Information Collection

Family report, MTW Family Report

IC 42109 under ICR 200701-2577-003 · OMB 2577-0083.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0083 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-50058MTW Family report, MTW Family Report Form
HUD-50058MTW Moving to Work Family Report HUD-50058 mtw.pdf Form
HUD-50058 Family Report HUD-50058.doc Form

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	HUD-50058MTW	Moving to Work Family Report	HUD-50058 mtw.pdf		Yes	Yes	Fillable Fileable
Form	HUD-50058	Family Report	HUD-50058.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,145	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,351,763	-5,522,416	9,874,179
Annual IC Time Burden (Hours)	2,325,589	700,862	1,624,727
Annual IC Cost Burden (Dollars)	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.