Public Housing Capital Fund Program

Forms and Documents

Document Name	Status
Form HUD-5087 Capital Fund Program Form and Instruction	Modified
3 Changes to the Actual Modernization Cost Certificate HUD Form 53001.docx Supplementary Document	2011-08-25
AMCC 83c Change Worksheet.docx Justification for No Material/Nonsubstantive Change	2011-08-25
ICR_2577-0157_03 14 2011.DOC Supporting Statement A	2011-03-15
2577-0157 NAME CHANGE JUSTIFICATION.docx Justification for No Material/Nonsubstantive Change	2011-04-29

IC Document Collections

IC ID	Document Title	Status
27829	Capital Fund Program Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0157	ICR Reference No: 201108-2577-001
Status: Historical Inactive	Previous ICR Reference No: 201102-2577-009
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0157
Title: Public Housing Capital Fund Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 11/04/2011
	Date Received in OIRA: 09/07/2011
Terms of Clearance: The agency has requested that this collection be withdrawn.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	01/31/2014	01/31/2014
Responses	72,844	0	72,844
Time Burden (Hours)	264,067	0	264,067
Cost Burden (Dollars)	0	0	0

---

Abstract: Each year Congress appropriates funds to approximately 3,200 Public Housing Authorities (PHAs) for modernization, development, financing, and management improvements. The funds are allocated based on a complex formula. The forms in this collection are used to appropriately disburse and utilize the funds provided to PHAs. Additionally, these forms provide the information necessary to approve a financing transaction in addition to any Mixed-Finance and Capital Fund Financing transactions. Respondents include the approximately 3,200 PHA receiving Capital Funds and any other PHAs wishing to pursue financing.

---

Authorizing Statute(s): US Code: 42 USC 1437q Name of Law: Housing Act of 1937
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 54353	09/07/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 68615	11/08/2010
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Capital Fund Program	HUD 51003, HUD 51004, HUD 5372, HUD 5370-EZ, HUD 5084, HUD-52828, HUD-52836, HUD 50071, HUD-53001, HUD 5370, HUD 5370-C1, HUD 50029, HUD 5460, HUD 52427, HUD 52484, HUD 52832, HUD 52396, HUD 52833, HUD-5087, HUD-51915, HUD-51915-A, HUD-5378, HUD-51971-I-II, HUD-52482, HUD-52483-A, HUD-52485, HUD-52651-A, HUD 52845, HUD 52846, HUD 50030, HUD 51000, HUD 52847, HUD 52849, HUD 52829, HUD 52830, HUD 53015, HUD 51001, HUD 51002	Outline Specifications ,   Model Form of Agreement Between Owner and Design Professional ,   Contract Provisions Required by Federal Law or Owner Contract with the US Department of HUD ,   Public Housing Construction Report ,   Offer of Sales of Real Property and Purchase Agreement ,   Guide Form of Turnkey Developer's Packet ,   Proposal for a Public Housing Project ,   Demonstration of Financial Feasibility ,   Site, Design and Cost Report ,   Contract for Inspection Services ,   General Conditions for Contruction Contract-Public Housing Programs ,   General Conditions for Non-Construction Contracts with or without Maintenance Work ,   General Contract Conditions for Small Contructions/Development Contracts ,   Construction Progess Schedule ,   Insurance Information ,   Homeowership Term Sheet ,   Mixed Finance Rental term Sheet ,   Schedule of Amount for Contract Payments ,   Periodic Estimate for Partial Payment ,   Schedule of Change Orders ,   Schedule of Material Stored ,   Summary of Material Stored ,   Analysis of Proposed Main Contruction Contract ,   Actual Development Cost Certificate ,   Development Cost Budget/Cost Statement ,   Physical Needs Assessment ,   Management Needs Assessment ,   Capital Fund Fiancing Program U S Department of HUD ,   Capital Fund Financing Program (CFFP) Periodic Payemnt Debt Service Schedule ,   Capital Fund Financing Program (CFFP) Monthly Debt Service-Formula Funds Only ,   Capital Fund Financing Program Pooled Transaction:List of Participating PHSs ,   Physical Needs Assessment Form ,   Portfolio Schedule Form ,   Actual Modernization Cost Certificate ,   Turnkey Contract of Sale Parts 1&2 ,   Certification of Payments to Influence Federal Transactions ,   PHA Board Resolution Approving Emergency Natural Disaster Grant Application - Qualified PHAs ,   Physical Needs Assessment form

---

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $327,590

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/07/2011

---