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Family report, MTW Family Report
Family Report, MTW Family Report
OMB: 2577-0083
IC ID: 42109
OMB.report
HUD/PIH
OMB 2577-0083
ICR 201608-2577-001
IC 42109
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0083 can be found here:
2024-03-11 - No material or nonsubstantive change to a currently approved collection
2023-06-07 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form HUD 50058 MTW (Une
Family report, MTW Family Report
Form and Instruction
HUD 50058 MTW (Une Moving to Work Family Report
HUD 50058 MTW.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Family report, MTW Family Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
24 CFR 908.101
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
HUD 50058 MTW (Unedited Version)
Moving to Work Family Report
HUD 50058 MTW.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Homeownership Promotion
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,153
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,933,713
0
0
58,779
2,874,934
0
Annual IC Time Burden (Hours)
1,104,087
0
0
22,402
1,081,685
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.