Public Housing Annual Contributions Contract and Inventory Removal Application

Forms and Documents

Document Name	Status
Form HUD-52860 Public Housing Annual Contributions Contract and Inventory Removal Application Form and Instruction	Modified
24 CFR 969.docx Supplementary Document	2014-08-27
24 CFR 941.docx Supplementary Document	2014-08-27
Published 30-day FR Notice.pdf Supplementary Document	2014-08-27
Published 60-day FR Notice.pdf Supplementary Document	2014-08-27
Initial Privacy Assessment Consolidated - Final.doc Supplementary Document	2014-08-27
83-I 08-27-14.docx Supporting Statement A	2014-08-27

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: 201408-2577-004
Status: Historical Active	Previous ICR Reference No: 201403-2577-003
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0075
Title: Public Housing Annual Contributions Contract and 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: Approved without change	Conclusion Date: 10/30/2014
	Date Received in OIRA: 08/28/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	10/31/2014
Responses	6,765	0	851
Time Burden (Hours)	34,944	0	6,010
Cost Burden (Dollars)	0	0	0

---

Abstract: Public Housing; low and moderate-income housing; cooperation agreements; terms and conditions; operating budget; rent subsidies, land sales. Requirements for: deposits, civil rights, insurance, employer, records management, project termination; notices, defaults, remedies; rights and obligations; conflict of interest; waivers, declaration of trust, capital fund, mixed finance and ACC amendments for capital fund finance and mixed finance development.

---

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

---

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-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, HUD-53012-b, HUD-52840-a, HUD-52190-a	Inventory Removal Application ,   Total Development Cost (TDC) Addendum ,   Homeownership Addendum ,   Additional Terms and Conditions - Constituting Part B of a Consolidated Annual Contributions Contract Between Housing Authority and the United States of America ,   Required Conversion Addendum ,   Eminent Domain Addendum ,   Voluntary Conversion Addendum ,   General Depository Agreement (Draft) ,   General Depository Agreement (Original Version) ,   Capital Fund (CFP) Amendment to the Consolidated Contributions Contract (form HUD-53012) ,   Declaration of Trust (Development Grant Projects) ,   Declaration of Trust (Public Housing Modernization Grant Projects ,   Terms and Condition - Constituting Part A of a Consolidated Annual Contribution Contract Between Housing Authority and the United States of America

---

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	6,765	851	0	5,914	0	0
Annual Time Burden (Hours)	34,944	6,010	0	28,934	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: The program changes and adjustments are due to the consolidation of an information collection, OMB Control Number 2577-0270, Public Housing Annual Contributions Contract, which was approved by OMB on 09/30/13 to discontinue, and an existing collection, OMB Control Number 2577-0075, which will expire 08/31/2014. The purpose of discontinuing OMB Control Number 2577-0270 is that the functions and activities for Public Housing Annual Contributions Contractor has been combined with the existing OMB Control Number 2577-0075, Public Housing Inventory Removal Application. The cost and time estimates are based on information from 8 regional field offices as well as information from 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. This legal document is approved under OMB in 2577-0275 - Public/Private Partnerships for the Mixed-Finance Development of Public Housing which expires on 6/30/15.

---

Annual Cost to Federal Government: $926,205

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: 08/28/2014

---