Information Collection

Public Housing Agency Plan

IC 44117 under ICR 202105-2577-001 · OMB 2577-0226.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form HUD-50075-5Y
Public Housing Agency Plan
Form and Instruction
Form HUD-50075-5Y
5-Year PHA PLan (For All PHAs) Public Housing Agency Plan
Form and Instruction
Form HUD 50075-HCV
Streamlined Annual PHA Plan (HCV Only PHAs) Public Housing Agency Plan
Form and Instruction
Form 50075-HP
High Performer PHAs Public Housing Agency Plan
Form and Instruction
Form HUD 50075-SM
Streamlined Annual PHA Plan (Small PHAs) Public Housing Agency Plan
Form and Instruction
Form 50075-ST
Annual PHA Plan (Standards PHAs and Troubled PHAs) Public Housing Agency Plan
Form and Instruction
Form HUD 50077-CR
Civil Rights Certifications (Qualified PHAs) Public Housing Agency Plan
Form and Instruction
Form HUD 50077-CRT-SM
Certification of Compliance with PHA Plan and Related Regulations (Small PHAs) Public Housing Agency Plan
Form and Instruction
Form HUD 50077-SL
Certification by State or Local Official of PHA Plans Consistency with the Consolidated Plan or State Consolidated Plan (All PHAs) Public Housing Agency Plan
Form and Instruction
Form HUD 50077-ST-HCV-H
Certifications of Compliance with PHA Plan and Related Regulations (Standards, Troubled, HCV-Only, and High Performer PHAs) Public Housing Agency Plan
Form and Instruction
Form 50075-MTW
MTW Supplement to the Annual PHA Plan Public Housing Agency Plan
Form and Instruction
Form 50077-CR
Civil Rights Certification Public Housing Agency Plan
Form and Instruction
Form 50077-CRT-SM
Certifications of Compliance with PHA Plan and Related Regulations Public Housing Agency Plan
Form and Instruction
Form 50077-SL
Certification by State or Local Official of PHA Plans Consistency with the Consolidated Plan or State Consolidated Plan Public Housing Agency Plan
Form and Instruction
Form 50077-ST-HCV-HP
Certifications of Compliance with PHA Plan and Related Regulations (Standard, Troubled, HCV-Only, and High Performer PHAs) Public Housing Agency Plan
Form and Instruction
HUD-50075-5Y 5-Year PHA PLan (For All PHAs)
50075-5Y_2019_CLEAN.docx
Form and Instruction
HUD-50075-5Y 5-Year PHA PLan (For All PHAs)
50075-5Y_2019_CLEAN.docx
Form and Instruction
HUD 50075-HCV Streamlined Annual PHA Plan (HCV Only PHAs)
50075-HCV_2019_CLEAN.docx
Form and Instruction
HUD 50075-HCV Streamlined Annual PHA Plan (HCV Only PHAs)
50075-HCV_2019_CLEAN.docx
Form and Instruction
50075-HP High Performer PHAs
50075-HP_2019_CLEAN.docx
Form and Instruction
50075-HP High Performer PHAs
50075-HP_2019_CLEAN.docx
Form and Instruction
HUD 50075-SM Streamlined Annual PHA Plan (Small PHAs)
50075-SM_2019_CLEAN.docx
Form and Instruction
HUD 50075-SM Streamlined Annual PHA Plan (Small PHAs)
50075-SM_2019_CLEAN.docx
Form and Instruction
50075-ST Annual PHA Plan (Standards PHAs and Troubled PHAs)
50075-ST_2019_CLEAN.docx
Form and Instruction
50075-ST Annual PHA Plan (Standards PHAs and Troubled PHAs)
50075-ST_2019_CLEAN.docx
Form and Instruction
HUD 50077-CR Civil Rights Certifications (Qualified PHAs)
50077-CR_2019_CLEAN.docx
Form and Instruction
HUD 50077-CR Civil Rights Certifications (Qualified PHAs)
50077-CR_2019_CLEAN.docx
Form and Instruction
HUD 50077-CRT-SM Certification of Compliance with PHA Plan and Related Re
50077-CRT-SM_2019_CLEAN.docx
Form and Instruction
HUD 50077-CRT-SM Certification of Compliance with PHA Plan and Related Re
50077-CRT-SM_2019_CLEAN.docx
Form and Instruction
HUD 50077-SL Certification by State or Local Official of PHA Plans Co
50077-SL_2019_CLEAN.docx
Form and Instruction
HUD 50077-SL Certification by State or Local Official of PHA Plans Co
50077-SL_2019_CLEAN.docx
Form and Instruction
HUD 50077-ST-HCV-H Certifications of Compliance with PHA Plan and Related R
50077-ST-HCV-HP_2019_CLEAN.docx
Form and Instruction
HUD 50077-ST-HCV-H Certifications of Compliance with PHA Plan and Related R
50077-ST-HCV-HP_2019_CLEAN.docx
Form and Instruction
50075-MTW MTW Supplement to the Annual PHA Plan
50075-MTW.docx
Form and Instruction
50075-MTW MTW Supplement to the Annual PHA Plan
50075-MTW.docx
Form and Instruction
50077-CR Civil Rights Certification
50077-CR_2021 _ redlined.docx
Form and Instruction
50077-CR Civil Rights Certification
50077-CR_2021 _ redlined.docx
Form and Instruction
50077-CRT-SM Certifications of Compliance with PHA Plan and Related R
50077-CRT-SM_2021_ redlined.docx
Form and Instruction
50077-CRT-SM Certifications of Compliance with PHA Plan and Related R
50077-CRT-SM_2021_ redlined.docx
Form and Instruction
50077-SL Certification by State or Local Official of PHA Plans Co
50077-SL_2021_ redlined.docx
Form and Instruction
50077-SL Certification by State or Local Official of PHA Plans Co
50077-SL_2021_ redlined.docx
Form and Instruction
50077-ST-HCV-HP Certifications of Compliance with PHA Plan and Related R
50077-ST-HCV-HP_2021_ redlined.docx
Form and Instruction
50077-ST-HCV-HP Certifications of Compliance with PHA Plan and Related R
50077-ST-HCV-HP_2021_ redlined.docx
Form and Instruction
83c - 2577-0226.docx
83 C
IC Document
83c - 2577-0226.docx
83 C
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction HUD-50075-5Y Yes Yes Fillable Fileable
Form and Instruction HUD 50075-HCV Yes Yes Fillable Fileable
Form and Instruction 50075-HP Yes Yes Fillable Fileable
Form and Instruction HUD 50075-SM Yes Yes Fillable Fileable
Form and Instruction 50075-ST Yes Yes Fillable Fileable
Form and Instruction HUD 50077-CR Yes Yes Fillable Fileable
Form and Instruction HUD 50077-CRT-SM Yes Yes Fillable Fileable Signable
Form and Instruction HUD 50077-SL Yes Yes Fillable Fileable Signable
Form and Instruction HUD 50077-ST-HCV-HP Yes Yes Fillable Fileable Signable
Form and Instruction 50075-MTW Yes Yes Fillable Fileable Signable
Form and Instruction 50077-CR Yes Yes Fillable Fileable Signable
Form and Instruction 50077-CRT-SM Yes Yes Fillable Fileable Signable
Form and Instruction 50077-SL Yes Yes Fillable Fileable Signable
Form and Instruction 50077-ST-HCV-HP Yes Yes Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,780 0 0 0 0 3,780
Annual IC Time Burden (Hours) 14,614 0 0 0 0 14,614
Annual IC Cost Burden (Dollars) 339,769 0 0 0 0 339,769

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
83 C 05/10/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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