form Form Modified Available
Form 5383 EMERGENCY TRANSFER REQUEST FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING Form Modified Available
Form 5382 CERTIFICATION OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING Form Modified Available
Form 5381 MODEL EMERGENCY TRANSFER PLAN FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING Form Modified Available
Form 5380 Housing Rights for Victims Form Modified Available
Form HUD XXXX Implementation of the Violaence Against Women Reathorization Act 2013 Form Modified Repair queued
VAWA Forms Revision (Redline) Chart 5-19-25.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-05-19 Repair queued
VAWA Forms Revision Chart 5-19-25.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-19 Available
HUD 5384 VAWA ET Data Collection Form Redline 5-14-25.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-05-14 Repair queued
HUD-5383 Redline 5-14-25.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-05-14 Repair queued
HUD-5382 Redline 5-14-25.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-05-14 Repair queued
HUD-5381 Redline 5-14-25.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-05-14 Repair queued
HUD-5380 Redline 5-14-25.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-05-14 Repair queued
VAWA 83c 1-10-25.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-01-10 Repair queued
VAWA 83c 1-8-25 Final Signed.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-01-08 Missing upstream
30 day frn VAWA.pdf Supplementary Document Uploaded 2024-11-27 Repair queued
30 day frn VAWA.pdf Supplementary Document Uploaded 2024-11-27 Repair queued
2577-0286 VAWA 60-day FRN.pdf Supplementary Document Uploaded 2024-11-27 Repair queued
2577-0286 VAWA 60-day FRN.pdf Supplementary Document Uploaded 2024-11-27 Repair queued
2577-0286_VAWA_SuppStateA.docx Supporting Statement A Uploaded 2024-11-27 Available
2577-0286_VAWA_SuppStateA.docx Supporting Statement A Uploaded 2024-11-27 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form ModifiedVAWA ET Data Collection Form
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form ModifiedEMERGENCY TRANSFER REQUEST FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form ModifiedCERTIFICATION OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form ModifiedMODEL EMERGENCY TRANSFER PLAN FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form ModifiedHousing Rights for Victims
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2028 01/31/2028 01/31/2028
5,044,764 0 5,044,764
2,230,481 0 2,230,481
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Implementation of the Violaence Against Women Reathorization Act 2013 5380, 5381, 5382, 5383, HUD-5384 ,   ,   ,   ,  

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 5,044,764 5,044,764 0 0 0 0
Annual Time Burden (Hours) 2,230,481 2,230,481 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No