Applications for Housing Assistance Payments; Special Claims Processing

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 52670-A part 5 Approved Special Claims for Schedule of Tenant Assistance Payments Due	Form and Instruction	Modified	Available
Form HUD 52670-A part 4 Misc. Accounting requiests for Schedule of Tenant Assistance Payments Due	Form and Instruction	Modified	Available
Form HUD 52670-A-part 3 Adjustments to Schedule of Tenant Assistance Payments Due	Form and Instruction	Modified	Available
Form HUD 52670-A Part 2 Special Claims Schedule	Form and Instruction	Modified	Available
Form HUD-52670 Housing Owner's Certification and Application for Housing Assistance Payments	Form	Modified	Available
Form HUD-52671-D Special Claims for Debt Service	Form	Modified	Available
Form HUD-52671-C Special Claims for Regular Vacancies	Form	Modified	Available
Form HUD 52671-B Special Claims for Vacancies Durinf Rent-Up	Form	Modified	Available
Form HUD 52671-A Special Claims for Unpaid Rent/Damages	Form	Modified	Available
Form 52670-A-PART-1 Schedule of Tenant ASsistance Payments Due	Form	Modified	Available
83-I 2502-0182.doc	Supporting Statement A	Uploaded 2009-03-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form and Instruction	Modified	Approved Special Claims for Schedule of Tenant Assistance Payments Due
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form and Instruction	Modified	Misc. Accounting requiests for Schedule of Tenant Assistance Payments Due
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form and Instruction	Modified	Adjustments to Schedule of Tenant Assistance Payments Due
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form and Instruction	Modified	Special Claims Schedule
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form	Modified	Housing Owner's Certification and Application for Housing Assistance Payments
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form	Modified	Special Claims for Debt Service
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form	Modified	Special Claims for Regular Vacancies
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form	Modified	Special Claims for Vacancies Durinf Rent-Up
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form	Modified	Special Claims for Unpaid Rent/Damages
27051	Applications for Housing Assistance Payments; Special Claims Processing	Form	Modified	Schedule of Tenant ASsistance Payments Due

ICR Details

OMB Control No: 2502-0182	ICR Reference No: 200902-2502-004
Status: Historical Active	Previous ICR Reference No: 200808-2502-002
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Applications for Housing Assistance Payments; Special Claims Processing
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/24/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/05/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	04/30/2009
Responses	291,900	0	291,900
Time Burden (Hours)	301,951	0	301,951
Cost Burden (Dollars)	0	0	0

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Abstract: Owners/agents submit vouchers to HUD or their Contract Administrators (CA)/Performance Based Contract Administrators (PBCA) monthly to receive assistance payments for the difference between the gross rent and the total tenant payment for all assisted tenants. Special claims vouchers are also submitted by owners/agents to HUD or their CA/PBCA to receive an amount to offset unpaid rent, tenant damages, vacancies, and/or debt service losses.

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Authorizing Statute(s): None

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 248	12/24/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 41	03/04/2009
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
Applications for Housing Assistance Payments; Special Claims Processing	HUD 52670-A part 5, HUD-52671-C, HUD 52671-A, HUD-52671-D, HUD 52670-A Part 2, HUD 52671-B, HUD-52670, HUD 52670-A-part 3, HUD 52670-A part 4, 52670-A-PART-1	Schedule of Tenant ASsistance Payments Due ,   Special Claims for Unpaid Rent/Damages ,   Special Claims for Vacancies Durinf Rent-Up ,   Special Claims for Regular Vacancies ,   Special Claims for Debt Service ,   Housing Owner's Certification and Application for Housing Assistance Payments ,   Special Claims Schedule ,   Adjustments to Schedule of Tenant Assistance Payments Due ,   Misc. Accounting requiests for Schedule of Tenant Assistance Payments Due ,   Approved Special Claims for Schedule of Tenant Assistance Payments Due

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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	291,900	291,900	0	0	0	0
Annual Time Burden (Hours)	301,951	301,951	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $5,075,792

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)? No

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: 03/05/2009

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