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  3. OMB 2577-0249

OMB control number

Implementation of the Violence Against Women and Department of Justice Reauthorization Act of 2005

OMB 2577-0249 · HUD/PIH.

OMB 2577-0249
Latest Forms, Documents, and Supporting Material
Document
Name
Form HUD-50066 Certification of Domestic Violence, Dating Violence, or Stalking
Form
83-i and Supporting Statement.doc
Supporting Statement A
Initial Privacy Assessment (IPA).doc
Supplementary Document
DOJ_Reauthor_Act.doc
Supplementary Document
Certification of Domestic Violence, Dating Violence, or Stalking
Form
All Historical Document Collections
201312-2577-003
Approved without change
Revision of a currently approved collection 2014-02-28
201011-2577-001
Approved with change
Extension without change of a currently approved collection 2010-11-09
200707-2577-005
Approved without change
Revision of a currently approved collection 2007-07-25
200611-2577-002
Approved without change
New collection (Request for a new OMB Control Number) 2006-11-16

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