HUD-52673-52681 Estimate of Total Required Annual Contributions

OMB Approval No. 2577-0169
(Exp.05/31/2004)

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

Estimate of Total Required
Annual Contributions
Section 8 Housing Assistance
Payments Program

Public reporting burden for this collection of information is estimated to average 1.50 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency
may not conduct or sponsor, and you are not required to respond to, a collection of information unless that collecton displays a valid OMB control number.
Authority for this collection of information is the Housing and Community Development Act of 1987. Housing Agencies (HAs) required to maintain financial
reports in accordance with accepted accounting standards too permit timely and effective audits. The financial records identify the amount of annual
contributions that are received and disbursed by HAs. Responses to the collection of information are required to obtain a benefit or to retain a benefit.
The information requested does not lend itself to confidentiality.
1. Public Housing Agency (Name and Address)

2. Project No.

3. Submission

Original

4. Annual Contributions Contract No. 5. HUD Field Office

6. HUD Regional Office

Revision No.

7. No. Dwelling Units 8. No. Units Months

9. Housing Program Type (Mark One)

(a) New Construction

(b) Substantial Rehabilitation

(c) Moderate Rehabilitation

(d) Existing Housing Certificates

(e) Housing Vouchers

10. PHA Fiscal Year Ending Date (Mark one and complete year)

(a) March 31,

(b) June 30,

I. Maximum Annual
Contributions

(c) September 30,

(d) December 31,

YYYY

PHA Estimate (Housing Vouchers Only)
Housing Payments

PHA Fee

HUD Approved (Housing Vouchers Only)
PHA Estimate Total

Housing Payments

PHA Fee

HUD Approved Total

11. Maximum Annual
Contributions Commitment
12. Prorata Maximum Annual
Contributions Applicable to a
Period in Excess of 12 Months
13. Maximum Annual
Contributions for Fiscal Year
(Line 11 plus Line 12)
14. Project Account-Estimated or
Actual Balance at Beginning
of Requested Fiscal Year
15. Total Annual Contributions
Available—Estimated or
Actual (Line 13 plus Line 14)

Previous editions are obsolete
Submit an Original and 2 copies

Page 1 of 2

form HUD-52673 (2/85)
ref Handbook 7420.7

II. Maximum Annual
Contributions

PHA Estimate (Housing Vouchers Only)
Housing Payments

PHA Fee

HUD Approved (Housing Vouchers Only)
PHA Estimate Total

Housing Payments

PHA Fee

HUD Approved Total

16. Estimated Annual Housing
Assistance Payments
(form HUD-52672, Line 15)
17. Estimated Ongoing
Administrative Fee
(form HUD-52672, Line 18)
18. Estimated Hard-to-House Fee
(form HUD-52672, Line 19)
19. Estimated Independent Public
Accountant Audit Costs
20. Estimated Preliminary
Administrative and General
Expense (form HUD-52672,
Lines 27 and 36)
21. Carryover of Preliminary
Administrative and General
Expense not Expended in the
Previous FY Ending (
)
22. Estimated Non-Expendable
Equipment Expense
(form HUD-52672, Line 32)
23. Carryover of Non-Expendable
Equipment Expense not
Expended in the Previous
FY Ending (
)
24. Total Annual Contributions
Required—Requested Fiscal
Year (Lines 16 through 23)
25. Deficit at End of Current
Fiscal Year—Estimated or
Actual
26. Total Annual Contributions
Required
(Line 24 plus Line 25)
27. Estimated Project Account
Balance at End of Requested
Fiscal Year
(Line 15 minus Line 26)
28. Provision for Project Account
Requested Fiscal Year
Increase (decrease)
(Line 27 minus Line 14)
III. Annual Contributions Approved
29. Total Annual Contributions
Approved/Requested Fiscal
Year (Line 26 plus increase, if
any, on Line 28)
30. Source of Total Contributions
Approved/Requested Fiscal
Year:
(a) Requested Fiscal Year
Maximum Annual Contributions Commitment (Line 13 or
Line 29, whichever is smaller)
(b) Project Account
(Line 29 minus Line 30(a))
Name of PHA Approving Official

Name of Approving HUD Field Office Official

Signature

Signature

Title

Previous editions are obsolete
Submit an Original and 2 copies

Date (mm/dd/yyyy)

Title

Page 2 of 2

Date (mm/dd/yyyy)

form HUD-52673 (2/85)
ref Handbook 7420.7