Form HUD 50078 HUD 50078 HUD Benchmarking Building Detail

HUD Benchmarking Building Detail	U.S. Department of Housing and Urban Development Office of Public and Indian Housing OMB Approval No. 2577-0062 (exp. 5/31/2010)
A pplicability. This form is applicable to all Public Housing Agencies.

Public reporting burden for this collection of information is estimated to average 1.5 hours. This includes the time for collection, reviewing, and reporting the data. This data should be available from previous energy audits, which are required by 24 CFR 965.302. Completing this form is voluntary. The information requested does not lend itself to confidentiality. HUD may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB number.

This form may be emailed to [email protected], or mailed to the following address:

U.S. Department of Housing and Urban Development

Public and Indian Housing

Office of Public Housing Programs

Management and Occupancy Division

Attn: Benchmarking

451 7^th Street SW, Room 4210

Washington, DC 20410

Building Identification
Building Name / ID	xxxxx/xxxxx
Address	xxxxx
City	xxxxx
State	xxxxx
Zip	xxxxx

Building Description
Gross floor area of building	sq ft
Number of floors
Number of residential units in building
Number of bedrooms (single-family houses only)

Building Use
Floor area of building dedicated to commercial office space?	Select... sq ft %
Floor area of building dedicated to commercial food preparation?	Select... sq ft %
Floor area of building dedicated to other commercial activity?	Select... sq ft %
Floor area dedicated to common space (hallways, rec. rooms, dining rooms, central laundry, administration)?	Select... sq ft %
Do occupants enter their units from hallways or corridors within the building interior?	Yes No

Internal Amenities
Floor area of the building that is cooled	Select... sq ft %
Floor area of the building that is heated	Select... sq ft %
Is there a central laundry in the building for occupant use?	Yes No
Is this area separately metered for energy & water?	Yes No
What percentage of units have washer and dryer hookups?	% (approximate)

Exterior Amenities
Enclosed garage present?	Yes No
If so, floor area?	Sq ft
Open garage present?	Yes No
If so, floor area?	Sq ft
Open parking lot for residents?	Yes No
If so, provide area or number of spaces?
Swimming pool present?	Yes No

Utility Use Data	Consumption	Expense ($)
Electricity	kWh per year per quarter per month	per year per quarter per month
Natural Gas	Select... therms cu. ft. MBTU per year per quarter per month	per year per quarter per month
Fuel Oil	Select... MBTU gal per year per quarter per month	per year per quarter per month
Water	gal per year per quarter per month	per year per quarter per month
Sewage	gal per year per quarter per month	per year per quarter per month

Optional
Who pays utility bills?	% paid by Resident
	% paid by PHA
	% paid shared by PHA and Resident

Previous editions are obsolete Page 3 of 3 form HUD-50078 (2/2010)