Public Housing Inventory Removal Application

Forms and Documents

Document Name	Status
Form HUD-53012-a Public Housing Annual Contributions Contract and Inventory Removal Application Form and Instruction	Modified
Published FR Notice.pdf Supporting Statement B	2011-05-16
83i .doc Supplementary Document	2008-05-23
83i-Supporting Statement (8-10-11).doc Supporting Statement A	2011-08-12

IC Document Collections

IC ID	Document Title	Status
27799	Public Housing Annual Contributions Contract and Inventory Removal Application Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0075	ICR Reference No: 201403-2577-003
Status: Historical Inactive	Previous ICR Reference No: 201105-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0075
Title: Public Housing Inventory Removal Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 08/01/2014
	Date Received in OIRA: 06/11/2014
Terms of Clearance: HUD shall re-submit with a supporting statement that reflects the adjustments made this reporting cycle and that references all requested instruments.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	10/31/2014
Responses	851	0	851
Time Burden (Hours)	6,010	0	6,010
Cost Burden (Dollars)	0	0	0

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Abstract: The functions and actiivties for Public Housing Annual Contribution Contractor, OMB 2577-0270, has been combined with the Public Housing Inventory Removal Application OMB# 2577-0075. HUD requires all public housing agencies (PHAs) to execute an Annual Contribution Contract (ACC) for each project and to execute amendments to the ACC for certainfunding when the PHAs takes specified actions that changes their public housing

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

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:
	79 FR 9258	02/18/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 33588	06/11/2014
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
Public Housing Annual Contributions Contract and Inventory Removal Application	HUD-52840-a, HUD-52190-a, HUD-53012-b, HUD-52860-C, HUD-52860-F, HUD - 52860-B, HUD-52860-D, HUD-52860-E, HUD-52860, HUD-51999, HUD-51999, HUD-52190-b, HUD-53012-a	Terms and Condition - Constituting Part A of a Consolidated Annual Contribution Contract Between Housing Authority and the United States of America ,   Additional Terms and Conditions - Constituting Part B of a Consolidated Annual Contributions Contract Between Housing Authority and the United States of America ,   Capital Fund (CFP) Amendment to the Consolidated Contributions Contract (form HUD-53012) ,   Declaration of Trust (Development Grant Projects) ,   Inventory Removal Application ,   Total Development Cost (TDC) Addendum ,   Homeownership Addendum ,   Required Conversion Addendum ,   Eminent Domain Addendum ,   Voluntary Conversion Addendum ,   General Depository Agreement (Draft) ,   General Depository Agreement (Original Version) ,   Declaration of Trust (Public Housing Modernization Grant Projects

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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: The program changes and adjustments are due to the consolidation of an expired information collection, OMB Control Number 2577-0270, Public Housing Annual Contributions Contract which expired 09/30/2013, and a current collection, OMB Control Number 2577-0075, which will expire 08/31/2014. The cost and time estimates are based on information from 8 regional field offices and PHAs. In addition, this collection cross-references PHA submissions for ACC amendments for Mixed -Finance development actions that use a special legal document referenced above in line-item 15 and 23. Previously, this legal document was approved by OMB in 2577-0275. Public/Private Partnerships for the Mixed-Finance Development of Public Housing which expires on 06/30/2015.

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Annual Cost to Federal Government: $279,128

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: 06/11/2014

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