Information Collection

Applications for Housing Assistance Payments; Special Claims Processing

IC 27051 under ICR 201604-2502-001 · OMB 2502-0182.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0182 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 52670-A-PART-1 Applications for Housing Assistance Payments; Special Claims Processing	Form
52670-A-PART-1 Schedule of Tenant ASsistance Payments Due 52671-a.pdf	Form
HUD 52671-A Special Claims for Unpaid Rent/Damages 52671-a.pdf	Form
HUD 52671-B Special Claims for Vacancies Durinf Rent-Up 52671-b.pdf	Form
HUD-52671-C Special Claims for Regular Vacancies 52671-c.pdf	Form
HUD-52671-D Special Claims for Debt Service 52671-d.pdf	Form
HUD-52670 Housing Owner's Certification and Application for Housin 52670.pdf	Form
HUD 52670-A Part 2 Special Claims Schedule 52670a-2.pdf	Form and Instruction
HUD 52670-A-part 3 Adjustments to Schedule of Tenant Assistance Payments Du 52670APart3.pdf	Form and Instruction
HUD 52670-A part 4 Misc. Accounting requiests for Schedule of Tenant Assist Form52670APart4.pdf	Form and Instruction
HUD 52670-A part 5 Approved Special Claims for Schedule of Tenant Assistanc Form52670APart5.pdf	Form and Instruction

IC Title:

Applications for Housing Assistance Payments; Special Claims Processing

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 880.608f 24 CFR 236.740 24 CFR 5.506

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	52670-A-PART-1	Schedule of Tenant ASsistance Payments Due	52671-a.pdf	Yes	Yes	Fillable Printable
Form	HUD 52671-A	Special Claims for Unpaid Rent/Damages	52671-a.pdf	Yes	Yes	Fillable Printable
Form	HUD 52671-B	Special Claims for Vacancies Durinf Rent-Up	52671-b.pdf	Yes	Yes	Fillable Printable
Form	HUD-52671-C	Special Claims for Regular Vacancies	52671-c.pdf	Yes	Yes	Fillable Printable
Form	HUD-52671-D	Special Claims for Debt Service	52671-d.pdf	Yes	Yes	Fillable Printable
Form	HUD-52670	Housing Owner's Certification and Application for Housing Assistance Payments	52670.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52670-A Part 2	Special Claims Schedule	52670a-2.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52670-A-part 3	Adjustments to Schedule of Tenant Assistance Payments Due	52670APart3.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52670-A part 4	Misc. Accounting requiests for Schedule of Tenant Assistance Payments Due	Form52670APart4.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52670-A part 5	Approved Special Claims for Schedule of Tenant Assistance Payments Due	Form52670APart5.pdf	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25,867

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	310,140	0	18,240	291,900
Annual IC Time Burden (Hours)	390,642	34,097	54,594	301,951
Annual IC Cost Burden (Dollars)	0	-617,642	0	617,642

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.