Rental Assistance Demonstration (RAD) Application Form

Forms and Documents

Document Name	Status
Form HUD-5260 Rental Assistance Demonstration (RAD) Application Forms Form and Instruction	Modified
83-I 03-2-2012 Final Version 4.0.docx Supporting Statement A	2012-09-20
HR 2112-122 RAD.pdf Supplementary Document	2012-05-08
IPA RADv2.doc Supplementary Document	2012-05-08

IC Document Collections

IC ID	Document Title	Status
201154	Rental Assistance Demonstration (RAD) Application Forms Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0278	ICR Reference No: 201208-2577-002
Status: Historical Active	Previous ICR Reference No: 201202-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2012-1
Title: Rental Assistance Demonstration (RAD) Application Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/21/2012
	Date Received in OIRA: 09/04/2012
Terms of Clearance: As shown by the changes made to this collection, HUD shall continue to have a PRA statement on its instruments, offer detailed instructions, and account for the costs to the Federal government.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	36 Months From Approved
Responses	8,855	0	0
Time Burden (Hours)	17,710	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Rental Assistance Demonstration allows public Housing and Moderate Rehabilitation (Mod Rehab) properties to convert to long-term Section 8 rental assistance contracts; and Rent Supplement, Rental Assistance Payment and Mod Rehab properties upon contract expiration or termination, to convert Tenant Protection Vouchers (TPVs) to Project Based Vouchers (PBVs). Participation in the initiative will be voluntary; the attached applications will be used to determine eligibility.

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Authorizing Statute(s): US Code: 44 USC Chapter 35, as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 14410	03/09/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 44655	07/30/2012
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Rental Assistance Demonstration (RAD) Application Forms	HUD-5260, HUD 5261	Rental Assistance Demonstration Instructions to Applicants: Public Housing Agencies ,   Rental Assistance Demonstration- Instruction to Applicants: Owners of Mod Rehab Projects

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,855	0	0	8,855	0	0
Annual Time Burden (Hours)	17,710	0	0	17,710	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $88,050

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

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Common Form ICR:  No

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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: 09/04/2012

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