Housing Choice Voucher Program

Forms and Documents

Document Name	Status
Form HUD52515 Housing Choice Voucher Program Form and Instruction	Modified
Housing Choice Voucher Program (VMS) Emergency OMB Letter.PDF Supplementary Document	2010-03-31
83-i VMS PRA -FINAL03-22-10.docx Supporting Statement A	2010-03-31
VMS Form - Segmented.docx Supplementary Document	2010-03-31

IC Document Collections

IC ID	Document Title	Status
27839	Housing Choice Voucher Program Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0169	ICR Reference No: 201003-2577-004
Status: Historical Active	Previous ICR Reference No: 200907-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No:
Title: Housing Choice Voucher Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 04/02/2010
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/04/2010
	Date Received in OIRA: 03/31/2010
Terms of Clearance: The Department is approved this emergency clearance for a period of six months. The September 30, 2012 expiration date is no longer valid. All forms and instruments under this information collection should reflect the new expiration date.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	6 Months From Approved	09/30/2012
Responses	3,037,954	0	3,037,954
Time Burden (Hours)	1,238,448	0	1,223,748
Cost Burden (Dollars)	0	0	0

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Abstract: Public Housing Authorities' (PHA) application for funding to a assist very low-income families to lease or purchase housing. PHAs maintain records on participant eligibility, until acceptability, lease and/or housing assistance payments, and budget and payment documentation.

Emergency Justfication: This request for emergency processing is essential for the immediate identification and correction of incipient and actual financial shortfalls of Public Housing Agencies (PHAs) that will threaten the participation of qualified families. The Department requests the addition of four fields to VMS as a part of our prevention strategy: NET Restricted Assets (NRA), Unrestricted Net Assets (UNA), Cash/Investments, and the number of vouchers issued but not under active housing assistance payments (HAP) contract.

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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

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Housing Choice Voucher Program	52578B, HUD 52530-B, HUD 52530C, 52530-B, HUD 52681-b, HUD 52530-A, HUD 52681, HUD52515, HUD 52517, HUD 52531A, HUD 52531B, HUD52580, HUD 52580-A, HUD 52641, HUD 52641-A, HUD 52642, HUD 52665, HUD 52667, HUD 52672, HUD 52642-A, HUD 5253A, HUD 52649, HUD 52646	Funding Application-Section 8 Tenant-Based Assistnace Rental Voucher Program ,   Request for Tenancy Approval ,   Agreement to Enter Into Housing Assistance Payments Contract ,   Agreement to Enter Into Housing Assistance Payments Contract ,   Inspection Checklist ,   Inspection Form ,   Housing Assitance Payments Contract (HAP Contract) ,   Tenancy Addendum ,   Housing Assitance Payments Contract Manufactured Home Space Rental ,   Tenancy Addendum Manfactured Home Space Rental Section 8 Tenant-Based Assitance Housing Choice Voucher Program ,   Voucher ,   Statement of Homeowner Obligations Housing Choice Homeownership Voucher Program ,   Family Portability Information ,   Allowances for Tenant-Furnished Utilities and Other Services ,   Supporting Data for Annual Contributions Estimates ,   Voucher for Payment of Annual Contributions and Operating Statement ,   Voucher for Payment of Annual Contributions and Operating Statement ,   Housing HAP part 2 ,   Housing Hap part 1 ,   HAP New Construction Part 1 ,   PBV HAP New Construction Part 2 ,   Statement of Family Responsibility ,   Tenancy Addendum

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ICR Summary 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	3,037,954	3,037,954	0	0	0	0
Annual Time Burden (Hours)	1,238,448	1,223,748	0	14,700	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Added four new reporting fields to VMS.

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Annual Cost to Federal Government: $457,500

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: 03/31/2010

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