Owner's Certification with HUD Tenant Eligibility and Rent Procedures

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 90105d Model Lease 811 PRAC	Form and Instruction	Modified	Available
Form HUD 90105c Model Lease 202 PRAC	Form and Instruction	Modified	Available
Form HUD 90105b Model Lease	Form and Instruction	Modified	Available
Form HUD 90066 Certificaiton of Domestic Violence, Dating Violence or Stalking	Form and Instruction	Modified	Available
Form HUD 90067 Lease Addendum	Form and Instruction	Modified	Available
Form HUD 90106 Appendix 5 - Sample Move-In/Move Out Inspection Form	Form and Instruction	Modified	Available
Form HUD 50059 A Owner's Certification of Compliance - Partial Certificaiton	Form and Instruction	Modified	Repair queued
Form HUD 50059 Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Available
Form HUD 90103 Sample Verificaiton of disability All Programs	Form and Instruction	Modified	Available
Form HUD 90102 Sample Verification of Disability	Form and Instruction	Modified	Available
Form HUD 27061-h Race and Ethnic Reporting Form	Form and Instruction	Modified	Available
Form HUD 90104 Exception to Limitations on Admission of Families	Form	Modified	Available
Form HUD 90101 Certificaiton for Qualified Long-Term Care Insurance Expenses	Form	Modified	Repair queued
Form HUD 90100 Annual Recertification	Form	Modified	Repair queued
Form 9887/9887A Notice and Consent for the Release of Information/Fact Sheet Verification of Information	Form	Modified	Available
Form HUD 90105a Model Lease for Subsidized Programs	Form and Instruction	Modified	Available
ICR 2502-0204rev (2).doc	Supporting Statement A	Uploaded 2008-09-04	Available
Emergency Letter.doc	Supplementary Document	Uploaded 2008-08-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Model Lease 811 PRAC
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Model Lease 202 PRAC
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Model Lease
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Certificaiton of Domestic Violence, Dating Violence or Stalking
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Lease Addendum
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Appendix 5 - Sample Move-In/Move Out Inspection Form
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Owner's Certification of Compliance - Partial Certificaiton
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Sample Verificaiton of disability All Programs
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Sample Verification of Disability
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Race and Ethnic Reporting Form
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form	Modified	Exception to Limitations on Admission of Families
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form	Modified	Certificaiton for Qualified Long-Term Care Insurance Expenses
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form	Modified	Annual Recertification
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form	Modified	Notice and Consent for the Release of Information/Fact Sheet Verification of Information
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures	Form and Instruction	Modified	Model Lease for Subsidized Programs

ICR Details

OMB Control No: 2502-0204	ICR Reference No: 200808-2502-003
Status: Historical Active	Previous ICR Reference No: 200712-2502-002
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 08/27/2008
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/05/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/19/2008
Terms of Clearance: HUD will not assure confidentiality unless backed by statute.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2009	6 Months From Approved	03/31/2011
Responses	3,277,693	0	4,964,605
Time Burden (Hours)	1,348,679	0	1,920,431
Cost Burden (Dollars)	0	0	0

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Abstract: Owner/Tenant infomation ensuring compliance with eligibility requirements and rent procedures for subsidized Multifamily Housing Programs, applicant priority, tenant income and rent determinations. The information is compiled for an annual report to Congress.

Emergency Justfication: An OMB emergency review is being requested to ensure TRACS Release 202C for Race/Ethnicity, the President Management Agenda Program Initiative Ten (10), 2502-0182 and 2502-0204 enhancements is implemented August 2008. The emergency action is necessary because the task order responsible for developing and implementing TRACS Release 202C expires at the end of fiscal year 2008. The TRACS implementation can’t occur as scheduled without OMB approved forms relative to 2502-0182 and 2502-0204. A delay in TRACS implementation will result in a need for additional funding and task order extension.

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Authorizing Statute(s): US Code: 12 USC 1701s Name of Law: Rent supplement payments for qualified lower income families
   US Code: 42 USC 1437 Name of Law: CHAPTER 8--LOW-INCOME HOUSING
   US Code: 12 USC 1715z-1 Name of Law: Rental and cooperative housing for lower income families
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 141	07/22/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Owner's Certification with HUD Tenant Eligibility and Rent Procedures	HUD 90105a, 9887/9887A, HUD 90100, HUD 90104, HUD 90101, HUD 27061-h, HUD 90102, HUD 90103, HUD 90106, HUD 50059 A, HUD 90067, HUD 90105 a, HUD 90105 c, HUD 90105b, HUD 90105d, HUD 50059, HUD 90066, HUD 90105b, HUD 90105c, HUD 90105d	Notice and Consent for the Release of Information/Fact Sheet Verification of Information ,   Annual Recertification ,   Certificaiton for Qualified Long-Term Care Insurance Expenses ,   Exception to Limitations on Admission of Families ,   Race and Ethnic Reporting Form ,   Sample Verification of Disability ,   Sample Verificaiton of disability All Programs ,   Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures ,   Owner's Certification of Compliance - Partial Certificaiton ,   Appendix 5 - Sample Move-In/Move Out Inspection Form ,   Lease Addendum ,   Certificaiton of Domestic Violence, Dating Violence or Stalking ,   Model Lease for Subsidized Programs ,   Model Lease ,   Model Lease 202 PRAC ,   Model Lease 811 PRAC

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	3,277,693	4,964,605	0	0	-1,686,912	0
Annual Time Burden (Hours)	1,348,679	1,920,431	0	-571,752	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Changing Forms

Short Statement: (1) There will be a two minute reduction in collections for the HUD-50059 Full Certification [(613,827 transactions x 2 minutes)/60 minutes = 20,461 hours]. The adjustment is due to the discontinued collection of Region Code, Field Office Code, Conversion Date Code, Continuous Section 8 Indicator, HCDA Percentage, Percentage Actually Charged and Age 62 at Conversion Indicator. (2) A 48 minute reduction in collections will be realized through use of the HUD-50059-A Partial Certification [(689,112 transactions x 48 minutes)/60 minutes = 551,291 hours]. Information collected for Owner’s Certification of Compliance with HUD’s Tenant Eligibility and Rent Procedures – Partial Certification (HUD-50059-A) separates and collects information only pertinent to Partial Certifications (i.e. Gross Rent Changes, Unit Transfers, Terminations and Move Outs); thus, eliminating the collection and reporting of Full Certification information unnecessarily.

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Annual Cost to Federal Government: $1,852,926

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: 08/19/2008

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