Consolidated Annual Contributions Contract Between Housing Authority and the United States of America - Part A

Public Housing Annual Contributions Contract

Documents and Forms

Document Name Document Type
Form HUD Form 53012-A Consolidated Annual Contributions Contract Between Housing Authority and the United States of America - Part A Form and Instruction
HUD Form 53012-A Terms and Conditions 53012-a.pdf www.hud.gov/offices/adm/hudclips/forms/files/53012-a.pdf Form and Instruction
HUD Form 53012-B Additional Terms and Conditions 53012-b.pdf www.hud.gov/offices/adm/hudclips/forms/files/53012-b.pdf Form and Instruction
HUD Form 52190-A Declaration of Trust 52190-a.pdf www.hud.gov/offices/adm/hudclips/forms/files/52190-a.pdf Form and Instruction
HUD Form 52840-A Capital Fund Program (CFP) Amendment 52840-a.pdf www.hud.gov/offices/adm/hudclips/forms/files/52840-a.pdf Form and Instruction
HUD Form 52190-B Declaration of Trust (Public Housing Modernization Grant 52190-b.pdf www.hud.gov/offices/adm/hudclips/forms/files/52190-b.pdf Form and Instruction
HUD Form 51999 General Depository Agreement 51999.pdf www.hud.gov/offices/adm/hudclips/forms/files/51999.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Consolidated Annual Contributions Contract Between Housing Authority and the United States of America - Part A	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 969 24 CFR 941

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD Form 53012-A	Terms and Conditions	53012-a.pdf	http://www.hud.gov/offices/adm/hudclips/forms/files/53012-a.pdf	Yes	No	Printable Only
Form and Instruction	HUD Form 53012-B	Additional Terms and Conditions	53012-b.pdf	http://www.hud.gov/offices/adm/hudclips/forms/files/53012-b.pdf	Yes	No	Printable Only
Form and Instruction	HUD Form 52190-A	Declaration of Trust	52190-a.pdf	http://www.hud.gov/offices/adm/hudclips/forms/files/52190-a.pdf	Yes	No	Printable Only
Form and Instruction	HUD Form 52840-A	Capital Fund Program (CFP) Amendment	52840-a.pdf	http://www.hud.gov/offices/adm/hudclips/forms/files/52840-a.pdf	Yes	No	Printable Only
Form and Instruction	HUD Form 52190-B	Declaration of Trust (Public Housing Modernization Grant Projects)	52190-b.pdf	http://www.hud.gov/offices/adm/hudclips/forms/files/52190-b.pdf	Yes	No	Printable Only
Form and Instruction	HUD Form 51999	General Depository Agreement	51999.pdf	http://www.hud.gov/offices/adm/hudclips/forms/files/51999.pdf	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 625	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	625	625
Annual IC Time Burden (Hours)	725	725
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.