Information Collection

Public Housing Annual Contributions Contract and Inventory Removal Application

IC 27799 under ICR 201912-2577-002 · OMB 2577-0075.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0075 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-52860 Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction
Annual Contributions Contract - (7-5).docx	Other-Annual Contributions Contract
HUD-52860 Inventory Removal Application HUD-52860 (global form).docx	Form and Instruction
HUD-52860-A Demolition and Disposition Addendum HUD-52860-A (7-5).docx	Form and Instruction
HUD-52860-F Eminent Domain Addendum HUD-52860-F (Eminent Domain) (6-21-17).doc	Form and Instruction
HUD-51999 General Depository Agreement HUD-51999 (GDA) (7-5).docx	Form and Instruction
HUD-52860-B Total Development Cost (TDC) and Rehab Cost Estimate Add HUD-52860-B (7-5).xls	Form and Instruction
HUD-5837 Notification of Public Housing Closeout or Future Develo HUD-5837 NOTIFICATION OF PUBLIC HOUSING CLOSEOUT OR FUTURE DEVELOPMENT (....docx	Form and Instruction
HUD-52860-D Required Conversion Addendum HUD-52860-D (Required Conversion) (7-5).doc	Form and Instruction
HUD-52860-E Voluntary Conversion Addendum HUD-52860-E (Voluntary Conversion) (7-5).doc	Form and Instruction
HUD-52860-C Homeownership Addendum HUD-52860 (global form).docx	Form and Instruction
HUD-52860-G Retention Addendum HUD-52860-G (7-5).doc	Form and Instruction
HUD-52840-A Capital Fund Program (DVP) Amendment To the Consolidated HUD 52840A ACC_Amendments_ 06 19 2017.xls	Form and Instruction
HUD-5837 - Origina Notification of Public Housing Closeout or Future Develo HUD-5837-Original Version (5-30-19).docx	Form and Instruction
HUD-5837 - Editied Notification of Public Housing Closeout or Future Develo HUD-5837-Editied Version (5-30-19).pdf	Form and Instruction
HUD-52860 - Origin Inventory Removal Application 52860-Original Version.pdf	Form and Instruction
HUD-52860 - Edited Inventory Removal Application HUD-52860 (83c change to OMB) (8-7-19).docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Public Housing Annual Contributions Contract and Inventory Removal Application

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 906 24 CFR 972 24 CFR 970

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 and Instruction	HUD-52860	Inventory Removal Application	HUD-52860 (global form).docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52860-A	Demolition and Disposition Addendum	HUD-52860-A (7-5).docx	Yes	Yes	Fillable Printable
Other-Annual Contributions Contract			Annual Contributions Contract - (7-5).docx	Yes	Yes	Paper Only
Form and Instruction	HUD-52860-F	Eminent Domain Addendum	HUD-52860-F (Eminent Domain) (6-21-17).doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD-51999	General Depository Agreement	HUD-51999 (GDA) (7-5).docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52860-B	Total Development Cost (TDC) and Rehab Cost Estimate Addendum	HUD-52860-B (7-5).xls	Yes	Yes	Fillable Printable
Form and Instruction	HUD-5837	Notification of Public Housing Closeout or Future Development	HUD-5837 NOTIFICATION OF PUBLIC HOUSING CLOSEOUT OR FUTURE DEVELOPMENT (....docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52860-D	Required Conversion Addendum	HUD-52860-D (Required Conversion) (7-5).doc	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-52860-E	Voluntary Conversion Addendum	HUD-52860-E (Voluntary Conversion) (7-5).doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52860-C	Homeownership Addendum	HUD-52860 (global form).docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52860-G	Retention Addendum	HUD-52860-G (7-5).doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52840-A	Capital Fund Program (DVP) Amendment To the Consolidated Annual Contributions Contract (form HUD-53012)	HUD 52840A ACC_Amendments_ 06 19 2017.xls	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-5837 - Original Version (5/30/19)	Notification of Public Housing Closeout or Future Development	HUD-5837-Original Version (5-30-19).docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-5837 - Editied Version (5-30-19)	Notification of Public Housing Closeout or Future Development	HUD-5837-Editied Version (5-30-19).pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52860 - Original Version	Inventory Removal Application	52860-Original Version.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52860 - Edited Version	Inventory Removal Application	HUD-52860 (83c change to OMB) (8-7-19).docx	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,201

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,201	-1,453	4,654
Annual IC Time Burden (Hours)	19,151	-8,693	27,844
Annual IC Cost Burden (Dollars)	169,269	169,269	0

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.