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Family Report

OMB Approval Number 2577-0083 (expires 05/31/2020) Previous editions are obsolete form HUD-50058 (11/2013) Department of Housing and Urban Development Office of Public and Indian Housing Family Report Form HUD-50058, Family Report , applies to Public Housing, Housing Choice Voucher, and Section 8 Moderate Rehabilitation programs. Additional instructions are contained in the Form HUD-50058 Instruction Booklet. Copies of the Instruction Booklet can be found on the PIC Web Site at Previous editions are obsolete form HUD-50058 (11/2013) iPublic reporting burden for this collection of information is estimated to average 30 minutes per response in the first year and 15 minutes per response in subsequent years.

Head of household name Social Security Number Date modified (mm/dd/yyyy) Previous editions are obsolete 2 form HUD-50058 (11/2013) Family Report U.S. Department of Housing and Urban Development O MB Approval Number 2577-0083

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