Public Housing Capital Fund Financing

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 50070 Certificate for a Drug Free Workplace	Form	New	Available
Form HUD 5370 EZ HUD form 5370 EZ	Form and Instruction	New	Available
Form HUD 53001 HUD Form	Form and Instruction	New	Available
Form HUD 5460 Insurance Information	Form and Instruction	New	Repair queued
Form HUD 5372 Contract Administration (PIH)	Form and Instruction	New	Available
Form HUD 5370-C General Conditions, Non-Construciton Contract	Form and Instruction	New	Available
Form HUD 5370 General Conditions of the Construction Contact (PHAs)	Form and Instruction	New	Available
Form HUD 51003 Actual Modernization Cost Certificate	Form and Instruction	New	Available
Form HUD 52849 Capital Fund Financing Program List of Participating PHAs	Form and Instruction	New	Available
Form HUD 52847 Capital Fund Financing Program Monthly Debt Service Schedule	Form	New	Available
Form HUD 52846 Capital Fund Financing Program Monthly Debt Service Schedule	Form	New	Available
Form HUD 52845 Capital Fund Financing Program Model Term Sheet	Form and Instruction	New	Available
Form HUD 52842 Performance and Evaluation Report/Replacement Reserve	Form and Instruction	New	Available
Form JID 52837 Annual Statement/Performance Plan and Evaluation Report	Form and Instruction	New	Available
Form HUD 52835 Local Government Statement	Form and Instruction	New	Available
Form HUD 52834 Five-Year Action Plan	Form	New	Available
Form HUD 52833 Management Needs Assessment	Form and Instruction	New	Available
Form HUD 52836 HA Bord Resolution/Comprehensive Plan/Annual Statement	Form and Instruction	New	Available
Form HUD 52832 Modernization of Public Housing Under the Comprehensive Grant Program	Form	Modified	Available
Form HUD 52484 Development Cost Budget/Cost Statement	Form	Modified	Available
Form HUD 52396 Analysis of Proposed Main Construction Contract	Form	Modified	Available
Form HUD 51004 Schedule of Materials Stored	Form and Instruction	Modified	Available
Form HUD 51003 Schedule of Materials Stored	Form and Instruction	Modified	Available
Form HUD 51002 Schedule of Change Orders	Form and Instruction	Modified	Available
Form HUD 51001 Periodic Estimate for Partial Payment	Form	Modified	Available
Form HUD 5100 Schedule of Amounts for Contract Payments	Form	Modified	Available
Form HUD 5084 Contract for Inspection Services	Form and Instruction	Modified	Available
Form HUD 50030 Mixed-Finance Rental Term Sheet	Form	Modified	Available
Form HUD 50029 Homeownership Addendum to ACC	Form and Instruction	Modified	Available
Form HUD-52651-A Site, Design and Cost Report (PIH)	Form	Modified	Available
Form HUD-52485 Demonstration of Financial Feasibility	Form	Modified	Available
Form HUD-52483-A Proposal for Public Housing Project	Form	Modified	Available
Form HUD-52482 Guide Form of Turnkey Developer's Packet	Form	Modified	Available
Form HUD-51971-I-II Offer of Sale of Real Property	Form	Modified	Available
Form HUD-5378 Public Housing Construction Report	Form	Modified	Available
Form HUD-51915-A Contract Provisions Required by Law	Form	Modified	Available
Form HUD-51915 Contract for Development of A/E Services	Form and Instruction	Modified	Available
Form HUD-50071 Certificaiton of payments to influence federal transactions	Form and Instruction	Modified	Available
Form HUD-5087 Outline Specifications	Form and Instruction	Modified	Available
Form HUD 52427 Actual Development Cost Certificate	Form	Modified	Repair queued
ICR_2577-0157.DOC	Supporting Statement A	Uploaded 2007-01-05	Available
StreamliningCertDraft.doc	Supplementary Document	Uploaded 2007-01-05	Available
PIC_Screenshot.doc	Supplementary Document	Uploaded 2007-01-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46642	Public Housing Capital Fund Financing	Form	New	Certificate for a Drug Free Workplace
46642	Public Housing Capital Fund Financing	Form and Instruction	New	HUD form 5370 EZ
46642	Public Housing Capital Fund Financing	Form and Instruction	New	HUD Form
46642	Public Housing Capital Fund Financing	Form and Instruction	New	Insurance Information
46642	Public Housing Capital Fund Financing	Form and Instruction	New	Contract Administration (PIH)
46642	Public Housing Capital Fund Financing	Form and Instruction	New	General Conditions, Non-Construciton Contract
46642	Public Housing Capital Fund Financing	Form and Instruction	New	General Conditions of the Construction Contact (PHAs)
46642	Public Housing Capital Fund Financing	Form and Instruction	New	Actual Modernization Cost Certificate
46642	Public Housing Capital Fund Financing	Form and Instruction	New	Capital Fund Financing Program List of Participating PHAs
46642	Public Housing Capital Fund Financing	Form	New	Capital Fund Financing Program Monthly Debt Service Schedule
46642	Public Housing Capital Fund Financing	Form	New	Capital Fund Financing Program Monthly Debt Service Schedule
46642	Public Housing Capital Fund Financing	Form and Instruction	New	Capital Fund Financing Program Model Term Sheet
46642	Public Housing Capital Fund Financing	Form and Instruction	New	Performance and Evaluation Report/Replacement Reserve
46642	Public Housing Capital Fund Financing	Form and Instruction	New	Annual Statement/Performance Plan and Evaluation Report
46642	Public Housing Capital Fund Financing	Form and Instruction	New	Local Government Statement
46642	Public Housing Capital Fund Financing	Form	New	Five-Year Action Plan
46642	Public Housing Capital Fund Financing	Form and Instruction	New	Management Needs Assessment
46642	Public Housing Capital Fund Financing	Form and Instruction	New	HA Bord Resolution/Comprehensive Plan/Annual Statement
27829	Public Housing Capital Fund Financing	Form	Modified	Modernization of Public Housing Under the Comprehensive Grant Program
27829	Public Housing Capital Fund Financing	Form	Modified	Development Cost Budget/Cost Statement
27829	Public Housing Capital Fund Financing	Form	Modified	Analysis of Proposed Main Construction Contract
27829	Public Housing Capital Fund Financing	Form and Instruction	Modified	Schedule of Materials Stored
27829	Public Housing Capital Fund Financing	Form and Instruction	Modified	Schedule of Materials Stored
27829	Public Housing Capital Fund Financing	Form and Instruction	Modified	Schedule of Change Orders
27829	Public Housing Capital Fund Financing	Form	Modified	Periodic Estimate for Partial Payment
27829	Public Housing Capital Fund Financing	Form	Modified	Schedule of Amounts for Contract Payments
27829	Public Housing Capital Fund Financing	Form and Instruction	Modified	Contract for Inspection Services
27829	Public Housing Capital Fund Financing	Form	Modified	Mixed-Finance Rental Term Sheet
27829	Public Housing Capital Fund Financing	Form and Instruction	Modified	Homeownership Addendum to ACC
27829	Public Housing Capital Fund Financing	Form	Modified	Site, Design and Cost Report (PIH)
27829	Public Housing Capital Fund Financing	Form	Modified	Demonstration of Financial Feasibility
27829	Public Housing Capital Fund Financing	Form	Modified	Proposal for Public Housing Project
27829	Public Housing Capital Fund Financing	Form	Modified	Guide Form of Turnkey Developer's Packet
27829	Public Housing Capital Fund Financing	Form	Modified	Offer of Sale of Real Property
27829	Public Housing Capital Fund Financing	Form	Modified	Public Housing Construction Report
27829	Public Housing Capital Fund Financing	Form	Modified	Contract Provisions Required by Law
27829	Public Housing Capital Fund Financing	Form and Instruction	Modified	Contract for Development of A/E Services
27829	Public Housing Capital Fund Financing	Form and Instruction	Modified	Certificaiton of payments to influence federal transactions
27829	Public Housing Capital Fund Financing	Form and Instruction	Modified	Outline Specifications
27829	Public Housing Capital Fund Financing	Form	Modified	Actual Development Cost Certificate

ICR Details

OMB Control No: 2577-0157	ICR Reference No: 200701-2577-002
Status: Historical Inactive	Previous ICR Reference No: 200509-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No:
Title: Public Housing Capital Fund Financing
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Preapproved	Conclusion Date: 03/12/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/05/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2010	36 Months From Approved	11/30/2008
Responses	91,419	0	97,262
Time Burden (Hours)	334,132	0	347,886
Cost Burden (Dollars)	0	0	0

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Abstract: Information collected to ensure that PHAs appropriately disburse and utilize the funds provided for modernization and new construction of Public Housing including, Mixed Finance and Capital Fund Financing.

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Authorizing Statute(s): US Code: 42 USC 1437q Name of Law: U.S. Housing Act of 1937
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2577-AC55	Proposed rulemaking	71 FR 248	12/27/2006

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Public Housing Capital Fund Financing	HUD 51003, HUD 50070, HUD 5370, HUD 5372, HUD 5370 EZ, HUD 52834, HUD 52835, HUD 53001, HUD 52833, HUD 52845, HUD 52847, HUD 5370-C, HUD 5460, HUD 52836, HUD 52842, HUD 52846, JID 52837, HUD 52849	Management Needs Assessment ,   Five-Year Action Plan ,   Local Government Statement ,   HA Bord Resolution/Comprehensive Plan/Annual Statement ,   Annual Statement/Performance Plan and Evaluation Report ,   Performance and Evaluation Report/Replacement Reserve ,   Capital Fund Financing Program Model Term Sheet ,   Capital Fund Financing Program Monthly Debt Service Schedule ,   Capital Fund Financing Program Monthly Debt Service Schedule ,   Capital Fund Financing Program List of Participating PHAs ,   Actual Modernization Cost Certificate ,   General Conditions of the Construction Contact (PHAs) ,   General Conditions, Non-Construciton Contract ,   Contract Administration (PIH) ,   Insurance Information ,   HUD Form ,   HUD form 5370 EZ ,   Certificate for a Drug Free Workplace
Public Housing Capital Fund Financing	HUD 51001, HUD 50029, HUD 5100, HUD 52396, HUD 52427, HUD 52832, HUD-5087, HUD-50071, HUD-51915, HUD-51915-A, HUD-5378, HUD-51971-I-II, HUD-52482, HUD-52483-A, HUD-52485, HUD-52651-A, HUD 51003, HUD 5084, HUD 52484, HUD 50030, HUD 51002, HUD 51004	Outline Specifications ,   Certificaiton of payments to influence federal transactions ,   Contract for Development of A/E Services ,   Contract Provisions Required by Law ,   Public Housing Construction Report ,   Offer of Sale of Real Property ,   Guide Form of Turnkey Developer's Packet ,   Proposal for Public Housing Project ,   Demonstration of Financial Feasibility ,   Site, Design and Cost Report (PIH) ,   Homeownership Addendum to ACC ,   Mixed-Finance Rental Term Sheet ,   Contract for Inspection Services ,   Schedule of Amounts for Contract Payments ,   Periodic Estimate for Partial Payment ,   Schedule of Change Orders ,   Schedule of Materials Stored ,   Schedule of Materials Stored ,   Analysis of Proposed Main Construction Contract ,   Actual Development Cost Certificate ,   Development Cost Budget/Cost Statement ,   Modernization of Public Housing Under the Comprehensive Grant Program

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	91,419	97,262	0	0	-5,843	0
Annual Time Burden (Hours)	334,132	347,886	0	6,590	-20,344	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: A proposed rule revises the current application process for participation in mixed-finance public housing development programs, including HOPE VI, to simplify and streamline the application, review and approval processes. HUD is also requesting the disaggregation of the Demolition and Disposition Application and Reporting portion of this as this collection. The Demolition and Dispositon Application and Reporting information collection will be reinstated under 2577-0075, which was discontinued in early 2006. The proposed desegregation will simplify requests and approvals for both HUD and OMB. .

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Annual Cost to Federal Government: $3,660,800

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/05/2007

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