Information Collection

Public Housing Capital Fund Program

IC 27829 under ICR 202109-2577-004 · OMB 2577-0157.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0157 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 5087 Public Housing Capital Fund Program	Form and Instruction
HUD 5087 Outline Specification HUD 5087accessibility compliance corrected 2 26 2020.pdf	Form and Instruction
HUD 5087 Outline Specification HUD 5087accessibility compliance corrected 2 26 2020.pdf	Form and Instruction
HUD 5370-C2 General Conditions for Non-Construction Contracts Sec II HUD 5370-C2 burden statement and accessibility compliance corrected 3 19 2020.pdf	Form and Instruction
HUD 5370-C2 General Conditions for Non-Construction Contracts Sec II HUD 5370-C2 burden statement and accessibility compliance corrected 3 19 2020.pdf	Form and Instruction
HUD 5372 Construction Progress Schedule HUD 5372 burden statement and accessibility compliance corrected 2 25 2020.pdf	Form and Instruction
HUD 5372 Construction Progress Schedule HUD 5372 burden statement and accessibility compliance corrected 2 25 2020.pdf	Form and Instruction
HUD 5378 Public Housing Construction Report HUD 5378 burden statement and accessibility compliance corrected 2 25 2020.pdf	Form and Instruction
HUD 5378 Public Housing Construction Report HUD 5378 burden statement and accessibility compliance corrected 2 25 2020.pdf	Form and Instruction
HUD 5460 Insurance Information HUD 5460 burden statement and accessibility compliance corrected 2 26 2020.pdf	Form and Instruction
HUD 5460 Insurance Information HUD 5460 burden statement and accessibility compliance corrected 2 26 2020.pdf	Form and Instruction
HUD 50071 Certification of Payments to Influence Federal Transacti HUD 50071 burden statement and accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 50071 Certification of Payments to Influence Federal Transacti HUD 50071 burden statement and accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 50075.1 Annual Statement Performance and Evaluation Report HUD 50075.1 rev to include burden statement and fixed accessibility compliance 2.pdf	Form and Instruction
HUD 50075.1 Annual Statement Performance and Evaluation Report HUD 50075.1 rev to include burden statement and fixed accessibility compliance 2.pdf	Form and Instruction
HUD 51003 Schedule of Materials Stored HUD 51003 burden statement and accessibility compliance corrected 2 26 2020.pdf	Form and Instruction
HUD 51003 Schedule of Materials Stored HUD 51003 burden statement and accessibility compliance corrected 2 26 2020.pdf	Form and Instruction
HUD 51004 Summary of Materials Stored HUD 51004 burden statement and accessibility compliance corrected 2 26 2020.pdf	Form and Instruction
HUD 51004 Summary of Materials Stored HUD 51004 burden statement and accessibility compliance corrected 2 26 2020.pdf	Form and Instruction
HUD 51915 Model Form of Agreement Between Owner and Design Profess HUD 51915 OGC changes 2 and fixed accessibility 4 9 2020.pdf	Form and Instruction
HUD 51915 Model Form of Agreement Between Owner and Design Profess HUD 51915 OGC changes 2 and fixed accessibility 4 9 2020.pdf	Form and Instruction
HUD 51915a Contract Provisions Required by Federal Law or Owner Con HUD 51915a OGC changes and fixed accessibility 3 9 2020.pdf	Form and Instruction
HUD 51915a Contract Provisions Required by Federal Law or Owner Con HUD 51915a OGC changes and fixed accessibility 3 9 2020.pdf	Form and Instruction
HUD 51971 and 5197 Offer of Sale of Real Property and Purchase Agreement HUD 51971-1 and 51971-2 OGC changes Burdent statement and accessibility corrected 2 26 2020.pdf	Form and Instruction
HUD 51971 and 5197 Offer of Sale of Real Property and Purchase Agreement HUD 51971-1 and 51971-2 OGC changes Burdent statement and accessibility corrected 2 26 2020.pdf	Form and Instruction
HUD 52396 Analysis of Proposed Main Construction Contract HUD 52396 burden statement and accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 52396 Analysis of Proposed Main Construction Contract HUD 52396 burden statement and accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 52484 Development Cost Budget/Cost Statement HUD 52484 OGC changes and accessibility compliance corrected.pdf	Form and Instruction
HUD 52484 Development Cost Budget/Cost Statement HUD 52484 OGC changes and accessibility compliance corrected.pdf	Form and Instruction
HUD 52485 Demonstration of Financial Feasibility HUD 52485 OGC changes burden statement and accessibility compliance errors need manual correction.pdf	Form and Instruction
HUD 52485 Demonstration of Financial Feasibility HUD 52485 OGC changes burden statement and accessibility compliance errors need manual correction.pdf	Form and Instruction
HUD 52486 CFFP Periodic Payment Debt Service Schedule - Formula Fu HUD 52486 accessibility compliance corrected 2 25 2020.pdf	Form and Instruction
HUD 52486 CFFP Periodic Payment Debt Service Schedule - Formula Fu HUD 52486 accessibility compliance corrected 2 25 2020.pdf	Form and Instruction
HUD 52830 lio Schedule for Capital Fund Financing Proposal HUD 52830 burden statement and accessibility compliance corrected 2 25 2020.pdf	Form and Instruction
HUD 52830 lio Schedule for Capital Fund Financing Proposal HUD 52830 burden statement and accessibility compliance corrected 2 25 2020.pdf	Form and Instruction
HUD 52833 Management Needs Assessment Capital Fund Program (CFP) HUD 52833 recommend delete this is PHMAP.pdf	Form and Instruction
HUD 52833 Management Needs Assessment Capital Fund Program (CFP) HUD 52833 recommend delete this is PHMAP.pdf	Form and Instruction
HUD 52845 Term Sheet HUD 52845 Compliance checked 4 9 2020.pdf	Form and Instruction
HUD 52845 Term Sheet HUD 52845 Compliance checked 4 9 2020.pdf	Form and Instruction
HUD 52846 CFFP Periodic Payment Debt Service Schedule - Formula Fu HUD 52846 accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 52846 CFFP Periodic Payment Debt Service Schedule - Formula Fu HUD 52846 accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 52847 CFFP Monthly Debt Service Schedule - Formula Funds Only HUD 52847 accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 52847 CFFP Monthly Debt Service Schedule - Formula Funds Only HUD 52847 accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 52849 Capital Fund Financing Program Pooled Transaction: List HUD 52849 added burden statement and accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 52849 Capital Fund Financing Program Pooled Transaction: List HUD 52849 added burden statement and accessibility compliance corrected 3 3 2020.pdf	Form and Instruction
HUD 53015 Instructions for Preparation of Turnkey Contract of Sale HUD 53015 burden statement and accessibility compliance corrected 4 13 2020.pdf	Form and Instruction
HUD 53015 Instructions for Preparation of Turnkey Contract of Sale HUD 53015 burden statement and accessibility compliance corrected 4 13 2020.pdf	Form and Instruction
HUD 51000 Schedule of Amounts for Contract Payments HUD 51000 burden statement and accessibility compliance corrected 4 9 2020.pdf	Form and Instruction
HUD 51000 Schedule of Amounts for Contract Payments HUD 51000 burden statement and accessibility compliance corrected 4 9 2020.pdf	Form and Instruction
HUD 51001 Periodic Estimate for Partial Payment HUD 51001 OIG rev 6 8 2020.pdf	Form and Instruction
HUD 51001 Periodic Estimate for Partial Payment HUD 51001 OIG rev 6 8 2020.pdf	Form and Instruction
HUD 51002 Schedule of Change Orders HUD 51002 OIG change 6 8 2020.pdf	Form and Instruction
HUD 51002 Schedule of Change Orders HUD 51002 OIG change 6 8 2020.pdf	Form and Instruction
HUD 52427 Actual Development Cost Certificate HUD 52427 OIG rev 6 8 2020.pdf	Form and Instruction
HUD 52427 Actual Development Cost Certificate HUD 52427 OIG rev 6 8 2020.pdf	Form and Instruction
HUD 52483-A Proposal for a Public Housing Project HUD 52483-a with OIG changes 6 8 2020.pdf	Form and Instruction
HUD 52483-A Proposal for a Public Housing Project HUD 52483-a with OIG changes 6 8 2020.pdf	Form and Instruction
HUD 53001 Actual Modernization Cost Certificate HUD 53001 OIG change 6 8 2020.pdf	Form and Instruction
HUD 53001 Actual Modernization Cost Certificate HUD 53001 OIG change 6 8 2020.pdf	Form and Instruction
HUD 52836 HA Board Resolution Approving Comprehensive Plan or Annu HUD 52836 rev for OIG 6 8 2020.pdf	Form and Instruction
HUD 52836 HA Board Resolution Approving Comprehensive Plan or Annu HUD 52836 rev for OIG 6 8 2020.pdf	Form and Instruction
HUD-52828 Green Physical Needs Assessment HUD 52828 wiith DT changes and burden statement and Sect 308 copliance 5 11 2020 (1).xlsm	Form and Instruction
HUD-52828 Green Physical Needs Assessment HUD 52828 wiith DT changes and burden statement and Sect 308 copliance 5 11 2020 (1).xlsm	Form and Instruction
HUD 52829 Physical Needs Assessment Capital Fund Financing Program HUD 52829 SAC edits. convertxlsm and 508 compliance correct 5 8 2020 (1).xlsm	Form and Instruction
HUD 52829 Physical Needs Assessment Capital Fund Financing Program HUD 52829 SAC edits. convertxlsm and 508 compliance correct 5 8 2020 (1).xlsm	Form and Instruction
HUD 52482 Guide Form of Turnkey Developer's Packet HUD 52482 word doc sac[2391] redone 6 24.pdf	Form and Instruction
HUD 52482 Guide Form of Turnkey Developer's Packet HUD 52482 word doc sac[2391] redone 6 24.pdf	Form and Instruction
HUD 52651-A Site, Design and Cost Report HUD52651a word doc2390 hud redone.pdf	Form and Instruction
HUD 52651-A Site, Design and Cost Report HUD52651a word doc2390 hud redone.pdf	Form and Instruction
HUD 5084 Contract for Inspection Services (Turnkey) HUD 5084 rev ogc. auto fix for accessibility 2 25 2020.pdf	Form and Instruction
HUD 5084 Contract for Inspection Services (Turnkey) HUD 5084 rev ogc. auto fix for accessibility 2 25 2020.pdf	Form and Instruction
HUD-5370 General Conditions for Construction Contracts - Public H HUD 5370 redlines.docx	Form and Instruction
HUD-5370 General Conditions for Construction Contracts - Public H HUD 5370 redlines.docx	Form and Instruction
HUD-5370 General Conditions for Construction Contracts - Public H HUD 5370.pdf	Form and Instruction
HUD-5370 General Conditions for Construction Contracts - Public H HUD 5370.pdf	Form and Instruction
HUD-5370-C1 General Conditions for Non-Construction Contracts Sectio HUD 5370-C1 redlines 9 16 21.docx	Form and Instruction
HUD-5370-C1 General Conditions for Non-Construction Contracts Sectio HUD 5370-C1 redlines 9 16 21.docx	Form and Instruction
HUD-5370 C1 General Conditions for Non-Construction Contracts Sectio HUD 5370 C1.pdf	Form and Instruction
HUD-5370 C1 General Conditions for Non-Construction Contracts Sectio HUD 5370 C1.pdf	Form and Instruction
HUD 5370 EZ General Contract Conditions for Small Construction/Devel HUD 5370 EZ redlines.docx	Form and Instruction
HUD 5370 EZ General Contract Conditions for Small Construction/Devel HUD 5370 EZ redlines.docx	Form and Instruction
HUD-5370 EZ General Contract Conditions for Small Construction/Devel HUD 5370 EZ.pdf	Form and Instruction
HUD-5370 EZ General Contract Conditions for Small Construction/Devel HUD 5370 EZ.pdf	Form and Instruction
2577-0157 83 C.docx 83c	IC Document
2577-0157 83 C.docx 83c	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Public Housing Capital Fund Program

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 941

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 5087	Outline Specification	HUD 5087accessibility compliance corrected 2 26 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 5370-C2	General Conditions for Non-Construction Contracts Sec II	HUD 5370-C2 burden statement and accessibility compliance corrected 3 19 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 5372	Construction Progress Schedule	HUD 5372 burden statement and accessibility compliance corrected 2 25 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 5378	Public Housing Construction Report	HUD 5378 burden statement and accessibility compliance corrected 2 25 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 5460	Insurance Information	HUD 5460 burden statement and accessibility compliance corrected 2 26 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50071	Certification of Payments to Influence Federal Transactions	HUD 50071 burden statement and accessibility compliance corrected 3 3 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50075.1	Annual Statement Performance and Evaluation Report	HUD 50075.1 rev to include burden statement and fixed accessibility compliance 2.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 51003	Schedule of Materials Stored	HUD 51003 burden statement and accessibility compliance corrected 2 26 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 51004	Summary of Materials Stored	HUD 51004 burden statement and accessibility compliance corrected 2 26 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 51915	Model Form of Agreement Between Owner and Design Professional	HUD 51915 OGC changes 2 and fixed accessibility 4 9 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 51915a	Contract Provisions Required by Federal Law or Owner Contract with HUD	HUD 51915a OGC changes and fixed accessibility 3 9 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 51971 and 51971-2	Offer of Sale of Real Property and Purchase Agreement	HUD 51971-1 and 51971-2 OGC changes Burdent statement and accessibility corrected 2 26 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52396	Analysis of Proposed Main Construction Contract	HUD 52396 burden statement and accessibility compliance corrected 3 3 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52484	Development Cost Budget/Cost Statement	HUD 52484 OGC changes and accessibility compliance corrected.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52485	Demonstration of Financial Feasibility	HUD 52485 OGC changes burden statement and accessibility compliance errors need manual correction.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52486	CFFP Periodic Payment Debt Service Schedule - Formula Funds Only	HUD 52486 accessibility compliance corrected 2 25 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52830	lio Schedule for Capital Fund Financing Proposal	HUD 52830 burden statement and accessibility compliance corrected 2 25 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52833	Management Needs Assessment Capital Fund Program (CFP)	HUD 52833 recommend delete this is PHMAP.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52845	Term Sheet	HUD 52845 Compliance checked 4 9 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52846	CFFP Periodic Payment Debt Service Schedule - Formula Funds Only	HUD 52846 accessibility compliance corrected 3 3 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52847	CFFP Monthly Debt Service Schedule - Formula Funds Only - Part A Annual Summary	HUD 52847 accessibility compliance corrected 3 3 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52849	Capital Fund Financing Program Pooled Transaction: List of Participating PHAs	HUD 52849 added burden statement and accessibility compliance corrected 3 3 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 53015	Instructions for Preparation of Turnkey Contract of Sale Form Part 1 and Part 2	HUD 53015 burden statement and accessibility compliance corrected 4 13 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 51000	Schedule of Amounts for Contract Payments	HUD 51000 burden statement and accessibility compliance corrected 4 9 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 51001	Periodic Estimate for Partial Payment	HUD 51001 OIG rev 6 8 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 51002	Schedule of Change Orders	HUD 51002 OIG change 6 8 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52427	Actual Development Cost Certificate	HUD 52427 OIG rev 6 8 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52483-A	Proposal for a Public Housing Project	HUD 52483-a with OIG changes 6 8 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 53001	Actual Modernization Cost Certificate	HUD 53001 OIG change 6 8 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52836	HA Board Resolution Approving Comprehensive Plan or Annual Statement	HUD 52836 rev for OIG 6 8 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-52828	Green Physical Needs Assessment	HUD 52828 wiith DT changes and burden statement and Sect 308 copliance 5 11 2020 (1).xlsm	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52829	Physical Needs Assessment Capital Fund Financing Program/ Operating Fund Financing Program	HUD 52829 SAC edits. convertxlsm and 508 compliance correct 5 8 2020 (1).xlsm	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52482	Guide Form of Turnkey Developer's Packet	HUD 52482 word doc sac[2391] redone 6 24.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 52651-A	Site, Design and Cost Report	HUD52651a word doc2390 hud redone.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 5084	Contract for Inspection Services (Turnkey)	HUD 5084 rev ogc. auto fix for accessibility 2 25 2020.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-5370	General Conditions for Construction Contracts - Public Housing Programs	HUD 5370 redlines.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-5370	General Conditions for Construction Contracts - Public Housing Programs	HUD 5370.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-5370-C1	General Conditions for Non-Construction Contracts Section I â (With or without Maintenance Work)	HUD 5370-C1 redlines 9 16 21.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-5370 C1	General Conditions for Non-Construction Contracts Section I â (With or without Maintenance Work)	HUD 5370 C1.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 5370 EZ	General Contract Conditions for Small Construction/Development Contracts	HUD 5370 EZ redlines.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-5370 EZ	General Contract Conditions for Small Construction/Development Contracts	HUD 5370 EZ.pdf	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: 3,015

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 4 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	74,882	74,882
Annual IC Time Burden (Hours)	293,537	293,537
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
83c	2577-0157 83 C.docx	09/17/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.