Information Collection

Owner's Certification with HUD Tenant Eligibility and Rent Procedures

IC 27064 under ICR 200906-2502-007 · OMB 2502-0204.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form HUD 90100
Annual Recertification Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90101
Certification for Qualified Long-Term Care Insurance Expenses Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90104
Exception to Limitations on Admission of Families Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90102
Sample Verification of Disability Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90103
Sample Verificaiton of disability All Programs Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 50059
Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 50059 A
Owner's Certification of Compliance - Partial Certificaiton Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90106
Appendix 5 - Sample Move-In/Move Out Inspection Form Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90167
Lease Addendum Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90166
Certificaiton of Domestic Violence, Dating Violence or Stalking Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90105 a
Appendix 4-A Model Lease for Subsidized Programs Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90105b
Appendix 4-B - Model Lease Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90105 c
Appendix 4-C 202 PRAC Lease Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90105d
Appendix 4-D 811 PRAC Lease Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 27061-h
Race and Ethnic Reporting Form Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD9887
Document Package for Applicant's/Tenant's Consent to the R Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
9887.pdf Other-Consent to Release Information
HUD 90100 Annual Recertification
90100.pdf
Form and Instruction
HUD 90101 Certification for Qualified Long-Term Care Insurance Exp
90101.pdf
Form and Instruction
HUD 90104 Exception to Limitations on Admission of Families
90104.pdf
Form and Instruction
HUD 90102 Sample Verification of Disability
90103.pdf
Form and Instruction
HUD 90103 Sample Verificaiton of disability All Programs
90103.pdf
Form and Instruction
HUD 50059 Owner's Certification of Compliance with HUD's Tenant El
50059.pdf
Form and Instruction
HUD 50059 A Owner's Certification of Compliance - Partial Certificai
50059-a.pdf
Form and Instruction
HUD 90106 Appendix 5 - Sample Move-In/Move Out Inspection Form
90106.pdf
Form and Instruction
HUD 90167 Lease Addendum
90167-ca.pdf
Form and Instruction
HUD 90166 Certificaiton of Domestic Violence, Dating Violence or S
90066.pdf
Form and Instruction
HUD 90105 a Appendix 4-A Model Lease for Subsidized Programs
90105a.pdf
Form and Instruction
HUD 90105b Appendix 4-B - Model Lease
90105b.pdf
Form and Instruction
HUD 90105 c Appendix 4-C 202 PRAC Lease
90105c.pdf
Form and Instruction
HUD 90105d Appendix 4-D 811 PRAC Lease
90105d.pdf
Form and Instruction
HUD 27061-h Race and Ethnic Reporting Form
27061-h .doc
Form and Instruction
HUD9887 Document Package for Applicant's/Tenant's Consent to the
9887.pdf
Form and Instruction
MF HSG - PCAS# 00251780 - PIA 2502-0204.doc
PIA
IC Document

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Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consent to Release Information Yes No Fillable Printable
Form and Instruction HUD 90100 Yes Yes Fillable Fileable
Form and Instruction HUD 90101 Yes Yes Fillable Fileable
Form and Instruction HUD 90104 Yes Yes Fillable Fileable
Form and Instruction HUD 90102 Yes Yes Fillable Fileable
Form and Instruction HUD 90103 Yes Yes Fillable Fileable
Form and Instruction HUD 50059 Yes Yes Fillable Fileable
Form and Instruction HUD 50059 A Yes Yes Fillable Fileable
Form and Instruction HUD 90106 Yes Yes Fillable Fileable
Form and Instruction HUD 90167 Yes Yes Fillable Fileable
Form and Instruction HUD 90166 Yes No Fillable Fileable
Form and Instruction HUD 90105 a Yes Yes Fillable Fileable
Form and Instruction HUD 90105b Yes Yes Fillable Fileable
Form and Instruction HUD 90105 c Yes Yes Fillable Fileable
Form and Instruction HUD 90105d Yes Yes Fillable Fileable
Form and Instruction HUD 27061-h Yes Yes Fillable Fileable
Form and Instruction HUD9887 Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,277,693 0 0 0 0 3,277,693
Annual IC Time Burden (Hours) 1,348,679 0 0 0 0 1,348,679
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
PIA 05/13/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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