Information Collection

Public Housing Assessment System (PHAS) Memorandum of Agreement (MOA), MOA Monthly Report, and Improvement Plan (IP)

IC 27927 under ICR 201102-2577-003 · OMB 2577-0237.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-53336-A Public Housing Assessment System (PHAS) Memorandum of Agreement (MOA), MOA Monthly Report, and Improvement Plan (IP)	Form
53336-bi.doc	Instruction
53337-i.doc	Instruction
HUD-53336-A Memorandum of Agreement 53336-a.doc	Form
HUD-53336-B Memorandum of Agreement (MOA) Part B 53336-b.doc	Form and Instruction
HUD-53337 Memorandum of Agreement (MOA) Progress Report 53337.doc	Form and Instruction
HUD-53338 Improvement Plan 53338.doc	Form and Instruction

IC Title:

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 902.75

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	HUD-53336-A	Memorandum of Agreement	53336-a.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD-53336-B	Memorandum of Agreement (MOA) Part B	53336-b.doc	Yes	Yes	Fillable Printable
Instruction			53336-bi.doc	Yes	Yes	Printable Only
Form and Instruction	HUD-53337	Memorandum of Agreement (MOA) Progress Report	53337.doc	Yes	Yes	Fillable Printable
Instruction			53337-i.doc	Yes	Yes	Printable Only
Form and Instruction	HUD-53338	Improvement Plan	53338.doc	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 354

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,184	1,168	1,016
Annual IC Time Burden (Hours)	25,134	-2,012	27,146
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.