HUD-52672 Supporting Data for Annual Contributions Estimates (Sect

Supporting Data for Annual
Contributions Estimates

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

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

Section 8 Housing Assistance
Payments Program
Public reporting burden for this collection of information is estimated to average 1.50 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 collecton display a valid OMB control number.
Assurances of confidentiality are not provided under this collection. Authority for this collection of information is the Housing and Community Development
Act of 1987. Housing Agencies (HAs) required to maintain financial reports in accordance with accepted accounting standards to permit timely and
effective audits. The financial records identify the amount of annual contributions that are received and disbursed by HAs. Responses to the collection
of information are required to obtain a benefit or to retain a benefit. The information requested does not lend itself to confidentiality.
2. Project No.

1. Public Housing Agency (Name and Address)

3. Submission

Original Revision No.
4. No. of Dwelling Units

Part I Estimate of
Annual
Housing
Assistance
Payments

6.

Required

7.
8.

Bedroom Size
of Dwelling
Units
0 BR
1 BR
2 BR

9.

3 BR

10.

4 BR

Number of
Dwelling
Units

Amount
Monthly Gross Payable by
Rent/Payment Family Toward
Gross Rent
Standard

Monthly
Housing
Assistance
Payments

5. No. of Unit Months

Unit Months
Under
Lease

Annual Housing
Assistance Payments

11.
12.
13.
14.
15.

Total

Part IICalculation of
Estimated
Ongoing
Administrative

16.

Fee

17.

1 BR

18.

Total

Unit Months
(a)
0 BR

$
HUD Published 2-BR
Fair Market Rent
x
(b)

Product of
Columns (a) x (b)
=
(c)

Estimated Number of Families
(a)

Part III Calculation of
Estimated
Hard- to- House
(Existing Housing
Certificates and
Housing Vouchers
Only)

Fee Per Family
(b)

=

Administrative Fee
(e)

Total Hard-to-House Fee
=
(c)

19.

Requested Amount
Requested Amount
HUD Modifications

Part IV Calculation of Estimated
Preliminary Expense
Administrative Expenses

x

Allowable
Percent
x (d)

20. Administrative Salaries
21. Employee Benefit Contributions
22. L e g a l E x p en s e
2 3 . T r a v e l Ex p e n se
24. S u n d r y
25. O f f i c e R e n t
2 6 . Accounting and Auditing Fees
27. Total Administrative Expenses

Non-Expendable Equipment
Expenses

General Expenses

28. Office Equipment
29. Office Furnishings
30. Automotive
31. Other
3 2 . Total Non-Expendable Equipment Expenses
33. Maintenance and Operation (Non-Expend. Equip. Only)
34. Insurance
35. S u n d r y
3 6 . T o ta l G e n e r a l E x p e n s e

Total Preliminary Expenses
Submit three copies
Previous editions are obsolete

37.

Sum of Lines 27, 32, and 36
Page 1 of 1

form HUD-52672 (09/14)
ref Handbook 7420.7