Information Collection

Public Housing Agency Plan

IC 44117 under ICR 201007-2577-005 · OMB 2577-0226.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0226 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 50077 Public Housing Agency Plan	Form and Instruction
50075.2 Capital Fund Program - Five-Year Action Plan 50075.2. 1-19-2011pdf.pdf	Form
50077SL Certification by State or Local Official of PHA Plans Co 50077sl. 1-19-2011pdf.pdf	Form
50075.1i Instructions for Preparation of Form HUD-50075.1 50075.1i. 1-19-2011pdf.pdf	Form and Instruction
50075.1 Annual Statement/Performance and Evaluation Report 50075.1. 1-19-2011pdf.pdf	Form
50077CR Civil Rights Certification 50077cr. 1-19-2011pdf.pdf	Form and Instruction
50077 PHA Certification of Compliance with PHA Plans and Relat 50077. 1-19-2011pdf.pdf	Form and Instruction
50075 PHA 5-Year and Annual Plan 50075.pdf	Form and Instruction
50075.2i Instructions for Preparation of Form HUD-50075.2 50075.2i.pdf	Form and Instruction

IC Title:

Public Housing Agency Plan

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 903.23(b)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	50075.1	Annual Statement/Performance and Evaluation Report	50075.1. 1-19-2011pdf.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	50077CR	Civil Rights Certification	50077cr. 1-19-2011pdf.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	50075.2i	Instructions for Preparation of Form HUD-50075.2	50075.2i.pdf	Yes	No	Printable Only
Form and Instruction	50077	PHA Certification of Compliance with PHA Plans and Related Regulations	50077. 1-19-2011pdf.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	50075.1i	Instructions for Preparation of Form HUD-50075.1	50075.1i. 1-19-2011pdf.pdf	Yes	No	Printable Only
Form	50075.2	Capital Fund Program - Five-Year Action Plan	50075.2. 1-19-2011pdf.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	50075	PHA 5-Year and Annual Plan	50075.pdf	Yes	Yes	Fillable Fileable
Form	50077SL	Certification by State or Local Official of PHA Plans Consistency with the Consolidated Plan	50077sl. 1-19-2011pdf.pdf	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,114

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,114	-25	4,139
Annual IC Time Burden (Hours)	22,201	-30,311	52,512
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.