HUD 52667 Allowances for Tenant Furnished Utilities and Other Serv

Housing Choice Voucher Program

HUD 52667

Housing Choice Voucher Program

OMB: 2577-0169

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OMB Approval No. 2577-0169
(exp. 09/30/2017)

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

Allowances for TenantFurnished Utilities and
Other Services
See Public Reporting Statement and Instructions on back
Locality

Unit Type

Utility or Service
0 BR

Heating

Date (mm/dd/yyyy)

Monthly Dollar Allowances
2 BR
3 BR

1 BR

4 BR

5 BR

a. Natural Gas
b. Bottle Gas
c. Oil / Electric
d. Coal / Other

Cooking

a. Natural Gas
b. Bottle Gas
c. Oil / Electric
d. Coal / Other

Other Electric
Air Conditioning
Water Heating a. Natural Gas
b. Bottle Gas
c. Oil / Electric
d. Coal / Other
Water
Sewer
Trash Collection
Range/Microwave
Refrigerator
Other -- specify
Actual Family Allowances To be used by the family to compute allowance.
Complete below for the actual unit rented.
Name of Family

Address of Unit

Number of Bedrooms

Previous editions are obsolete

Page 1 of 1

Utility or Service
Heating
Cooking
Other Electric
Air Conditioning
Water Heating
Water
Sewer
Trash Collection
Range/Microwave
Refrigerator
Other

per month cost
$

Total

$
form HUD-52667 (09/14)
ref. Handbook 7420.8

Public reporting burden for this collection of information is estimated to average 1.5 hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or
sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number.__$VVXUDQFHV_
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Privacy Act Statement. The Department of Housing and Urban Development (HUD) is authorized to collect the information required on this form by Section 8
of the U.S. Housing Act of 1937 (42 U.S.C. 1437f). Collection of family name and address is mandatory. The information is used to establish a utility allowance
schedule for all utilities and other services used to determine the family’s monthly housing assistance payment and family share. HUD will use this information
to ensure that the costs are reasonable. HUD may disclose this information to Federal, State and local agencies when relevant to civil, criminal, or regulatory
investigations and prosecutions. It will not be otherwise disclosed or released outside of HUD, except as permitted or required by law. Failure to provide any of
the information may result in delay or rejection of Housing Assistance Payment contract.
This c ollection of i nformation is authorized under S ection 8 of t he U.S. Housing Act of _937 (42 U.S.C. 1437f ). T he i nformation is used t o establish a ut ility
allowance schedule for all utilities and o ther services used to determine the family's monthly housing assistance payment and rental payment. HUD will use
this information to ensure that the costs are reasonable.

Instructions for Form HUD-52667, Allowances For
Tenant Furnished Utilities and Other Services
Form HUD -52667 shall b e c ompleted by a H A f or each different
type of unit as explained below. Each form shall be reproduced by
the H A and gi ven t o f amilies w ith t heir C ertificate or V oucher or
subsequently i n c onnection w ith any r evisions. T he f orm w ill
provide the family, while shopping for a unit, with the amount of the
allowances for various types of units for rent. With these
allowances t he f amily c an c ompare gr oss r ents and fair m arket
rents. Form HUD-52667 shall also be used by the HA to record the
actual allowance for each family.
Level of Allowance: Utilities and other services are included in
gross r ent, and w hen t hey ar e n ot f urnished by t he owner, a n
allowance must be pr ovided t o t he family. A llowances must b e
adequate for all utilities and services not provided by the owner that
were included in the fair market rent. The utility allowance schedule
is ba sed on the typical cost of utilities and services paid by
energy-conservative households that occupy housing of
similar size and type in the same locality. I n dev eloping t he
schedule, the HA must use normal patterns of consumption for the
community a s a w hole a nd current utility r ates. A llowances m ust
not be based on energy consumption or costs above average or
below average income families. The objective shall be t o establish
allowances bas ed on ac tual rates and average c onsumption
estimates and should allow the majority of participating families an
allowance t hat is adequate to cover expected average utility costs
and other services over a 12-month period.
Determining Allowances:
a. In general, HAs shall use to the extent possible local sources
of i nformation on t he cost of ut ilities and services. T he
following local sources should be contacted:
(1) Electric utility suppliers.
(2) Natural gas utility suppliers.
(3) Water and sewer suppliers.

c. The H A m ust es tablish s eparate heat ing an d c ooling
allowances f or the v arious types o f ex isting h ousing in t he
locality w ith t he s ame nu mber of bedr ooms. D epending o n
local housing stock, utility allowances must be established for
the f ollowing un it t ypes: detached ho uses, duplexes, r ow or
townhouses, garden and high rise apartments and
manufactured homes. In addition to establishing different
heating and
cooling al lowances f or v arious t ypes of
structures, at tention should b e gi ven t o different allowances
for w ater de pending on
whether f amilies w ill hav e
responsibilities for lawn care.
d. The dat a t o be s olicited f rom the l ocal s ources shown ab ove
should be as close as possible in form and detail to the format of
form HUD -52667. I f pos sible, all c onsumption dat a s hould b e
obtained for eac h unit s ize and type. If data is available only for
an aver age u nit s ize ( 2.5 bedr ooms), m ultiply the ut ilities costs
for the average unit by the following factors:

Size of Unit

Factor

0-BR

0.5

1-BR

0.7

2-BR

0.9

3-BR

1.1

4-BR

1.4

5-BR

1.6

Example: N atural ga s hea ting c ost f or av erage sized un it i s
$18.00 per month. The allowance for a 4-bedroom unit will be
1.4 X $18.00 = $25.00 (rounded to nearest dollar).

(4) Fuel oil and bottle gas suppliers.
(5) Public service commissions.

Air Conditioning: A llowances f or ai r conditioning m ust be
established only for communities where the majority of units in the
market provide centrally air conditioned units or appropriate wiring
for tenant installed A/C units.

(6) Real estate and property management firms.
(7) State and local agencies.
(8) Appliance sales or leasing firms.

Previous editions are obsolete

b. Recently ad opted utility al lowance s chedules f rom nei ghboring
HAs with essentially the same type of housing stock should also
be examined. In most cases fuel or utilities rates normally will not
vary appreciably in neighboring communities and where data is
not av ailable in s mall communities’ allowances for larger nearby
communities may be us ed. Where local sources are inadequate,
the H A m ay c onsult t he national a verage c onsumption d ata
provided in Table 1 an d make appropriate adjustments to reflect
local conditions.

Page 2 of 3

form HUD-52667 (09/14)
ref. Handbook 7420.8

Ranges and Refrigerators: Allowances for ranges and
refrigerators must be based on the lesser of the cost of leasing or
installment purchasing of suitable equipment.
Utility Rate Schedules: The cost of gas and electricity varies
according to amounts consumed as shown on t he appropriate rate
schedules. I t i s n ot p ossible t o compute ex actly t he cost of
electricity for any given function without knowing the total electrical
usage for a unit. However, because neither the HA or the families
know bef orehand just w hat w ill be t he c ombination of ut ilities for
any unit rented, it will be necessary to approximate the allowances
for each function (e.g., heating cooking, etc.) as follows:
For el ectricity t he r ates u sed f or l ighting, r efrigeration and
appliances (Table 1, Item I), should be from the top of the rate
schedule or t he hi gher unit costs. A llowances f or el ectric cooking,
water heat ing and s pace he ating should b e c omputed f rom t he
middle or lower steps in the rate schedules.
Similarly, allowances for gas used for water heating and cooking
should be computed using r ates f rom the top of the rate schedule
and for heating from the lower steps.

Supporting Documentation: The HA shall maintain with the form
HUD-52667 c opies of all supporting do cumentation us ed i n det ermining the allowances and any revisions. For instance, letters from
local utility companies shall be attached plus any worksheets used
by the HA in computing allowances. The material should contain, if
possible, the quantities of the utilities that are the basis of the dollar
allowances ( e.g., kilowatt ho urs per uni t. A c opy o f t he ut ility
allowance schedule must be sent to the HUD Field Office.

(a) Estimated av erage consumption f or a hypothetical 2 1 /2
bedroom dwelling unit. All consumptions listed must be
adjusted f or t he s ize of t he dw elling un it. F actors s hown
under D etermining A llowances, s ubparagraph d, m ay be
used for making the adjustment.
(b) Consumptions w ill v ary c onsiderably dep ending o n
electrical a ppliances used. U pper l imit s hould be sufficient
to provide 85 kilowatt hours for a clothes dryer and 50
kilowatt hours for a frost free refrigerator.
(c) The temperature of local water supply varies by geographic
area and will hav e c onsiderable i mpact on ener gy us ed t o
heat domestic w ater. T his e stimate i s f or N orth C entral
geographic areas where the average city water temperature
is approximately 50° F.
(d) Consumptions are for housing insulated for the heating
system i nstalled. N ormally a building d esigned f or electric
space heating is better insulated than one designed for gas
or oil space heating equipment. Climatic conditions
assumed to be 4,000 heating degree days and 0° F outside
design temperature. Consumption must be adjusted for the
normal heating degree day s and t he out side de sign
temperature in the given geographic area.
(e) Consumption e stimated f or 1, 000 d egree d ays c ooling.
Actual consumption will depend on many variables.
Note: The consumption amounts listed above are inexact averages
and must be used with caution when establishing allowances for
actual projects.

Table 1
Average Allowances For Tenant Purchased Utilities
Note: The consumption amounts listed below are inexact averages
and must be used with caution when establishing allowances for
actual projects.
Monthly Consumption
Units

2 1/2-BR (a)

I. Electricity
a. Lighting and Refrigeration

KWH

250-400 (b)

b. Cooking

KWH

110

c. Domestic Hot Water

KWH

340 (c)

d. Space Heating

KWH

680 (d)

e. Air Conditioning

KWH

180 (e)

a. Cooking

Therms

8

b. Domestic Hot Water

Therms

21 (c)

c. Space Heating

Therms

48 (d)

a. Domestic Hot Water

Gals

17 (c)

b. Space Heating

Gals

40

II. Natural Gas And Bottle Gas

III. Fuel Oil
(d)

IV. Water
a. Domestic Use

Gals

8,000

b. Lawn

Gals

2,000

Previous editions are obsolete

Page 3 of 3

form HUD-52667 (09/14)
ref. Handbook 7420.8


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