Information Collection

Housing Choice Voucher Program

IC 27839 under ICR 200706-2577-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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-52641-A Tenancy Addendum Housing Choice Voucher Program	Form and Instruction
Form HUD-52641 Housing Assistance Contract (HAP) Housing Choice Voucher Program	Form and Instruction
Form HUD-52515 Funding Application Housing Choice Voucher Program	Form and Instruction
Form HUD-52580 Inspection Checklist Housing Choice Voucher Program	Form and Instruction
Form HUD-52665 Family Portability Information Housing Choice Voucher Program	Form and Instruction
Form HUD-52667 Tenant - Furnished Utilities Housing Choice Voucher Program	Form and Instruction
Form HUD-52649 Statement of Homeowner Obligations Housing Choice Voucher Program	Form and Instruction
Form HUD-52642-A Tenancy Addendum Manufactured Home Space Rental Housing Choice Voucher Program	Form and Instruction
Form HUD-52681-B Voucher for Payment of Annual Contributions Housing Choice Voucher Program	Form and Instruction
Form HUD-52681 Financial Form Housing Choice Voucher Program	Form and Instruction
Form HUD 52517 Requst for Tenancy Approval Housing Choice Voucher Program	Form and Instruction
Form HUD 52646 Voucher Housing Choice Voucher Program	Form and Instruction
Form HUD 52672 Financial Form Housing Choice Voucher Program	Form and Instruction
Form HUD 52642 HAP Contract Housing Choice Voucher Program	Form and Instruction
HUD-52641-A Tenancy Addendum 52641-a.pdf	Form and Instruction
HUD-52641 Housing Assistance Contract (HAP) 52641.pdf	Form and Instruction
HUD-52515 Funding Application 52515.pdf	Form and Instruction
HUD-52580 Inspection Checklist 52580.pdf	Form and Instruction
HUD-52665 Family Portability Information 52665.pdf	Form and Instruction
HUD-52667 Tenant - Furnished Utilities 52667.pdf	Form and Instruction
HUD-52649 Statement of Homeowner Obligations 52649.pdf	Form and Instruction
HUD-52642-A Tenancy Addendum Manufactured Home Space Rental 52642-a.pdf	Form and Instruction
HUD-52681-B Voucher for Payment of Annual Contributions 52681-b.pdf	Form and Instruction
HUD-52681 Financial Form 52681.pdf	Form and Instruction
HUD 52517 Requst for Tenancy Approval 52517.pdf	Form and Instruction
HUD 52646 Voucher 52646.pdf	Form and Instruction
HUD 52672 Financial Form 52672.pdf	Form and Instruction
HUD 52642 HAP Contract 52642.pdf	Form and Instruction

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: 24 CFR 982.517 24 CFR 982.158

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-52641-A	Yes	No	Fillable Printable
Form and Instruction	HUD-52641	Yes	No	Fillable Printable
Form and Instruction	HUD-52515	Yes	No	Fillable Printable
Form and Instruction	HUD-52580	Yes	No	Fillable Printable
Form and Instruction	HUD-52665	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52667	Yes	No	Fillable Printable
Form and Instruction	HUD-52649	Yes	No	Fillable Printable
Form and Instruction	HUD-52642-A	Yes	No	Fillable Printable
Form and Instruction	HUD-52681-B	Yes	No	Fillable Printable
Form and Instruction	HUD-52681	Yes	No	Fillable Printable
Form and Instruction	HUD 52517	Yes	No	Fillable Printable
Form and Instruction	HUD 52646	Yes	No	Fillable Printable
Form and Instruction	HUD 52672	Yes	No	Fillable Printable
Form and Instruction	HUD 52642	Yes	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: 492,450

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 3 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,011,426	13,726	2,997,700
Annual IC Time Burden (Hours)	1,069,683	-124,892	1,194,575
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.

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