Information Collection

Public Housing Capital Fund Financing

IC 46642 under ICR 200701-2577-002 · OMB 2577-0157.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0157 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 52836 Public Housing Capital Fund Financing	Form and Instruction
HUD 52833 Management Needs Assessment 52833.pdf	Form and Instruction
HUD 52834 Five-Year Action Plan 52834.pdf	Form
HUD 52835 Local Government Statement 52835.pdf	Form and Instruction
HUD 52836 HA Bord Resolution/Comprehensive Plan/Annual Statement 52836.pdf	Form and Instruction
JID 52837 Annual Statement/Performance Plan and Evaluation Report 52837.pdf	Form and Instruction
HUD 52842 Performance and Evaluation Report/Replacement Reserve 52842.pdf	Form and Instruction
HUD 52845 Capital Fund Financing Program Model Term Sheet 52845.pdf	Form and Instruction
HUD 52846 Capital Fund Financing Program Monthly Debt Service Sche 52846.xls	Form
HUD 52847 Capital Fund Financing Program Monthly Debt Service Sche 52847.xls	Form
HUD 52849 Capital Fund Financing Program List of Participating PHA 52849.xls	Form and Instruction
HUD 51003 Actual Modernization Cost Certificate 51003.pdf	Form and Instruction
HUD 5370 General Conditions of the Construction Contact (PHAs) 5370.pdf	Form and Instruction
HUD 5370-C General Conditions, Non-Construciton Contract 5370-C1.pdf	Form and Instruction
HUD 5372 Contract Administration (PIH) 5372.pdf	Form and Instruction
HUD 5460 Insurance Information 5460.pdf	Form and Instruction
HUD 53001 HUD Form 53001.pdf	Form and Instruction
HUD 5370 EZ HUD form 5370 EZ 5370-EZ.pdf	Form and Instruction
HUD 50070 Certificate for a Drug Free Workplace 50070.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Public Housing Capital Fund Financing

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 941

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	HUD 52836	HA Bord Resolution/Comprehensive Plan/Annual Statement	52836.pdf	No	Fillable Printable
Form and Instruction	HUD 52842	Performance and Evaluation Report/Replacement Reserve	52842.pdf	No	Fillable Printable
Form and Instruction	HUD 5370-C	General Conditions, Non-Construciton Contract	5370-C1.pdf	No	Fillable Printable
Form and Instruction	HUD 5460	Insurance Information	5460.pdf	No	Fillable Printable
Form	HUD 52846	Capital Fund Financing Program Monthly Debt Service Schedule	52846.xls	No	Fillable Printable
Form and Instruction	JID 52837	Annual Statement/Performance Plan and Evaluation Report	52837.pdf	No	Fillable Printable
Form and Instruction	HUD 52849	Capital Fund Financing Program List of Participating PHAs	52849.xls	No	Fillable Printable
Form and Instruction	HUD 51003	Actual Modernization Cost Certificate	51003.pdf	No	Fillable Printable
Form	HUD 50070	Certificate for a Drug Free Workplace	50070.pdf	No	Fillable Printable
Form and Instruction	HUD 5370	General Conditions of the Construction Contact (PHAs)	5370.pdf	No	Fillable Printable
Form and Instruction	HUD 5372	Contract Administration (PIH)	5372.pdf	No	Fillable Printable
Form and Instruction	HUD 5370 EZ	HUD form 5370 EZ	5370-EZ.pdf	No	Fillable Printable
Form	HUD 52834	Five-Year Action Plan	52834.pdf	No	Fillable Printable
Form and Instruction	HUD 52835	Local Government Statement	52835.pdf	No	Fillable Printable
Form and Instruction	HUD 53001	HUD Form	53001.pdf	No	Fillable Printable
Form and Instruction	HUD 52833	Management Needs Assessment	52833.pdf	No	Fillable Printable
Form and Instruction	HUD 52845	Capital Fund Financing Program Model Term Sheet	52845.pdf	No	Fillable Printable
Form	HUD 52847	Capital Fund Financing Program Monthly Debt Service Schedule	52847.xls	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,553

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	45,710	0	45,710
Annual IC Time Burden (Hours)	167,066	3,295	163,771
Annual IC Cost Burden (Dollars)	0	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.