OMB Control No:  2577-0157ICR Reference No: 
201609-2577-001 
Status:  Historical ActivePrevious ICR Reference No:  201511-2577-002  
Agency/Subagency:  HUD/PIHAgency Tracking No:  2577-0157 
Title:  Public Housing Capital Fund
Program 
Type of Information Collection: 
Extension without change of a currently approved collectionCommon Form ICR:   No 
Type of Review Request:  Regular 
OIRA Conclusion Action:  Approved
without changeConclusion Date:  03/15/2017 
Retrieve
Notice of Action (NOA) Date Received in OIRA: 
01/31/2017 
Terms of Clearance:  
  
Inventory as of this Action 
Requested 
Previously Approved 
 
Expiration Date 03/31/2020 
36 Months From Approved 
03/31/2017 
 
Responses 79,044 
0 
79,044 
 
Time Burden (Hours) 306,537 
0 
306,537 
 
Cost Burden (Dollars) 0 
0 
0 
 
 
Abstract:  Each year Congress appropriates funds
to approximately 3,100 Public Housing Authorities (PHAs) for
modernization, development, financing, and management improvements.
The funds are allocated based on a complex formula. The forms in
this collection are used to appropriately disburse and utilize the
funds provided to PHAs. Additionally, these forms provide the
information necessary to approve a financing transaction in
addition to any Capital Fund Financing transactions. Respondents
include the approximately 3,100 PHA receiving Capital Funds and any
other PHAs wishing to pursue financing. 
 
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:  US Code: 42 USC 1437q Name of Law: Section 9
of the U.S. Housing Act of 1937 
 
Associated Rulemaking
Information  
RIN: Stage of Rulemaking: Federal Register Citation: Date:  
2577-AC50 
Final or interim final rulemaking 
78 FR
63748 10/24/2013 
 
 
Federal Register Notices &
Comments  
60-day Notice: Federal Register Citation: Citation Date:  
  
81 FR
63199 09/14/2016 
 
30-day Notice: Federal Register Citation: Citation Date:  
82 FR
135 01/03/2017 
 
Did the Agency receive public comments on
this ICR?  No 
 
Number of Information Collection (IC) in this
ICR:  1  
IC Title 
Form No. 
Form Name 
 
Public Housing Capital
Fund Program HUD-53001, HUD-52833, HUD-52847, HUD-5370, HUD - 52830,
HUD-52845, HUD-52846, HUD-52849, HUD-50075.1, HUD-52484, HUD-52828
, HUD-53015, HUD-50071, HUD-51002, HUD-5370-EZ, HUD-5370-C1,
HUD-52651-a, HUD-5370-C2, HUD-5378, HUD-5460, HUD-50075.2, HUD
-51000, HUD-51001, HUD-51915A, HUD 51971-1 and 51971-2, HUD-52396,
HUD-52485, HUD 5087, HUD-5372, HUD-52829, HUD-51003, HUD-51004,
HUD-51915, 52427, HUD-52483-a, HUD 52482 
Actual
Mordernization Cost Certificate  ,   Outline Specification  ,
  General
Conditions for Construction Contract - Public Housing Programs 
,   General
Conditions for Non-Construction Contracts - Section 1 - (With or
Without Maintenance Work)  ,   General Conditions for
Non-Construction Contracts - Section 1 (With Maintenance Work) 
,   General
Contract Conditions for Small Construction/Development
Contracts  ,   Construction Progress
Schedule  ,   Public Housing Construction
Report  ,   Insurance Information  ,
  Certification of
Payments  ,   Annual Statement/Performance
and Evaluation Report , Capital Fund Program, Capital Fund Program
Replacement Housing Factor and ....  ,   Annual Statement/Performance
and Evaluation Report Capital Fund Program, Capital Fund Program
Replacement Housing Factor and Capital  ,   Schedule of Amounts for
Contract Payments  ,   Periodic Estimate for Partial
Payment  ,   Schedule of Change Orders  ,
  Schedule of
Materials Stored  ,   Summary of Materials Stored 
,   Model Form of
Agreement Between Owner and Design Professional  ,  
Contract Provisions
Required by Federal Lawor Owner Contract with the  ,  
Offer of Sale of Real
Property  ,   Analysis of Proposed Main
Construction Contract  ,   Actual Development Cost
Certificate  ,   Guide Form of Turnkey
Developer's Packet  ,   Proposal for a Public Housing
Project  ,   Development Cost Budget/ Cost
Statement  ,   Demonstration of Financial
Feasibility  ,   Site, Design and Cost
Report  ,   GRP
Model Version  ,   Physical Needs Assessment
Capital Fund Financing Program Operating Fund Financing Program 
,   Capital Fund
Financing Program Portfolio Schedule Form  ,   Management Needs Assessment
Comprehensive Grant Program (CGP)  ,   Capital Fund Financing Program
- Term Sheet  ,   Capital Fund Financing Program
(CFFP) Periodic Payment Debt Service Schedule - Formula Funds
Only  ,   Capital Fund Financing Program
(CFFP) Monthly Debt Service Schedule - Formula Funds Only  ,
  Capital Fund
Financing Program Pooled Transaction: List of Participating
PHAs  ,   INSTRUCTIONS FOR PREPARATION OF
TURNKEY CONTRACT OF SALE FORM HUD-53015, PART I AND PART
II  
 
 
 
ICR Summary 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 
79,044 
79,044 
0 
0 
0 
0 
 
Annual Time Burden (Hours) 
306,537 
306,537 
0 
0 
0 
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:  
Annual Cost to Federal Government: 
$4,042,688 
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 
Agency Contact:  Thomas Shelton
2024024799