Enterprise Income Verification (EIV) System User Access Authorization Form and Rules of Behavior and User Agreement

OMB 2577-0267

The Federal Privacy Act, 5 USC 552a, as amended, requires HUD to identify all individuals who access and use personally identifiable information (PII) maintained in HUD systems. This information collection identifies the individuals at public housing agencies that will access PII from HUD’s Public and Indian Housing EIV System.

The latest form for Enterprise Income Verification (EIV) System User Access Authorization Form and Rules of Behavior and User Agreement expires 2023-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
2577-0267 30 day.pdf Supplementary Document
Exhibit B1 HUD Form 52676i.docx Supplementary Document
Exhibit A8 - 5 USC 552a.pdf Supplementary Document
Exhibit A7 - Executive Order 13520.pdf Supplementary Document
Exhibit A6 - 31 USC 3321 Improper Payments.pdf Supplementary Document
Exhibit A5 - 24 CFR 5.236.pdf Supplementary Document
Exhibit A4 - 24 CFR 908.101.pdf Supplementary Document
Exhibit A3 - 24 CFR 5.233.pdf Supplementary Document
Exhibit A1- 24 CFR 5.216.pdf Supplementary Document
Exhibit A1- 24 CFR 5.216.pdf Supplementary Document
Support Statement - Final 4-4-2023.docx Supporting Statement A
EIV User Access Authorization Instruction

All Historical Document Collections

202303-2577-002 Approved without change	Revision of a currently approved collection	2023-04-28
201904-2577-001 Approved without change	Revision of a currently approved collection	2019-09-30
201603-2577-002 Approved without change	Revision of a currently approved collection	2016-07-28
201303-2577-003 Approved without change	Extension without change of a currently approved collection	2013-05-31
201002-2577-004 Approved with change	New collection (Request for a new OMB Control Number)	2010-03-01