Owner's Certification with HUD Tenant Eligibility and Rent Procedures

Owner's Certification with HUD Tenant Eligibility and Rent Procedures

OMB: 2502-0204

IC ID: 27064

Documents and Forms
Document Name
Document Type
Other-Consent to Release Information
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

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Owner's Certification with HUD Tenant Eligibility and Rent Procedures
 
No Modified
 
Required to Obtain or Retain Benefits
 
24 CFR 884 24 CFR 886 24 CFR 891 Subpart E 24 CFR Part 5 24 CFR 880 24 CFR 5.233  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consent to Release Information 9887.pdf Yes No Fillable Printable
Form and Instruction HUD 90100 Annual Recertification 90100.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90101 Certification for Qualified Long-Term Care Insurance Expenses 90101.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90104 Exception to Limitations on Admission of Families 90104.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90102 Sample Verification of Disability 90103.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90103 Sample Verificaiton of disability All Programs 90103.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 50059 A Owner's Certification of Compliance - Partial Certificaiton 50059-a.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90106 Appendix 5 - Sample Move-In/Move Out Inspection Form 90106.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90167 Lease Addendum 90167-ca.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90166 Certificaiton of Domestic Violence, Dating Violence or Stalking 90066.pdf Yes No Fillable Fileable
Form and Instruction HUD 90105 a Appendix 4-A Model Lease for Subsidized Programs 90105a.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90105b Appendix 4-B - Model Lease 90105b.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90105 c Appendix 4-C 202 PRAC Lease 90105c.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 90105d Appendix 4-D 811 PRAC Lease 90105d.pdf Yes Yes Fillable Fileable
Form and Instruction HUD 27061-h Race and Ethnic Reporting Form 27061-h .doc Yes Yes Fillable Fileable
Form and Instruction HUD9887 Document Package for Applicant's/Tenant's Consent to the R 9887.pdf Yes Yes Fillable Fileable
Form and Instruction 90011 Coordinator Access Authorization Form HUD-90011.docx Yes Yes Fillable Fileable
Form and Instruction 90012 User Access Authorization Form HUD-90012.docx Yes Yes Fillable Fileable
Form and Instruction HUD 50059 Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures 50059.pdf Yes Yes Fillable Fileable

Community and Social Services Homeownership Promotion

 

2,184,726 0
   
Individuals or Households
 
   99 %

  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 3,301,693 0 24,000 0 0 3,277,693
Annual IC Time Burden (Hours) 1,354,979 0 6,300 0 0 1,348,679
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PIA MF HSG - PCAS# 00251780 - PIA 2502-0204.doc 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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