Information Collection

Capital Fund Program

IC 27829 under ICR 201212-2577-001 · OMB 2577-0157.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0157 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-5087 Capital Fund Program	Form and Instruction
HUD-5087 Outline Specifications 5087.pdf	Form and Instruction
HUD-51915 Model Form of Agreement Between Owner and Design Profess 51915.pdf	Form and Instruction
HUD-51915-A Contract Provisions Required by Federal Law or Owner Con 51915-a.pdf	Form and Instruction
HUD-5378 Public Housing Construction Report 5378.pdf	Form and Instruction
HUD-51971-I-II Offer of Sales of Real Property and Purchase Agreement 51971-1 and 51971-2.txt	Form and Instruction
HUD-52482 Guide Form of Turnkey Developer's Packet 52482.pdf	Form and Instruction
HUD-52483-A Proposal for a Public Housing Project 52483-A.pdf	Form and Instruction
HUD-52485 Demonstration of Financial Feasibility 52485.pdf	Form and Instruction
HUD-52651-A Site, Design and Cost Report 52651-a.pdf	Form
HUD 53001 Actual Modernization Cost Certificate 53001.pdf	Form and Instruction
HUD 5084 Contract for Inspection Services 5084.pdf	Form and Instruction
HUD 5370 General Conditions for Contruction Contract-Public Housi 5370.pdf	Form and Instruction
HUD 5370-C1 General Conditions for Non-Construction Contracts with o 5370-C1.pdf	Form and Instruction
HUD 5370-EZ General Contract Conditions for Small Contructions/Devel 5370-EZ.pdf	Form and Instruction
HUD 5372 Construction Progess Schedule 5372.pdf	Form and Instruction
HUD 5460 Insurance Information 5460.pdf	Form and Instruction
HUD 50029 Homeowership Term Sheet 50029.doc	Form and Instruction
HUD 50030 Mixed Finance Rental term Sheet 50030.doc	Form and Instruction
HUD 51000 Schedule of Amount for Contract Payments 51000.pdf	Form and Instruction
HUD 51001 Periodic Estimate for Partial Payment 51001.pdf	Form and Instruction
HUD 51002 Schedule of Change Orders 51002.pdf	Form and Instruction
HUD 51003 Schedule of Material Stored 51003.pdf	Form and Instruction
HUD 51004 Summary of Material Stored 51004.pdf	Form and Instruction
HUD 52396 Analysis of Proposed Main Contruction Contract 52396.pdf	Form and Instruction
HUD 52427 Actual Development Cost Certificate 52427.pdf	Form and Instruction
HUD 52484 Development Cost Budget/Cost Statement 52484.pdf	Form and Instruction
HUD 52832 Physical Needs Assessment 52832.pdf	Form and Instruction
HUD 52833 Management Needs Assessment 52833.pdf	Form and Instruction
HUD 52845 Capital Fund Fiancing Program U S Department of HUD 52845.doc	Form and Instruction
HUD 52846 Capital Fund Financing Program (CFFP) Periodic Payemnt D 52846.xls	Form and Instruction
HUD 52847 Capital Fund Financing Program (CFFP) Monthly Debt Servi 52847.xls	Form and Instruction
HUD 52849 Capital Fund Financing Program Pooled Transaction:List o 52849.xls	Form and Instruction
HUD 52829 Physical Needs Assessment Form 52829.xls	Form and Instruction
HUD 52830 Portfolio Schedule Form 52830.xls	Form and Instruction
HUD 53015 Turnkey Contract of Sale Parts 1&2 53015.pdf	Form and Instruction
HUD 50071 Certification of Payments to Influence Federal Transacti 50071.pdf	Form
HUD-52836 PHA Board Resolution Approving Emergency Natural Disaste 52836 EG-ND with vsl edits 03 07 2011 .pdf	Form and Instruction
HUD-52828 Physical Needs Assessment form HUD 52828.xls	Form
HUD 53001 Actual Modernization Cost Certificate (3 Changes) 3 Changes to the Actual Modernization Cost Certificate HUD Form 53001.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Capital Fund Program

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 941

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 and Instruction	HUD-5087	Outline Specifications	5087.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-51915	Model Form of Agreement Between Owner and Design Professional	51915.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-51915-A	Contract Provisions Required by Federal Law or Owner Contract with the US Department of HUD	51915-a.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-5378	Public Housing Construction Report	5378.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-51971-I-II	Offer of Sales of Real Property and Purchase Agreement	51971-1 and 51971-2.txt	Yes	No	Fillable Printable
Form and Instruction	HUD-52482	Guide Form of Turnkey Developer's Packet	52482.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52483-A	Proposal for a Public Housing Project	52483-A.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52485	Demonstration of Financial Feasibility	52485.pdf	Yes	No	Fillable Printable
Form	HUD-52651-A	Site, Design and Cost Report	52651-a.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 53001	Actual Modernization Cost Certificate	53001.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 5084	Contract for Inspection Services	5084.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 5370	General Conditions for Contruction Contract-Public Housing Programs	5370.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 5370-C1	General Conditions for Non-Construction Contracts with or without Maintenance Work	5370-C1.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 5370-EZ	General Contract Conditions for Small Contructions/Development Contracts	5370-EZ.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 5372	Construction Progess Schedule	5372.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 5460	Insurance Information	5460.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 50029	Homeowership Term Sheet	50029.doc	Yes	No	Fillable Printable
Form and Instruction	HUD 50030	Mixed Finance Rental term Sheet	50030.doc	Yes	No	Fillable Printable
Form and Instruction	HUD 51000	Schedule of Amount for Contract Payments	51000.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 51001	Periodic Estimate for Partial Payment	51001.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 51002	Schedule of Change Orders	51002.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 51003	Schedule of Material Stored	51003.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 51004	Summary of Material Stored	51004.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52396	Analysis of Proposed Main Contruction Contract	52396.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52427	Actual Development Cost Certificate	52427.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52484	Development Cost Budget/Cost Statement	52484.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52832	Physical Needs Assessment	52832.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52833	Management Needs Assessment	52833.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 52845	Capital Fund Fiancing Program U S Department of HUD	52845.doc	Yes	No	Fillable Printable
Form and Instruction	HUD 52846	Capital Fund Financing Program (CFFP) Periodic Payemnt Debt Service Schedule	52846.xls	Yes	No	Fillable Printable
Form and Instruction	HUD 52847	Capital Fund Financing Program (CFFP) Monthly Debt Service-Formula Funds Only	52847.xls	Yes	No	Fillable Printable
Form and Instruction	HUD 52849	Capital Fund Financing Program Pooled Transaction:List of Participating PHSs	52849.xls	Yes	No	Fillable Printable
Form and Instruction	HUD 52829	Physical Needs Assessment Form	52829.xls	Yes	No	Fillable Printable
Form and Instruction	HUD 52830	Portfolio Schedule Form	52830.xls	Yes	No	Fillable Printable
Form and Instruction	HUD 53015	Turnkey Contract of Sale Parts 1&2	53015.pdf	Yes	No	Fillable Printable
Form	HUD 50071	Certification of Payments to Influence Federal Transactions	50071.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD-52836	PHA Board Resolution Approving Emergency Natural Disaster Grant Application - Qualified PHAs	52836 EG-ND with vsl edits 03 07 2011 .pdf	Yes	No	Fillable Printable
Form	HUD-52828	Physical Needs Assessment form	HUD 52828.xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD 53001	Actual Modernization Cost Certificate (3 Changes)	3 Changes to the Actual Modernization Cost Certificate HUD Form 53001.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 3 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	72,844	0	72,844
Annual IC Time Burden (Hours)	265,617	1,550	264,067
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.