Information Collection

Operating Fund Energy Incentives: Energy Performance Contracting Program, Rate Reduction Incentive

IC 255864 under ICR 202209-2577-003 · OMB 2577-0305.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 5369-A Operating Fund Energy Incentives: Energy Performance Contracting Program, Rate Reduction Incentive	Form
FINAL EPC Savings Calculator 2-22-23 protected PRA.xlsx	Other-Calculated Checklist
HUD 5369-A Representations Certifications and Other Statements of B HUD 5369-A Representations Certifications and Other Statements of Bidders Energy Performance Contracting Program.docx	Form
HUD 52723 Operating Fund Grant Calculation Total Program Expense L HUD 52723 Operating Fund Grant Calculation Total Program Expense Level PHA Owned Rental Housing.pdf	Form
HUD-52722 Operating Fund Grant Calculation Utilities Expense Level HUD-52722 Operating Fund Grant Calculation Utilities Expense Level PHA Owned Rental Housing.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 990.185

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	HUD 5369-A	Representations Certifications and Other Statements of Bidders Energy Performance Contracting Program	HUD 5369-A Representations Certifications and Other Statements of Bidders Energy Performance Contracting Program.docx	Yes	Yes	Fillable Printable
Form	HUD 52723	Operating Fund Grant Calculation Total Program Expense Level PHA Owned Rental Housing	HUD 52723 Operating Fund Grant Calculation Total Program Expense Level PHA Owned Rental Housing.pdf	Yes	Yes	Fillable Printable
Form	HUD-52722	Operating Fund Grant Calculation Utilities Expense Level PHA Owned Rental Housing	HUD-52722 Operating Fund Grant Calculation Utilities Expense Level PHA Owned Rental Housing.pdf	Yes	Yes	Fillable Printable
Other-Calculated Checklist			FINAL EPC Savings Calculator 2-22-23 protected PRA.xlsx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	10,260	10,260
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.