View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Implementation of the Violaence Against Women Reathorization Act 2013
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5380 Housing Rights for Victims Final EOrev.2025.05.20 HUD-5380_clean.docx Yes Yes Fillable Fileable
Form 5381 MODEL EMERGENCY TRANSFER PLAN FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING Final EOrev.2025.05.20 HUD-5381_clean.docx Yes Yes Fillable Fileable
Form 5382 CERTIFICATION OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING Final EOrev.2025.05.20 HUD-5382_clean.docx Yes Yes Fillable Fileable
Form 5383 EMERGENCY TRANSFER REQUEST FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING Final EOrev.2025.05.20 HUD-5383_clean.docx Yes Yes Fillable Fileable
Form HUD-5384 VAWA ET Data Collection Form Final.2025.05.20 HUD-5384_clean.docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

293,176 0
   
State, Local, and Tribal Governments
 
   3 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,044,764 0 0 0 0 5,044,764
Annual IC Time Burden (Hours) 2,230,481 0 0 0 0 2,230,481
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.