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 | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201312-2577-003 | Revision of a currently approved collection | 2014-02-28 | Approved without change | |
| 201011-2577-001 | Extension without change of a currently approved collection | 2010-11-09 | Approved with change | |
| 200707-2577-005 | Revision of a currently approved collection | 2007-07-25 | Approved without change | |
| 200611-2577-002 | New collection (Request for a new OMB Control Number) | 2006-11-16 | Approved without change |