Information Collection Request

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

ICR 202210-2577-003 · OMB 2577-0169 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form HUD-52667 Utility Allowance Schedule Form Modified Available
Form HUD-52665 Family Portability Information Form Modified Available
Form HUD-52649 Statement of Homeowner Obligation Form Modified Available
Form HUD-52646 Voucher Form Modified Available
Form HUD-52642 Manufactured Home Space Rental Form Modified Available
Form HUD-52641A Tenancy Addendum Form Modified Available
Form HUD-52641 HAP Contract Form Modified Available
Form HUD-52580A Inspection Form Form Modified Available
Form HUD-52580 Inspection Checklist Form Modified Available
Form HUD-52578b PBV Statement of Family Responsibility Form Modified Available
Form HUD-52531B Agreement to Enter AHAP Part 2 Form Modified Available
Form HUD-52531A Agreement to Enter in AHAP Part 1 Form Modified Available
Form HUD-52530c PBV Tenancy Addendum Form Modified Available
Form HUD-52530B PBV Existing Housing Part 2 Form Modified Available
Form HUD-52530B PBV Existing Housing Part 1 Form Modified Available
Form HUD-52530 A PBV New Construction Part 2 Form Modified Available
Form HUD-52530A PBV New Construction Part 1 Form Modified Available
Form HUD-52517 Request for Tenancy Approval Form Modified Available
Form HUD-52515 Funding Application Form Modified Available
Form HUD-50164 Unexploded Ordinance Form Modified Available
Form HUD-5980 Tribal HUD-VASH Leasing Report Form Modified Available
Form HUD-5980 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form Modified Repair queued
Supporting Statement for Paperwork Reduction Act Submissions 1-4-23.docx Supporting Statement A Uploaded 2023-01-18 Repair queued
2577-0169 30 Day.pdf Supplementary Document Uploaded 2023-01-18 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedUtility Allowance Schedule
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedFamily Portability Information
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedStatement of Homeowner Obligation
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedVoucher
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedManufactured Home Space Rental
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedTenancy Addendum
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedHAP Contract
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedInspection Form
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedInspection Checklist
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV Statement of Family Responsibility
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedAgreement to Enter AHAP Part 2
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedAgreement to Enter in AHAP Part 1
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV Tenancy Addendum
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV Existing Housing Part 2
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV Existing Housing Part 1
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV New Construction Part 2
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV New Construction Part 1
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedRequest for Tenancy Approval
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedFunding Application
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedUnexploded Ordinance
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedTribal HUD-VASH Leasing Report
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2026 36 Months From Approved
5,762,592 0 0
2,164,097 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Housing Choice Voucher (HCV), Program and Tribal HUD-VASH HUD-52530A, HUD-52642 , HUD-52667, HUD-5980, HUD-50164, HUD-52515, HUD-52517, HUD-52530 A, HUD-52530B , HUD-52530B, HUD-52530c, HUD-52531A, HUD-52531B, HUD-52578b, HUD-52580, HUD-52580A, HUD-52641, HUD-52641A, HUD-52646, HUD-52649, HUD-52665 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,762,592 0 0 2,082,047 0 3,680,545
Annual Time Burden (Hours) 2,164,097 0 0 520,690 0 1,643,407
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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