Housing Choice Voucher Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 52578-b Section 8 Project-Based Voucher Program Statement of Family Responsibility	Form and Instruction	Modified	Repair queued
Form HUD 52530.c Tenancy Addendum: Section 8 Project-based Voucher Program	Form and Instruction	Modified	Repair queued
Form HUD 52530B Section 8 Project-Based Voucher Program: PBV Housing Assistance Payments Contract Existimg Housing - Part 1 of HAP Contract	Form and Instruction	Modified	Available
Form HUD 52530A Section 8 Project-Based Voucher Program: PBV Housing Assistance Payments Contract New Construction or Rebilitation - Part 1 of HAP Contract	Form and Instruction	Modified	Available
Form HUD 52531B Section 8 Project-Based Voucher Program: PBV Agreement to Enter into Housing Assistance Payments Contract - New Construction or Rehabilitation - Part ll	Form and Instruction	Modified	Available
Form HUD 52531A Section 8 Project-Based Voucher Program - PBV Agreement to Enter into Housing Assistance Payments Contracts: New Construction or Rehabilitation - Part 1	Form and Instruction	Modified	Available
Form HUD 52649 Statement of Homeowner Obligations Housing Choice Homeownership Voucher Program	Form and Instruction	Modified	Available
Form HUD 52642 Housing Assistance Payments (HAP) Contract Manufactured Hone Space Rental: Section 8 Tenant-Based Assistance Housing Choice Voucher	Form and Instruction	Modified	Available
Form HUD 52641-a Tenancy Addendum: Section 8 Tanant-Based Assistance Housing Choice Voucher (To be attached to Tenant Lease)	Form and Instruction	Modified	Available
Form HUD-52641 Housing Assistance Payments (HAP) Contract - Section 8 Tenant-Based Assistance	Form and Instruction	Modified	Available
Form HUD 52665 Family Portability Information	Form and Instruction	Modified	Available
Form HUD 52646 Voucher: Housing Choice Voucher Program	Form and Instruction	Modified	Available
Form HUD 52517 Request for Tenancy Approval Housing Choice Voucher Program	Form and Instruction	Modified	Repair queued
Form HUD 52580-a Part ll of HAP Contract - PBV Housing Assistance Payments Contract New Construction or Rehabilitation	Form and Instruction	Modified	Available
Form HUD 52580 Inspection Form	Form and Instruction	Modified	Repair queued
Form HUD 52667 Allowances for Tenant Furnished Utilities and Other Services	Form and Instruction	Modified	Repair queued
Form HUD 52515 Funding Application: Section 8 Tenant-Based Assistance; Rental Certificate Program; Rental Voucher Program	Form and Instruction	Modified	Available
83c Change Worksheet - ONAP (3).doc	Justification for No Material/Nonsubstantive Change	Uploaded 2015-04-07	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Section 8 Project-Based Voucher Program Statement of Family Responsibility
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Tenancy Addendum: Section 8 Project-based Voucher Program
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Section 8 Project-Based Voucher Program: PBV Housing Assistance Payments Contract Existimg Housing - Part 1 of HAP Contract
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Section 8 Project-Based Voucher Program: PBV Housing Assistance Payments Contract New Construction or Rebilitation - Part 1 of HAP Contract
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Section 8 Project-Based Voucher Program: PBV Agreement to Enter into Housing Assistance Payments Contract - New Construction or Rehabilitation - Part ll
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Section 8 Project-Based Voucher Program - PBV Agreement to Enter into Housing Assistance Payments Contracts: New Construction or Rehabilitation - Part 1
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Statement of Homeowner Obligations Housing Choice Homeownership Voucher Program
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Housing Assistance Payments (HAP) Contract Manufactured Hone Space Rental: Section 8 Tenant-Based Assistance Housing Choice Voucher
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Tenancy Addendum: Section 8 Tanant-Based Assistance Housing Choice Voucher (To be attached to Tenant Lease)
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Housing Assistance Payments (HAP) Contract - Section 8 Tenant-Based Assistance
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Family Portability Information
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Voucher: Housing Choice Voucher Program
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Request for Tenancy Approval Housing Choice Voucher Program
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Part ll of HAP Contract - PBV Housing Assistance Payments Contract New Construction or Rehabilitation
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Inspection Form
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Allowances for Tenant Furnished Utilities and Other Services
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Funding Application: Section 8 Tenant-Based Assistance; Rental Certificate Program; Rental Voucher Program

ICR Details

OMB Control No: 2577-0169	ICR Reference No: 201504-2577-001
Status: Historical Active	Previous ICR Reference No: 201410-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0169
Title: Housing Choice Voucher Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/12/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/14/2015
Terms of Clearance: In accordance with 5 CFR 1320, this information collection is approved for 3 years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	04/30/2018	04/30/2018
Responses	2,849,233	0	2,843,533
Time Burden (Hours)	1,275,279	0	1,274,089
Cost Burden (Dollars)	0	0	0

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Abstract: Public housing agencies (PHA) apply for funding to assist very low-income families to lease or purchase housing. PHAs maintain records on participant eligibility, unit acceptability, lease and housing assistance payments, and budget and payment documentation. In some cases, PHAs voluntarily divest their voucher programs to a receiving PHA. PHAs may also project-base a portion of their vouchers or use their vouchers under the Homeownership Option.

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Authorizing Statute(s): US Code: 44 USC Chapter 35, as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2577-AC83	Final or interim final rulemaking	79 FR 36146	06/25/2014

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 61330	10/10/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 73331	12/10/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Housing Choice Voucher Program	HUD 52531B, HUD 52665, HUD-52641, HUD 52649, HUD 52530B, HUD 52530.c, HUD 52530A, HUD 52578-b, HUD 52667, HUD 52580-a, HUD 52646, HUD 52641-a, HUD 52642, HUD 52531A, HUD 52515, HUD 52580, HUD 52517	Funding Application: Section 8 Tenant-Based Assistance; Rental Certificate Program; Rental Voucher Program ,   Allowances for Tenant Furnished Utilities and Other Services ,   Inspection Form ,   Part ll of HAP Contract - PBV Housing Assistance Payments Contract New Construction or Rehabilitation ,   Request for Tenancy Approval Housing Choice Voucher Program ,   Voucher: Housing Choice Voucher Program ,   Family Portability Information ,   Housing Assistance Payments (HAP) Contract - Section 8 Tenant-Based Assistance ,   Tenancy Addendum: Section 8 Tanant-Based Assistance Housing Choice Voucher (To be attached to Tenant Lease) ,   Housing Assistance Payments (HAP) Contract Manufactured Hone Space Rental: Section 8 Tenant-Based Assistance Housing Choice Voucher ,   Statement of Homeowner Obligations Housing Choice Homeownership Voucher Program ,   Section 8 Project-Based Voucher Program - PBV Agreement to Enter into Housing Assistance Payments Contracts: New Construction or Rehabilitation - Part 1 ,   Section 8 Project-Based Voucher Program: PBV Agreement to Enter into Housing Assistance Payments Contract - New Construction or Rehabilitation - Part ll ,   Section 8 Project-Based Voucher Program: PBV Housing Assistance Payments Contract New Construction or Rebilitation - Part 1 of HAP Contract ,   Section 8 Project-Based Voucher Program: PBV Housing Assistance Payments Contract Existimg Housing - Part 1 of HAP Contract ,   Tenancy Addendum: Section 8 Project-based Voucher Program ,   Section 8 Project-Based Voucher Program Statement of Family Responsibility

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ICR Summary of Burden

table that charts list 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	2,849,233	2,843,533	0	0	5,700	0
Annual Time Burden (Hours)	1,275,279	1,274,089	0	0	1,190	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: Reason for program changes. Removal of all forms and other documents related to the Financial Management Division of the HCV program. The Financial Management Division will submit its own PRA. In addition, there has been a decrease in the number of PHAs from 2,450 to 2,302 since the last submission. Since the last submission there has also been a decrease in the number of participants in the Homeownership Program from 2,500 to 1,500. Numbers have also been revised for HQS inspections, new admissions, and portability based on current data in the PIC system.

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Annual Cost to Federal Government: $90,000

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: 04/14/2015

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