Information Collection

Housing Choice Voucher Program

IC 27839 under ICR 200811-2577-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Housing Choice Voucher Program	Form and Instruction
HMO-4-HUD-Form-52641-A_FIN.pdf	Other-Addendum
LAO-4-St-HUD-Form-52641-A_FIN.pdf	Other-Addendum
ARA-4_HUD_form_52641-A_FIN.pdf	Other-Addendum
CHI-4_HUD_form_52641-A.pdf	Other-Addendum
CRE 4_HUD_form_52641-A_FIN.pdf	Other-Addendum
SPA-4_HUD_form_52641-A_FIN.pdf	Other-Addendum
CAM-4-ST-HUD-form-52641-A.pdf	Other-Addendum
KOR-4-HUD-Form-52641-A_FIN.pdf	Other-Addendum
VIE-4-HUD-Form-52641-A_FIN.pdf	Other-Addendum
RUS-4_HUD_form_52641-A_FIN.pdf	Other-Addendum
FRE-4_HUD_form_52641-A_FIN.pdf	Other-Addendum
2993.pdf	Other-Acknowledgment
96011.doc	Other-FAX Transmittal
2991.pdf	Other-Certification
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
HUD 52517- Hmong Request for Tenancy Approval Housing Choice Voucher Prog HMO-2-HUD-Form-5217_FIN.pdf	Form and Instruction
HUD 52517-Laotian Request for Tenancy Approval Housing Choice Voucher Prog LAO-2-HUD-Form-52517_FIN.pdf	Form and Instruction
HUD 52517-Arabic Request for Tenancy Approval Housing Choice Voucher Prog ARA-2_HUD_form_52517_FIN.pdf	Form and Instruction
HUD 52517-Chinese Request for Tenancy Approval Housing Choice Voucher Prog CHI-2_HUD_form_52517.pdf	Form and Instruction
HUD 52517-Creole Request for Tenancy Approval Housing Choice Voucher Prog CRE 2_HUD_form_52517_FIN.pdf	Form and Instruction
HUD 52517-Spanish Request for Tenancy Approval Housing Choice Voucher Prog SPA-2_HUD_form_52517_FIN.pdf	Form and Instruction
HUD 52517-Cambodia Request for Tenancy Approval Housing Choice Voucher Prog CAM-2-ST-HUD-Form-525171.pdf	Form and Instruction
HUD 52517 Request for Tenancy Approval Housing Choice Voucher Prog KOR-2-HUD-Form-52517_FIN.pdf	Form and Instruction
HUD 52517-Vietname Request for Tenancy Approval Housing Choice Voucher Prog VIE-2-HUD-Form-52517_FIN.pdf	Form and Instruction
HUD 52517-Russian Request for Tenancy Approval Housing Choice Voucher Prog RUS-2_HUD_form_52517_FIN.pdf	Form and Instruction
HUD 52517-French Request for Tenancy Approval Housing Choice Voucher Prog FRE-2_HUD_form_52517_FIN.pdf	Form and Instruction
HUD 52641-French Housing Assistance Payments Contracts (HAP Contract) FRE-3_HUD_form_52641_FIN.pdf	Form and Instruction
HUD 52641-Laotian Housing Assistance Payments Contracts (HAP Contract) LAO-3-HUD Form- 52641_REV.pdf	Form and Instruction
HUD 52641-Arabic Housing Assistance Payments Contracts (HAP Contract) ARA-3_HUD_form_52641_FIN.pdf	Form and Instruction
HUD 52641-Chinese Housing Assistance Payments Contracts (HAP Contract) CHI-3_HUD_form_52641.pdf	Form and Instruction
HUD 52641-Creole Housing Assistance Payments Contracts (HAP Contract) CRE 3_HUD_form_52641_FIN.pdf	Form and Instruction
HUD 52641-Spanish Housing Assistance Payments Contracts (HAP Contract) SPA-3_HUD_form_52641_FIN.pdf	Form and Instruction
HUD 52641-Cambodia Housing Assistance Payments Contracts (HAP Contract) CAM-3-St-HUD-Form-52641.pdf	Form and Instruction
HUD 52641-Korean Housing Assistance Payments Contracts (HAP Contract) KOR-3-HUD-Form-52641_FIN.pdf	Form and Instruction
HUD 52641-Vietname Housing Assistance Payments Contracts (HAP Contract) VIE-3-HUD-Form-52641_FIN.pdf	Form and Instruction
HUD 52641-Russian Housing Assistance Payments Contracts (HAP Contract) RUS-3_HUD_form_52641_FIN.pdf	Form and Instruction
HUD 52641-French Housing Assistance Payments Contracts (HAP Contract) FRE-3_HUD_form_52641_FIN.pdf	Form and Instruction
HUD 52641-Hmong Housing Assistance Payments Contracts (HAP Contract) HMO-3-HUD-Form-52641_FIN.pdf	Form and Instruction
HUD 52646 Voucher (Housing Choice Vocher Program) LAO-5-St-HUD-Form-52646_FIN.pdf	Form and Instruction
HUD 52646-Cambodia Voucher (Housing Choice Vocher Program ARA-5_HUD_form_52646_FIN.pdf	Form and Instruction
HUD 52646-Chinese Voucher (Housing Choice Vocher Program CHI-5_HUD_form_52646.pdf	Form and Instruction
HUD 52646-Creole Voucher (Housing Choice Vocher Program CRE 5_HUD_form_52646_FIN.pdf	Form and Instruction
HUD 52645-Spanish Voucher (Housing Choice Vocher Program SPA-5_HUD_form_52646_FIN.pdf	Form and Instruction
HUD 52646- Camodia Voucher (Housing Choice Vocher Program CAM-5-St-HUD-Form-52646.pdf	Form and Instruction
HUD 52646-Korean Voucher (Housing Choice Vocher Program KOR-5-HUD-Form-52646_FIN.pdf	Form and Instruction
HUD 52646-Vietname Voucher (Housing Choice Vocher Program VIE-5-HUD-Form-52646_FIN.pdf	Form and Instruction
HUD 52646-Russian Voucher (Housing Choice Vocher Program RUS-5_HUD_form_52646_FIN.pdf	Form and Instruction
HUD 52646-French Voucher (Housing Choice Vocher Program FRE-5_HUD_form_52646_FIN.pdf	Form and Instruction
HUD 52646-Hmong Voucher (Housing Choice Vocher Program HMO-5-HUD-Form-52646_FIN.pdf	Form and Instruction
HUD 52649-Laotian Statement of Homeowner Obligations (Housing Choice Homeo LAO-6-St-HUD-form-52649_FIN.pdf	Form and Instruction
HUD 52649-Arabic Statement of Homeowner Obligations (Housing Choice Homeo ARA-6_HUD_form_52649_FIN.pdf	Form and Instruction
HUD 52649-Chinese Statement of Homeowner Obligations (Housing Choice Homeo CHI-6_HUD_form_52649.pdf	Form and Instruction
HUD 52649-Creole Statement of Homeowner Obligations (Housing Choice Homeo CRE 6_HUD_form_52649_FIN.pdf	Form and Instruction
HUD 52649-Spanish Statement of Homeowner Obligations (Housing Choice Homeo SPA-6_HUD_form_52649_FIN.pdf	Form and Instruction
HUD 52649-Cambodia Statement of Homeowner Obligations (Housing Choice Homeo CAM-6-St-HUD-Form-52649.pdf	Form and Instruction
HUD 52649-Korean Statement of Homeowner Obligations (Housing Choice Homeo KOR-6-HUD-Form-52649_FIN.pdf	Form and Instruction
HUD 52649-Vietname Statement of Homeowner Obligations (Housing Choice Homeo VIE-6-HUD-Form-52649_FIN.pdf	Form and Instruction
HUD 52649-Russian Statement of Homeowner Obligations (Housing Choice Homeo RUS-6_HUD_form_52649_FIN.pdf	Form and Instruction
HUD 52649-French Statement of Homeowner Obligations (Housing Choice Homeo FRE-6_HUD_form_52649_FIN.pdf	Form and Instruction
HUD 52649-Hmong Statement of Homeowner Obligations (Housing Choice Homeo HMO-6-HUD-Form-52649_FIN.pdf	Form and Instruction
HUD 2880 Applicant/Recipient Disclosure/Update Report 2880.pdf	Form and Instruction
SF 424 Application for Federal Assistance SF 424.pdf	Form and Instruction
SF LLL DISCLOSURE OF LOBBYING ACTIVITIES sflllin.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: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 982.158 24 CFR 982.517

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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
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 52517- Hmong	Request for Tenancy Approval Housing Choice Voucher Program	HMO-2-HUD-Form-5217_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517-Laotian	Request for Tenancy Approval Housing Choice Voucher Program	LAO-2-HUD-Form-52517_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517-Arabic	Request for Tenancy Approval Housing Choice Voucher Program	ARA-2_HUD_form_52517_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517-Chinese	Request for Tenancy Approval Housing Choice Voucher Program	CHI-2_HUD_form_52517.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517-Creole	Request for Tenancy Approval Housing Choice Voucher Program	CRE 2_HUD_form_52517_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517-Spanish	Request for Tenancy Approval Housing Choice Voucher Program	SPA-2_HUD_form_52517_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517-Cambodian	Request for Tenancy Approval Housing Choice Voucher Program	CAM-2-ST-HUD-Form-525171.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517	Request for Tenancy Approval Housing Choice Voucher Program	KOR-2-HUD-Form-52517_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517-Vietnamese	Request for Tenancy Approval Housing Choice Voucher Program	VIE-2-HUD-Form-52517_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517-Russian	Request for Tenancy Approval Housing Choice Voucher Program	RUS-2_HUD_form_52517_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52517-French	Request for Tenancy Approval Housing Choice Voucher Program	FRE-2_HUD_form_52517_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-French	Housing Assistance Payments Contracts (HAP Contract)	FRE-3_HUD_form_52641_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Laotian	Housing Assistance Payments Contracts (HAP Contract)	LAO-3-HUD Form- 52641_REV.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Arabic	Housing Assistance Payments Contracts (HAP Contract)	ARA-3_HUD_form_52641_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Chinese	Housing Assistance Payments Contracts (HAP Contract)	CHI-3_HUD_form_52641.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Creole	Housing Assistance Payments Contracts (HAP Contract)	CRE 3_HUD_form_52641_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Spanish	Housing Assistance Payments Contracts (HAP Contract)	SPA-3_HUD_form_52641_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Cambodian	Housing Assistance Payments Contracts (HAP Contract)	CAM-3-St-HUD-Form-52641.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Korean	Housing Assistance Payments Contracts (HAP Contract)	KOR-3-HUD-Form-52641_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Vietnamese	Housing Assistance Payments Contracts (HAP Contract)	VIE-3-HUD-Form-52641_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Russian	Housing Assistance Payments Contracts (HAP Contract)	RUS-3_HUD_form_52641_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-French	Housing Assistance Payments Contracts (HAP Contract)	FRE-3_HUD_form_52641_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52641-Hmong	Housing Assistance Payments Contracts (HAP Contract)	HMO-3-HUD-Form-52641_FIN.pdf	Yes	No	Fillable Printable
Other-Addendum			HMO-4-HUD-Form-52641-A_FIN.pdf	Yes	No	Fillable Printable
Other-Addendum			LAO-4-St-HUD-Form-52641-A_FIN.pdf	Yes	No	Fillable Printable
Other-Addendum			ARA-4_HUD_form_52641-A_FIN.pdf	Yes	No	Fillable Printable
Other-Addendum			CHI-4_HUD_form_52641-A.pdf	Yes	No	Fillable Printable
Other-Addendum			CRE 4_HUD_form_52641-A_FIN.pdf	Yes	No	Fillable Printable
Other-Addendum			SPA-4_HUD_form_52641-A_FIN.pdf	Yes	No	Fillable Printable
Other-Addendum			CAM-4-ST-HUD-form-52641-A.pdf	Yes	No	Fillable Printable
Other-Addendum			KOR-4-HUD-Form-52641-A_FIN.pdf	Yes	No	Fillable Printable
Other-Addendum			VIE-4-HUD-Form-52641-A_FIN.pdf	Yes	No	Fillable Printable
Other-Addendum			RUS-4_HUD_form_52641-A_FIN.pdf	Yes	No	Fillable Printable
Other-Addendum			FRE-4_HUD_form_52641-A_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646	Voucher (Housing Choice Vocher Program)	LAO-5-St-HUD-Form-52646_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646-Cambodian	Voucher (Housing Choice Vocher Program	ARA-5_HUD_form_52646_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646-Chinese	Voucher (Housing Choice Vocher Program	CHI-5_HUD_form_52646.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646-Creole	Voucher (Housing Choice Vocher Program	CRE 5_HUD_form_52646_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52645-Spanish	Voucher (Housing Choice Vocher Program	SPA-5_HUD_form_52646_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646- Camodian	Voucher (Housing Choice Vocher Program	CAM-5-St-HUD-Form-52646.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646-Korean	Voucher (Housing Choice Vocher Program	KOR-5-HUD-Form-52646_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646-Vietnamese	Voucher (Housing Choice Vocher Program	VIE-5-HUD-Form-52646_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646-Russian	Voucher (Housing Choice Vocher Program	RUS-5_HUD_form_52646_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646-French	Voucher (Housing Choice Vocher Program	FRE-5_HUD_form_52646_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52646-Hmong	Voucher (Housing Choice Vocher Program	HMO-5-HUD-Form-52646_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-Laotian	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	LAO-6-St-HUD-form-52649_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-Arabic	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	ARA-6_HUD_form_52649_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-Chinese	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	CHI-6_HUD_form_52649.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-Creole	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	CRE 6_HUD_form_52649_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-Spanish	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	SPA-6_HUD_form_52649_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-Cambodian	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	CAM-6-St-HUD-Form-52649.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-Korean	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	KOR-6-HUD-Form-52649_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-Russian	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	RUS-6_HUD_form_52649_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-French	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	FRE-6_HUD_form_52649_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52649-Hmong	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	HMO-6-HUD-Form-52649_FIN.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 2880	Applicant/Recipient Disclosure/Update Report	2880.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52649-Vietnamese	Statement of Homeowner Obligations (Housing Choice Homeownership Voucher Program)	VIE-6-HUD-Form-52649_FIN.pdf	Yes	No	Fillable Printable
Other-Acknowledgment			2993.pdf	Yes	Yes	Fillable Fileable
Other-FAX Transmittal			96011.doc	Yes	Yes	Fillable Printable
Other-Certification			2991.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF LLL	DISCLOSURE OF LOBBYING ACTIVITIES	sflllin.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF 424	Application for Federal Assistance	SF 424.pdf	Yes	Yes	Fillable Fileable

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	Previously Approved
Annual Number of Responses for this IC	3,012,426	3,012,426
Annual IC Time Burden (Hours)	1,070,603	1,070,603
Annual IC Cost Burden (Dollars)	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.