Moving to Work Demonstration

Forms and Documents

Document Name	Status
Form HUD-50900 Moving to Work Demonstration Form and Instruction	Modified
Published 30-day FR Notice 10-25-2017.pdf Supplementary Document	2017-10-26
2577-0216- 83i- (12.13.17).docx Supporting Statement A	2018-01-03
Published 60-day FR Notice.pdf Supplementary Document	2016-05-18
Impact Assessment Form - IPA.docx Supplementary Document	2016-05-18
FR-5916-N-02 60-Day Notice (02 23 16 revision).docx Supplementary Document	2016-05-18

IC Document Collections

IC ID	Document Title	Status
27883	Moving to Work Demonstration Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0216	ICR Reference No: 201709-2577-003
Status: Active	Previous ICR Reference No: 201601-2577-004
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0216
Title: Moving to Work Demonstration
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/17/2018
	Date Received in OIRA: 11/08/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved
Responses	518	0	0
Time Burden (Hours)	5,680	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: MTW is a long term demonstration program authorized in 1996 and recently expanded in 2016, which permits select PHAs to implement certain programmatic flexibilities to address local needs. PHAs submit application materials to HUD requesting authorization and describing their plans to implement MTW flexibilities. All PHAs are required to submit annual plans to HUD, however, PHAs with a Moving to Work demonstration designation, (39 at the time of submission of this request) must submit an Annual MTW Plan and Annual MTW Report in lieu of the standard 5-year plan and annual update. In 2013, revisions were made to this 50900 form to streamline the process of Agencies submitting required Annual Plan and Report Data to HUD so that the Department is able to better respond to Congressional and other inquiries regarding outcome measures obtained and promising practices learned throughout the duration of the demonstration. This 2017 revision of the Form makes a variety of minor refinements to improve clarity and usability, based on the experiences of HUD and PHAs with the form over the last 3 years.

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Authorizing Statute(s): PL: Pub.L. 104 - 134 Section 204 - 110 Stat 1321 Name of Law: Omnibus Consolidated Rescissions and Appropriations Act of 1996
  

Citations for New Statutory Requirements: PL: Pub.L. 104 - 134 2461 Name of Law: Omnibus Consolidated Rescissions and Appropriations Act of 1996

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 10647	03/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 49416	10/25/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Moving to Work Demonstration	HUD-50900, HUD-50900	Elements for the Annual Moving to Work Plan and Annual Moving to Work Report ,   Elements for the Annual Moving to Work Plan and Annual Moving to Work Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	518	0	0	0	86	432
Annual Time Burden (Hours)	5,680	0	0	0	1,360	4,320
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a reinstatement, with change, of a previously approved collection. Through this reinstatement HUD is adjusting the total burden hours estimate to incorporate 3 additional PHAs that have been added since the last approval of this Form and additional applicants to the program resulting from the 2016 appropriations act. This 2016 reinstatement of the Form also makes a variety of minor refinements to improve clarity and usability, based on the experiences of HUD and PHAs with the Form over the last 3 years. Examples of these minor refinements include: additional entries in the “General Information” section to improve clarity, elimination of the requirement to submit tables in multiple formats, layout improvements to sections/tables to improve readability, and text corrections to improve term consistency. As stated above, all PHAs are required to submit a five (5) year plan and annual plans as required by Section 5A of the 1937 Act, as amended, however, MTW PHAs submit the MTW annual plan and annual report in lieu of the standard annual and 5 year PHA plans. OMB approval for an alternate submission was sought and approved and the current 50900 form expires on December 31, 2011. However, at this time in the demonstration it is necessary to update the form to provide more uniform data collection across agencies. This will assist ingathering the most accurate, comparable data so the Department is able to better respond to Congressional and other inquiries regarding outcome measures obtained and promising practices learned throughout the duration of the demonstration. Through the revised form, respondents will report outcome information to accurately evaluate the effects of MTW policy changes on residents, the agency’s operations and the local community.

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Annual Cost to Federal Government: $36,231

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/08/2017

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