Information Collection

Public Housing Annual Contributions Contract and Inventory Removal Application

IC 27799 under ICR 202008-2577-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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: Unchanged

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	Previously Approved
Annual Number of Responses for this IC	3,201	3,201
Annual IC Time Burden (Hours)	19,151	19,151
Annual IC Cost Burden (Dollars)	169,269	169,269

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.