Information Collection

Housing Choice Voucher Program

IC 27839 under ICR 200701-2577-001 · OMB 2577-0169.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0169 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-52663-52665 Suggested Format for Requisition for Partial Housing Choice Voucher Program	Form
Form HUD-52641-A Tenancy Addendum Housing Choice Voucher Program	Form
Form HUD-52641-52642 Housing Assistance Contract (HAP) Housing Choice Voucher Program	Form
Form HUD-2515-52517 Funding Application Housing Choice Voucher Program	Form
Form HUD-52580-52646 Inspection Checklist Housing Choice Voucher Program	Form
Form HUD-52667-52672 Allowances Housing Choice Voucher Program	Form
Form HUD-52649 Statement of Homeowner Obligations Housing Choice Voucher Program	Form
Form HUD-52642-A Tenancy Addendum Manufactured Home Space Rental Housing Choice Voucher Program	Form
Form HUD-52681-B Voucher for Payment of Annual Contributions Housing Choice Voucher Program	Form
Form HUD-52673-52681 Estimate of Total Required Annual Contributions Housing Choice Voucher Program	Form
HUD-52641-A Tenancy Addendum HUD 52641-A.doc	Form
HUD-52641-52642 Housing Assistance Contract (HAP) HUD-52641.doc	Form
HUD-2515-52517 Funding Application 52515.pdf	Form
HUD-52580-52646 Inspection Checklist 52580.pdf	Form
HUD-52663-52665 Suggested Format for Requisition for Partial 52663.pdf	Form
HUD-52667-52672 Allowances 52667.pdf	Form
HUD-52649 Statement of Homeowner Obligations 52649.pdf	Form
HUD-52642-A Tenancy Addendum Manufactured Home Space Rental 52642-a.pdf	Form
HUD-52681-B Voucher for Payment of Annual Contributions 52681-b.pdf	Form
HUD-52673-52681 Estimate of Total Required Annual Contributions 52673.pdf	Form

IC Title:

Housing Choice Voucher Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form	HUD-52641-A	No	Fillable Printable
Form	HUD-52641-52642	No	Fillable Printable
Form	HUD-2515-52517	No	Fillable Printable
Form	HUD-52580-52646	No	Fillable Printable
Form	HUD-52663-52665	No	Fillable Printable
Form	HUD-52667-52672	No	Fillable Printable
Form	HUD-52649	No	Fillable Printable
Form	HUD-52642-A	No	Fillable Printable
Form	HUD-52681-B	No	Fillable Printable
Form	HUD-52673-52681	No	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: 382,450

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,997,700	2,997,700
Annual IC Time Burden (Hours)	1,194,575	1,194,575
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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