Implementation of the Violaence Against Women Reathorization Act 2013

Implementation of the Violence Against Women Reauthorization Act of 2013

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0286 can be found here:

Documents and Forms

Document Name Document Type
Form HUD xxxx Implementation of the Violaence Against Women Reathorization Act 2013 Form
HUD xxxx Notice of Occupantcy Rights under the Violence Against W VAWA Appendix A - Notice of Occupancy Rights.docx Form
HUD xxxx Model Emergency Transfer Plan for Victims of Domestic Vi VAWA Appendix B - Model Emergency Transfer Plan.docx Form
HUD xxx CERTIFICATION OF Domestic Violence , Dating Violence, Se VAWA Appendix C - Certification of Domestic Violence Etc and Alternate Documentation.docx Form
HUD xxxx Emergency Transfer Request for Certain Victims of Domest VAWA Appendix D - Emergency Transfer Request.docx Form

Information Collection (IC) Details

IC Title:	Implementation of the Violaence Against Women Reathorization Act 2013	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	HUD xxxx	Notice of Occupantcy Rights under the Violence Against Women Act	VAWA Appendix A - Notice of Occupancy Rights.docx	No	Fillable Printable
Form	HUD xxxx	Model Emergency Transfer Plan for Victims of Domestic Violence, Dating Violence, Sexual Assault, or Stalking	VAWA Appendix B - Model Emergency Transfer Plan.docx	No	Fillable Printable
Form	HUD xxx	CERTIFICATION OF Domestic Violence , Dating Violence, Sexual Assault, or Staking, and Alternate Documentation	VAWA Appendix C - Certification of Domestic Violence Etc and Alternate Documentation.docx	No	Fillable Printable
Form	HUD xxxx	Emergency Transfer Request for Certain Victims of Domestiv Violence , Sexual Assault or Staklng	VAWA Appendix D - Emergency Transfer Request.docx	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,103,365	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	19,777,290	19,777,290
Annual IC Time Burden (Hours)	3,622,370	3,622,370
Annual IC Cost Burden (Dollars)	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.