Information Collection

Housing Choice Voucher (HCV), Program and Tribal HUD-VASH

IC 27839 under ICR 202104-2577-004 · OMB 2577-0169.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0169 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD- 52530A Housing Choice Voucher (HCV), Program and Tribal HUD-VASH	Form and Instruction
HUD- 52530A Project-Based Voucher Program New Construction or Rehabi HUD 52530A_PBV New Construction Part 2.doc	Form and Instruction
HUD- 52530A Project-Based Voucher Program New Construction or Rehabi HUD 52530A_PBV New Construction Part 2.doc	Form and Instruction
HUD-52530A Project-Based Voucher Program New Construction or Rehabi HUD-52530A_PBV New Construction Part 1.doc	Form and Instruction
HUD-52530A Project-Based Voucher Program New Construction or Rehabi HUD-52530A_PBV New Construction Part 1.doc	Form and Instruction
HUD-52530B Project-Based Voucher Program Housing Assistance Payment HUD-52530B_PBV Existing Housing Part 1.doc	Form and Instruction
HUD-52530B Project-Based Voucher Program Housing Assistance Payment HUD-52530B_PBV Existing Housing Part 1.doc	Form and Instruction
HUD-52530B Project-Based Voucher Program Housing Assistance Payment HUD-52530B_PBV Existing Housing Part 2.doc	Form and Instruction
HUD-52530B Project-Based Voucher Program Housing Assistance Payment HUD-52530B_PBV Existing Housing Part 2.doc	Form and Instruction
HUD-52530.c Tenancy Addendum Section 8 Project-Based Voucher Program HUD-52530c_PBV Tenancy Addendum.doc	Form and Instruction
HUD-52530.c Tenancy Addendum Section 8 Project-Based Voucher Program HUD-52530c_PBV Tenancy Addendum.doc	Form and Instruction
HUD-52531A Project-Based Voucher Program Agreement to Enter into a HUD-52531A_PBV Part I of the AHAP.doc	Form and Instruction
HUD-52531A Project-Based Voucher Program Agreement to Enter into a HUD-52531A_PBV Part I of the AHAP.doc	Form and Instruction
HUD-52531B Project-Based Voucher Program Agreement to Enter into a HUD-52531B_PBV Part II of the AHAP.doc	Form and Instruction
HUD-52531B Project-Based Voucher Program Agreement to Enter into a HUD-52531B_PBV Part II of the AHAP.doc	Form and Instruction
HUD-52578b Section 8 Project-Based Voucher Program Statement of Fam HUD-52578b_PBV Statement of Family Responsibility.doc	Form and Instruction
HUD-52578b Section 8 Project-Based Voucher Program Statement of Fam HUD-52578b_PBV Statement of Family Responsibility.doc	Form and Instruction
HUD-XXXX Addendum to the Section 8 Project-Based Voucher Program PBV Existing HAP Contract Addendum_PBC Conversions.docx	Form and Instruction
HUD-XXXX Addendum to the Section 8 Project-Based Voucher Program PBV Existing HAP Contract Addendum_PBC Conversions.docx	Form and Instruction
HUD-52515 Funding Application - Housing Choice Voucher Program 2018 HUD-52515 Funding Application.docx	Form and Instruction
HUD-52515 Funding Application - Housing Choice Voucher Program 2018 HUD-52515 Funding Application.docx	Form and Instruction
HUD-52517 Request for Tenancy Approval - Housing Choice Voucher Pr 2018 HUD-52517 Request for Tenancy Approval.docx	Form and Instruction
HUD-52517 Request for Tenancy Approval - Housing Choice Voucher Pr 2018 HUD-52517 Request for Tenancy Approval.docx	Form and Instruction
HUD-52641 Housing Assistance Payments Contract (HAP Contract) Sect 2018 HUD-52641 HAP Contract.doc	Form and Instruction
HUD-52641 Housing Assistance Payments Contract (HAP Contract) Sect 2018 HUD-52641 HAP Contract.doc	Form and Instruction
HUD-52641-A Tenancy Addendum 2018 HUD-52641A Tenancy Addendum.docx	Form and Instruction
HUD-52641-A Tenancy Addendum 2018 HUD-52641A Tenancy Addendum.docx	Form and Instruction
HUD-52667 Utility Allowance Schedule 2018 HUD-52667 Utility Allowance Schedule.docx	Form and Instruction
HUD-52667 Utility Allowance Schedule 2018 HUD-52667 Utility Allowance Schedule.docx	Form and Instruction
HUD-50164 Unexploded Ordinance Hazards Disclosure-Waikoloa Maneuve HUD-50164-Unexploded Ordinance Harzards Disclosure Form -Waikoloa Maneuver Area.docx	Form and Instruction
HUD-50164 Unexploded Ordinance Hazards Disclosure-Waikoloa Maneuve HUD-50164-Unexploded Ordinance Harzards Disclosure Form -Waikoloa Maneuver Area.docx	Form and Instruction
HUD-52580 Inspection Checklist HUD-52580.pdf	Form and Instruction
HUD-52580 Inspection Checklist HUD-52580.pdf	Form and Instruction
HUD-52580-A Inspection Form - Housing Choice Voucher Program HUD-52580-A.pdf	Form and Instruction
HUD-52580-A Inspection Form - Housing Choice Voucher Program HUD-52580-A.pdf	Form and Instruction
HUD-52642 Housing Assistance Payments Contract Manufactured Home S HUD-52642.pdf	Form and Instruction
HUD-52642 Housing Assistance Payments Contract Manufactured Home S HUD-52642.pdf	Form and Instruction
HUD-52649 Statement of Homeowner Obligations Housing Choice Homeow HUD-52649.pdf	Form and Instruction
HUD-52649 Statement of Homeowner Obligations Housing Choice Homeow HUD-52649.pdf	Form and Instruction
HUD-52665 Family Portability Information - Housing Choice Voucher HUD-52665.pdf	Form and Instruction
HUD-52665 Family Portability Information - Housing Choice Voucher HUD-52665.pdf	Form and Instruction
HUD- 5980 Tribal HUD-VASH Leasing Performance Report HUD-5980 Tribal HUD-VASH Leasing Performance Report.xlsx	Form and Instruction
HUD- 5980 Tribal HUD-VASH Leasing Performance Report HUD-5980 Tribal HUD-VASH Leasing Performance Report.xlsx	Form and Instruction
52531B PBV Part II of the AHAP HUD-52531B_PBV Part II of the AHAP.docx	Form and Instruction
52531B PBV Part II of the AHAP HUD-52531B_PBV Part II of the AHAP.docx	Form and Instruction
52531A PBV Part I of the AHAP HUD-52531A_PBV Part I of the AHAP.docx	Form and Instruction
52531A PBV Part I of the AHAP HUD-52531A_PBV Part I of the AHAP.docx	Form and Instruction
52530B PBV Existing Housing Part 2 HUD-52530B_PBV Existing Housing Part 2.docx	Form and Instruction
52530B PBV Existing Housing Part 2 HUD-52530B_PBV Existing Housing Part 2.docx	Form and Instruction
52530A PBV New Construction Part 2 HUD 52530A_PBV New Construction Part 2.docx	Form and Instruction
52530A PBV New Construction Part 2 HUD 52530A_PBV New Construction Part 2.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Housing Choice Voucher (HCV), Program and Tribal HUD-VASH

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 982.517 24 CFR 982.158

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- 52530A	Project-Based Voucher Program New Construction or Rehabilitation Part 2 of HAP Contract	HUD 52530A_PBV New Construction Part 2.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52530A	Project-Based Voucher Program New Construction or Rehabilitation Part 1 of HAP Contract	HUD-52530A_PBV New Construction Part 1.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52530B	Project-Based Voucher Program Housing Assistance Payment Contract Existing Housing Part 1 of HAP Contract	HUD-52530B_PBV Existing Housing Part 1.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52530B	Project-Based Voucher Program Housing Assistance Payments Contract Existing Housing Part 2 of HAP Contract	HUD-52530B_PBV Existing Housing Part 2.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52530.c	Tenancy Addendum Section 8 Project-Based Voucher Program	HUD-52530c_PBV Tenancy Addendum.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52531A	Project-Based Voucher Program Agreement to Enter into a Housing Assistance Payments Contract New Construction or Rehabilitation Part 1 of 2	HUD-52531A_PBV Part I of the AHAP.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52531B	Project-Based Voucher Program Agreement to Enter into a Housing Assistance Payments Contract New Construction or Rehabilitation Part 2 of 2	HUD-52531B_PBV Part II of the AHAP.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52578b	Section 8 Project-Based Voucher Program Statement of Family Responsibility	HUD-52578b_PBV Statement of Family Responsibility.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-XXXX	Addendum to the Section 8 Project-Based Voucher Program Housing Assistance Payments Contracr - Existing Housing for PBC Conversions to PBV	PBV Existing HAP Contract Addendum_PBC Conversions.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52515	Funding Application - Housing Choice Voucher Program	2018 HUD-52515 Funding Application.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52517	Request for Tenancy Approval - Housing Choice Voucher Program	2018 HUD-52517 Request for Tenancy Approval.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52641	Housing Assistance Payments Contract (HAP Contract) Section 8 Tenant-Based Assistance - Housing Choice Voucher Program	2018 HUD-52641 HAP Contract.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52641-A	Tenancy Addendum	2018 HUD-52641A Tenancy Addendum.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-52667	Utility Allowance Schedule	2018 HUD-52667 Utility Allowance Schedule.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-50164	Unexploded Ordinance Hazards Disclosure-Waikoloa Maneuver Area (WMA)	HUD-50164-Unexploded Ordinance Harzards Disclosure Form -Waikoloa Maneuver Area.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52580	Inspection Checklist	HUD-52580.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52580-A	Inspection Form - Housing Choice Voucher Program	HUD-52580-A.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52642	Housing Assistance Payments Contract Manufactured Home Space Rental - Section 8 Tenant-Based Assistance Housing Choice Voucher Program	HUD-52642.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52649	Statement of Homeowner Obligations Housing Choice Homeownership Voucher Program	HUD-52649.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-52665	Family Portability Information - Housing Choice Voucher Program	HUD-52665.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD- 5980	Tribal HUD-VASH Leasing Performance Report	HUD-5980 Tribal HUD-VASH Leasing Performance Report.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	52531B	PBV Part II of the AHAP	HUD-52531B_PBV Part II of the AHAP.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	52531A	PBV Part I of the AHAP	HUD-52531A_PBV Part I of the AHAP.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	52530B	PBV Existing Housing Part 2	HUD-52530B_PBV Existing Housing Part 2.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	52530A	PBV New Construction Part 2	HUD 52530A_PBV New Construction Part 2.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: 2,244

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,680,545	3,680,545
Annual IC Time Burden (Hours)	1,643,407	1,643,407
Annual IC Cost Burden (Dollars)	0	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.