Information Collection

Family report, MTW Family Report

IC 42109 under ICR 201302-2577-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 50058 MTW Family report, MTW Family Report Form and Instruction
HUD 50058 MTW Moving to Work Family Report HUD 50058 MTW - NEW REVISED.pdf 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	Moving to Work Family Report	HUD 50058 MTW - NEW REVISED.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50058 MTW (Unedited Version)	Moving to Work Family Report	HUD 50058 MTW.pdf		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: 4,149	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 Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,874,934	0	6,930	2,868,004
Annual IC Time Burden (Hours)	1,081,685	2,610	0	1,079,075
Annual IC Cost Burden (Dollars)	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.