Inventory Removal Application Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-52860 Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Unchanged	Available
2020 2577-0075 83c Change Request.docx	Supplementary Document	Uploaded 2020-08-13	Repair queued
2577-0075.pdf	Supplementary Document	Uploaded 2019-12-11	Available
ACC 30-day notice 10032019 6PM (003).docx	Supplementary Document	Uploaded 2019-12-11	Available
83c.Change Worksheet (HUD-52860) (8-7-19).doc	Justification for No Material/Nonsubstantive Change	Uploaded 2019-08-07	Available
83c.Change Worksheet (HUD-5837) (5-30-19).doc	Justification for No Material/Nonsubstantive Change	Uploaded 2019-05-30	Available
Published 30-day FR Notice.pdf	Supplementary Document	Uploaded 2017-10-18	Available
Published 60-day FR Notice.pdf	Supplementary Document	Uploaded 2017-08-10	Available
6665-INITIAL PRIVACY ASSESSMENT (IPA) (7-5).docx	Supplementary Document	Uploaded 2017-08-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Unchanged

ICR Details

OMB Control No: 2577-0075	ICR Reference No: 202008-2577-001
Status: Active	Previous ICR Reference No: 201912-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0075
Title: Inventory Removal Application Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/18/2020
	Date Received in OIRA: 08/13/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2023	08/31/2023	08/31/2023
Responses	3,201	0	3,201
Time Burden (Hours)	19,151	0	19,151
Cost Burden (Dollars)	169,269	0	169,269

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Abstract: HUD requires all public housing agencies (PHAs) to execute an Annual Contributions Contract (ACC) for each project and to execute amendments to the ACC for certain funding such as Capital Funding. HUD requires PHAs to have a valid Declaration of Trust (DOT) recorded against all public housing property. HUD requires PHAs to provide certain submissions when they propose to take certain voluntary actions that change their public housing inventory, such as disposition, demolition, voluntary conversion, required conversion, home ownership, or eminent domain proceedings. HUD requires PHAs to provide certain submissions when their inventory removal actions will remove all public housing units in their inventories. HUD requires PHAs to provide certain submissions regarding deposits and treatment of 1937 Act funds.

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Authorizing Statute(s): US Code: 42 USC 1437q Name of Law: U.S.Housing Act of 1937
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 66729	12/27/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 60410	11/08/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Public Housing Annual Contributions Contract and Inventory Removal Application	HUD-52860-D, HUD-51999, HUD-52860-G, HUD-52840-A, HUD-52860, HUD-52860-B, HUD-5837 - Editied Version (5-30-19), HUD-5837 - Original Version (5/30/19), HUD-52860 - Original Version, HUD-52860 - Edited Version, HUD-52860-E, HUD-52860-C, HUD-52860-A, HUD-52860-F, HUD-5837	Inventory Removal Application ,   Demolition and Disposition Addendum ,   Eminent Domain Addendum ,   General Depository Agreement ,   Total Development Cost (TDC) and Rehab Cost Estimate Addendum ,   Notification of Public Housing Closeout or Future Development ,   Required Conversion Addendum ,   Voluntary Conversion Addendum ,   Homeownership Addendum ,   Retention Addendum ,   Capital Fund Program (DVP) Amendment To the Consolidated Annual Contributions Contract (form HUD-53012) ,   Notification of Public Housing Closeout or Future Development ,   Inventory Removal Application ,   Inventory Removal Application ,   Notification of Public Housing Closeout or Future Development

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ICR Summary of Burden

table that charts list 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	3,201	3,201	0	0	0	0
Annual Time Burden (Hours)	19,151	19,151	0	0	0	0
Annual Cost Burden (Dollars)	169,269	169,269	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: HUD streamlined and combined forms 53012A and HUD-53012B into one form HUD-53012.

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Annual Cost to Federal Government: $1,141,631

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/13/2020

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