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	Available
Form HUD-52530-C Tenancy Addendum- Section 8 Project-based Voucher Program	Form and Instruction	Modified	Available
Form HUD-52531-B Section8 Project-Based Voucher Program: PBV Agreement to Enter into Housing Assistance Payment Contract - New Construction of 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 Voucher Program	Form and Instruction	Modified	Available
Form HUD-52642 Housing Assistance Payments (HAP) Contract Manufactured Home Space Rental Section 8 Tenant-Based Assistance Housing Choice Voucher	Form and Instruction	Modified	Available
Form HUD-52641-a Tenancy Addendum - Section 8 Tenant-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-52667 Allowances for Tenant Furnished Utilities and Other Services	Form and Instruction	Modified	Available
Form HUD-52646 Voucher - Housing Choice Voucher Program	Form and Instruction	Modified	Available
Form HUD-52530b-Part 2 Section 8 Project-Based Voucher Program: PBV Housing Assistance Payment Contract Existing Housing- Part 2 of HAP Contract	Form and Instruction	Modified	Available
Form HUD-52530A Project-Based Voucher Program - HAP Contract for New Construction or Rehabilitation	Form and Instruction	Modified	Available
Form HUD-52530A Part II Section 8 Project-Based Voucher Program: PBV Housing Assistance Payments Contract New Construction or Rehabilitation- Part 1 of HAP Contract	Form and Instruction	Modified	Available
Form HUD-52517 Request for Tenancy Approval Housing Choice Voucher Program	Form and Instruction	Modified	Available
Form HUD-52515 Funding Application Section 8 Tenant-Based Assistance Rental Certificate Program; Rental Voucher Program	Form and Instruction	Modified	Available
Form HUD-52665 Family Portability Information - Housing Choice Voucher - Previous Version	Form and Instruction	Modified	Available
Form HUD-52665 Family Portability Informtion - Housing Choice Voucher Program -Revised Version	Form and Instruction	Modified	Available
83-i 06-03-15 - redlined version.docx	Supporting Statement A	Uploaded 2016-06-03	Available
IPA Forms.doc	Supplementary Document	Uploaded 2015-11-20	Available

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	Section8 Project-Based Voucher Program: PBV Agreement to Enter into Housing Assistance Payment Contract - New Construction of 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 Voucher Program
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Housing Assistance Payments (HAP) Contract Manufactured Home Space Rental Section 8 Tenant-Based Assistance Housing Choice Voucher
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Tenancy Addendum - Section 8 Tenant-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	Allowances for Tenant Furnished Utilities and Other Services
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Voucher - Housing Choice Voucher Program
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Section 8 Project-Based Voucher Program: PBV Housing Assistance Payment Contract Existing Housing- Part 2 of HAP Contract
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Project-Based Voucher Program - HAP Contract for New Construction or Rehabilitation
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Section 8 Project-Based Voucher Program: PBV Housing Assistance Payments Contract New Construction or Rehabilitation- Part 1 of HAP Contract
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	Funding Application Section 8 Tenant-Based Assistance Rental Certificate Program; Rental Voucher Program
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Family Portability Information - Housing Choice Voucher - Previous Version
27839	Housing Choice Voucher Program	Form and Instruction	Modified	Family Portability Informtion - Housing Choice Voucher Program -Revised Version

ICR Details

OMB Control No: 2577-0169	ICR Reference No: 201509-2577-001
Status: Historical Active	Previous ICR Reference No: 201504-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0169
Title: Housing Choice Voucher Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/06/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/05/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	04/30/2018
Responses	3,304,737	0	2,849,233
Time Burden (Hours)	1,589,124	0	1,275,279
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-AC86	Final or interim final rulemaking	80 FR 50564	08/20/2015

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 57012	09/21/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 77651	12/15/2015
Did the Agency receive public comments on this ICR? Yes

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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-52530A, HUD-52665, HUD-52530b-Part 2 of HAP Contract, HUD-52665, HUD-52515, HUD-52517, HUD-52530A Part II, HUD-52646, HUD-52667, HUD-52641, HUD-52641-a , HUD-52642, HUD-52649, HUD-52531a, HUD-52531-B, HUD-52530-C, HUD-52578-b	Family Portability Informtion - Housing Choice Voucher Program -Revised Version ,   Family Portability Information - Housing Choice Voucher - Previous Version ,   Funding Application Section 8 Tenant-Based Assistance Rental Certificate Program; Rental Voucher Program ,   Request for Tenancy Approval Housing Choice Voucher Program ,   Section 8 Project-Based Voucher Program: PBV Housing Assistance Payments Contract New Construction or Rehabilitation- Part 1 of HAP Contract ,   Project-Based Voucher Program - HAP Contract for New Construction or Rehabilitation ,   Section 8 Project-Based Voucher Program: PBV Housing Assistance Payment Contract Existing Housing- Part 2 of HAP Contract ,   Voucher - Housing Choice Voucher Program ,   Allowances for Tenant Furnished Utilities and Other Services ,   Housing Assistance Payments (HAP) Contract- Section 8 Tenant-Based Assistance ,   Tenancy Addendum - Section 8 Tenant-Based Assistance Housing Choice Voucher (To be attached to Tenant Lease ,   Housing Assistance Payments (HAP) Contract Manufactured Home Space Rental Section 8 Tenant-Based Assistance Housing Choice Voucher ,   Statement of Homeowner Obligations Housing Choice Voucher Program ,   Section 8 Project-Based Voucher Program-PBV Agreement to Enter into Housing Assistance Payments Contracts: New Construction or Rehabilitation - Part 1 ,   Section8 Project-Based Voucher Program: PBV Agreement to Enter into Housing Assistance Payment Contract - New Construction of Rehabilitation- Part ll ,   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	3,304,737	2,849,233	0	0	455,504	0
Annual Time Burden (Hours)	1,589,124	1,275,279	0	0	313,845	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: Additional paperwork has been added in regard to the new portability rule. In addition, there has been a decrease in the number of PHAs from 2,302 to 2,224 since the last submission. Numbers have also been revised for new admissions, and portability based on current data in the PIC system. In addition, the information packet, which had inadvertently been omitted from previous PRAs, was added to this PRA. The information packet is provided to all new voucher holders at a briefing where the program is explained.

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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: 04/05/2016

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