Information Collection

Public Housing Agency Plan

IC 44117 under ICR 201409-2577-001 · OMB 2577-0226.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form HUD-50075-SM
Public Housing Agency Plan
Form and Instruction
HUD-50075-SM Streamlined Annual PHA (Small and High Performer PHAs)
50075-SM-Redlined.docx
Form and Instruction
HUD-50075-SM Streamlined Annual PHA Plan (Small PHAs)
50075-SM.9.18.14.Clean.docx
Form and Instruction
HUD-50075-5Y 5-Year PHA Plan (for All PHAS)
50075-5Y - Redlined.docx
Form and Instruction
HUD-50075-5Y 5-Year PHA Plan (for All PHAs)
50075-5Y rev 2014 -Clean.docx
Form and Instruction
HUD-50075-HCV Streamlined Annual PHA (HCV Only PHAs)
50075-HCV - Redlined.docx
Form and Instruction
HUD-50075 - HCV Streamlined Annual PHA Plan (HCV Only PHAs)
50075-HCV rev 2014-Clean.docx
Form and Instruction
HUD-50075-ST Annual PHA Plan (Standard PHAs and Troubled PHAs)
50075-ST - Annual PHA Plan SP and TP- Redlined.docx
Form and Instruction
HUD-50075-ST Annual PHA Plan SP and TP
50075-ST - Annual PHA Plan SP and TP 9.18.14.Clean.docx
Form and Instruction
HUD-50077-CRT-SM Certification of Compliance with PHA Plans and Related R
50077-CRT-SM - Redlined.docx
Form and Instruction
HUD-50077-CRT-SM Certification of Compliance with PHA Plan and Related Re
50077-CRT-SM - Clean.docx
Form and Instruction
HUD-50075--HP Streamlined Annual PHA Plan (High Performer PHAs)
50077-ST-HCV-HP - Redlined.docx
Form and Instruction
HUD-50075-HP Streamlined Annual PHA Plan (High Performer PHAs)
50075-HP.9.18.14.Clean.docx
Form and Instruction
HUD-50077-ST-HCV-H Certifications of Compliance with PHA Plans and Related
50077-ST-HCV-HP - Redlined.docx
Form and Instruction
HUD-50077-ST-HCV-H Certifications of Compliance with PHA Plans and Related
50077-ST-HCV-HP -Clean.docx
Form and Instruction
HUD-50077-SL Certificationb by State or Local Official of PHA Plans C
50077-SL-Clean.docx
Form and Instruction
Justification for changes to HUD-50075-ST, 50075-HCV, 50075-SM-HP Forms.doc
83c Justification for changes to HUD-50075-ST, 50075-HCV, 50075-SM-HP Forms
IC Document

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Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction HUD-50075-SM Streamlined Annual PHA (Small and High Performer PHAs) 50075-SM-Redlined.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50075-SM Streamlined Annual PHA Plan (Small PHAs) 50075-SM.9.18.14.Clean.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50075-5Y 5-Year PHA Plan (for All PHAS) 50075-5Y - Redlined.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50075-5Y 5-Year PHA Plan (for All PHAs) 50075-5Y rev 2014 -Clean.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50075-HCV Streamlined Annual PHA (HCV Only PHAs) 50075-HCV - Redlined.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50075 - HCV Streamlined Annual PHA Plan (HCV Only PHAs) 50075-HCV rev 2014-Clean.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50075-ST Annual PHA Plan (Standard PHAs and Troubled PHAs) 50075-ST - Annual PHA Plan SP and TP- Redlined.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50075-ST Annual PHA Plan SP and TP 50075-ST - Annual PHA Plan SP and TP 9.18.14.Clean.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50077-CRT-SM Certification of Compliance with PHA Plans and Related Regulations (Small PHAs) 50077-CRT-SM - Redlined.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50077-CRT-SM Certification of Compliance with PHA Plan and Related Regulations (Small PHAs) 50077-CRT-SM - Clean.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50075--HP Streamlined Annual PHA Plan (High Performer PHAs) 50077-ST-HCV-HP - Redlined.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50075-HP Streamlined Annual PHA Plan (High Performer PHAs) 50075-HP.9.18.14.Clean.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50077-ST-HCV-HP Certifications of Compliance with PHA Plans and Related Regulations (Standard, Troubled, HCV-Only, and High Perrormer PHAs) 50077-ST-HCV-HP - Redlined.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50077-ST-HCV-HP Certifications of Compliance with PHA Plans and Related Regulations (Standard, Troubled, and HCV-Only, and High Performer PHAs) 50077-ST-HCV-HP -Clean.docx Yes Yes Fillable Fileable
Form and Instruction HUD-50077-SL Certificationb by State or Local Official of PHA Plans Consistency with the Consolidated Plan or State Consolidated Plan (All PHAs) 50077-SL-Clean.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,053 0 0 0 0 4,053
Annual IC Time Burden (Hours) 20,290 0 0 0 0 20,290
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
83c Justification for changes to HUD-50075-ST, 50075-HCV, 50075-SM-HP Forms Justification for changes to HUD-50075-ST, 50075-HCV, 50075-SM-HP Forms.doc 09/18/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.