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Housing Choice Voucher Program
Housing Choice Voucher Program
OMB: 2577-0169
IC ID: 27839
OMB.report
HUD/PIH
OMB 2577-0169
ICR 200701-2577-001
IC 27839
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0169 can be found here:
2023-01-18 - Reinstatement with change of a previously approved collection
2022-01-31 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form HUD-52663-52665
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HUD-52663-52665
Suggested Format for Requisition for Partial
52663.pdf
No
Fillable Printable
Form
HUD-52667-52672
Allowances
52667.pdf
No
Fillable Printable
Form
HUD-2515-52517
Funding Application
52515.pdf
No
Fillable Printable
Form
HUD-52649
Statement of Homeowner Obligations
52649.pdf
No
Fillable Printable
Form
HUD-52681-B
Voucher for Payment of Annual Contributions
52681-b.pdf
No
Fillable Printable
Form
HUD-52673-52681
Estimate of Total Required Annual Contributions
52673.pdf
No
Fillable Printable
Form
HUD-52642-A
Tenancy Addendum Manufactured Home Space Rental
52642-a.pdf
No
Fillable Printable
Form
HUD-52580-52646
Inspection Checklist
52580.pdf
No
Fillable Printable
Form
HUD-52641-52642
Housing Assistance Contract (HAP)
HUD-52641.doc
No
Fillable Printable
Form
HUD-52641-A
Tenancy Addendum
HUD 52641-A.doc
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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 %
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
2,997,700
0
0
0
0
2,997,700
Annual IC Time Burden (Hours)
1,194,575
0
0
0
0
1,194,575
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.