Housing Choice Voucher Program

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form HUD-52667 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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-52667	Tenant - Furnished Utilities	52667.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52649	Statement of Homeowner Obligations	52649.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52642-A	Tenancy Addendum Manufactured Home Space Rental	52642-a.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52681-B	Voucher for Payment of Annual Contributions	52681-b.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52681	Financial Form	52681.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517	Requst for Tenancy Approval	52517.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646	Voucher	52646.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52672	Financial Form	52672.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52642	HAP Contract	52642.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52641-A	Tenancy Addendum	52641-a.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52641	Housing Assistance Contract (HAP)	52641.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52515	Funding Application	52515.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52580	Inspection Checklist	52580.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52665	Family Portability Information	52665.pdf	Yes	Yes	Fillable Printable

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 %

	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

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.