Information Collection

Family Report, MTW 50058 Form

IC 255184 under ICR 202207-2577-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Family Report, MTW 50058 Form Form and Instruction
HUD-50058 Family Report MTW 50058 new - emergency PRA.docx Form and Instruction
HUD-50058 Family Report MTW 50058 new - emergency PRA.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Family Report, MTW 50058 Form	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-50058	Family Report MTW	50058 new - emergency PRA.docx		Yes	Yes	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: 4,153	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,933,713	2,933,713
Annual IC Time Burden (Hours)	110,408,733	110,408,733
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.