Non-Substantive Change Request Memo

Non-Substantive Change Request Memo

TEMPORARY HALT IN RESIDENTIAL EVICTIONS TO PREVENT THE FURTHER SPREAD OF COVID-19 (Evictions EO)

(OMB Control No. 0920-1303)

Program Contact

Jeffrey M. Zirger

HEALTH SCIENTIST

Information Collection Review Office

Office of Scientific Integrity

Office of Science

Centers for Disease Control and Prevention

1600 Clifton Road, NE MS D-74

Atlanta, GA 30333

Telephone: (404) 639-7118

Mobile: (470) 217-8909

Fax: (404) 639-3249

Email: wtj5@cdc.gov

Submission Date: April 7, 2021

The Centers for Disease Control and Prevention (CDC) requests a nonmaterial/non-substantive change of the currently approved Information Collection Request: “TEMPORARY HALT IN RESIDENTIAL EVICTIONS TO PREVENT THE FURTHER SPREAD OF COVID-19 (Evictions EO)”

This change request is to make the following change in the CDC Eviction Protection Declaration Form:

Current 0920-1303 approval:

You are likely to have earned under this amount if you receive any of the following benefits:

• Supplemental Nutrition Assistance Program (SNAP)

• Temporary Assistance for Needy Families (TANF)

• Supplemental Security Income (SSI)

• Supplemental Security Disability Income (SSDI)

Change Requested:

You are likely to have earned under this amount if you receive any of the following benefits:

• Supplemental Nutrition Assistance Program (SNAP)

• Temporary Assistance for Needy Families (TANF)

• Supplemental Security Income (SSI)

• Social Security Disability Insurance (SSDI)

Additionally, CDC would like to add versions of the CDC Eviction Protection Declaration in the following languages:

Somali

Traditional Chinese

Hindi

Haitian Creole

Russian

Amharic

Spanish

This Non-Substantive Change Request results in no additional changes to currently approved information collection instruments and no change in burden hours.