Moving to Work Demonstration

Forms and Documents

Document Name	Status
Form 50090 Moving to Work Demonstration Form and Instruction	Modified
83c - 2577-0216 - 02.07.2025.docx Justification for No Material/Nonsubstantive Change	2025-02-24
50900 Elements for the Annual Moving to Work Plan_ Redline_Final_02.7.2025.docx Justification for No Material/Nonsubstantive Change	2025-02-24
2577-0216 Nonsubstantive Change 83c 50090 MTW Office 2.14.2025_.docx Justification for No Material/Nonsubstantive Change	2025-02-24
Supporting Statement Elements for the Annual Moving to Work Plan_Final (2577-0216).docx Supporting Statement A	2025-02-24

IC Document Collections

IC ID	Document Title	Status
27883	Moving to Work Demonstration Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0216	ICR Reference No: 202502-2577-003
Status: Received in OIRA	Previous ICR Reference No: 202407-2577-003
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0216
Title: Moving to Work Demonstration
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/06/2025

	Requested	Previously Approved
Expiration Date	08/31/2027	08/31/2027
Responses	468	468
Time Burden (Hours)	6,825	6,825
Cost Burden (Dollars)	0	0

---

Abstract: MTW is a long term demonstration program authorized in 1996 and recently expanded in 2016, which permits select PHAs to implement certain programmatic flexibilities to address local needs. PHAs submit application materials to HUD requesting authorization and describing their plans to implement MTW flexibilities. All PHAs are required to submit annual plans to HUD, however, PHAs with a Moving to Work demonstration designation, (39 at the time of submission of this request) must submit an Annual MTW Plan and Annual MTW Report in lieu of the standard 5-year plan and annual update. In 2013, revisions were made to this 50900 form to streamline the process of Agencies submitting required Annual Plan and Report Data to HUD so that the Department is able to better respond to Congressional and other inquiries regarding outcome measures obtained and promising practices learned throughout the duration of the demonstration. This 2017 revision of the Form makes a variety of minor refinements to improve clarity and usability, based on the experiences of HUD and PHAs with the form over the last 3 years.

---

Authorizing Statute(s): PL: Pub.L. 104 - 134 Section 204 - 110 Stat 1321 Name of Law: Omnibus Consolidated Rescissions and Appropriations Act of 1996
  

Citations for New Statutory Requirements: PL: Pub.L. 104 - 134 2461 Name of Law: Omnibus Consolidated Rescissions and Appropriations Act of 1996

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 86923	12/15/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 21535	03/26/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Moving to Work Demonstration	50090	Final EO rev 50900 Elements for the Annual Moving to Work Plan

---

ICR Summary of Burden

	Total Request	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	468	468	0	0	0	0
Annual Time Burden (Hours)	6,825	6,825	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $47,606

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/06/2025

---