HUD-52672 Supporting Data for Annual Contributions Estimates

Supporting Data for Annual
Contributions Estimates

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

OMB Approval No. 2577-0282
(Exp. 8/31/2018)

Section 8 Housing Assistance
Payments Program
Public reporting burden for this collection of information is estimated to average 40 minutes 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 you are not required to respond to, a collection of information unless that collecton displays a valid OMB control number.
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 too 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.
1. Public Housing Agency (Name and Address)

2. Project No.

3. Submission

Original

Revision No.

4. No. of Dwelling Units

Part I Estimate of
Annual
Housing
Assistance
Payments
Required

Part II Calculation of
Estimated
Ongoing
Administrative
Fee

Bedroom Size
of Dwelling
Units
6.
0 BR
7.
1 BR
8.
2 BR
9.
3 BR
10.
4 BR
11.
12.
13.
14.
15.
Total

16.
17.
18.

Amount
Monthly
Monthly Gross Payable by
Housing
Rent/Payment Family Toward Assistance
Standard
Gross Rent
Payments

=

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

Non-Expendable Equipment
Expenses

General Expenses

Total Preliminary Expenses
Submit three copies
Previous editions are obsolete

Annual Housing
Assistance Payments

x

Allowable
Percent
x (d)

Fee Per Family
(b)

=

Administrative Fee
(e)

Total Hard-to-House Fee
=
(c)

19.

Requested Amount

Part IV Calculation of Estimated
Preliminary Expense
Administrative Expenses

Unit Months
Under
Lease

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

Estimated Number of Families
(a)

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

Unit Months
(a)
0 BR
1 BR
Total

Number of
Dwelling
Units

5. No. of Unit Months

20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.

Requested Amount

HUD Modifications

Administrative Salaries
Employee Benefit Contributions
Legal Expense
Travel Expense
Sundry
Office Rent
Accounting and Auditing Fees
Total Administrative Expenses
Office Equipment
Office Furnishings
Automotive
Other
Total Non-Expendable Equipment Expenses
Maintenance and Operation (Non-Expend. Equip. Only)
Insurance
Sundry
Total General Expense
Sum of Lines 27, 32, and 36
Page 1 of 1

form HUD-52672 (8/18)
ref Handbook 7420.7