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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2577-0249
ICR Reference No:
201312-2577-003
Status:
Historical Active
Previous ICR Reference No:
201011-2577-001
Agency/Subagency:
HUD/PIH
Agency Tracking No:
2577-0249
Title:
Implementation of the Violence Against Women and Department of Justice Reauthorization Act of 2005
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/31/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/28/2014
Terms of Clearance:
HUD shall update this collection with any future VAWA rulemaking.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2017
36 Months From Approved
07/31/2014
Responses
200
0
200
Time Burden (Hours)
200
0
200
Cost Burden (Dollars)
4,800
0
4,800
Abstract:
The Violence Against Women Reauthorization Act of 2013 ("VAWA") protects qualified tenants, participants, applicants, and affiliated individuals, who are victims of domestic violence, dating violence, sexual assault or stalking. This is an optional form. A PHA, owner, or management agent presented with a claim for continued or initial tenancy or assistance based on status as a victim of domestic violence, dating violence, sexual assault or stalking has the option to request that the victim document or provide written evidence to demonstrate that the violence occurred.
Authorizing Statute(s):
US Code:
42 USC 1437 -Section 6(u)(1)(A)
Name of Law: U.S. Housing Act of 1937
PL:
Pub.L. 109 - 271 606, Section 8(ee)(1)(A)) -
Name of Law: U.S.. Housing Act of 1937
Citations for New Statutory Requirements:
PL: Pub.L. 109 - 162 606 Name of Law: Violence Against Women and Department of Justice Reauthorization Act of 2005
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
78 FR 78375
12/26/2013
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 11458
02/28/2014
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Certification of Domestic Violence, Dating Violence, or Stalking
HUD-50066 (Revised Version), HUD-50066
Certification of Domestic Violence, Dating Violence, or Stalking
,
Certification of Domestic Violence, Dating Violence, or Stalking
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
200
200
0
0
0
0
Annual Time Burden (Hours)
200
200
0
0
0
0
Annual Cost Burden (Dollars)
4,800
4,800
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:
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
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
Agency Contact:
Ryan Jones 202 402-2677
Common Form ICR:
No
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:
02/28/2014
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