Public Housing Annual Contributions Contract and Inventory Removal Application

OMB: 2577-0075

IC ID: 27799

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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:

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 %

	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

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.