HUD-52667 Utility Allowance Schedule

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

HUD-52667 Utility Allowance Schedule

OMB: 2577-0169

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U.S Department of Housing and Urban Development

Office of Public and Indian Housing

OMB Approval No. 2577-0169

exp. x/xx/20xx



Utility Allowance Schedule

See Public Reporting and Instructions on back.




The following allowances are used to determine the total cost of tenant-furnished utilities and appliances.

Locality/PHA

Unit Type

Date (mm/dd/yyyy)

Utility or Service

Fuel Type

0 BR

1 BR

2 BR

3 BR

4 BR

5 BR

Heating

Natural Gas








Bottled Gas








Electric








Electric – Heat Pump








Fuel Oil








Other







Cooking

Natural Gas








Bottled Gas








Electric








Other







Other Electric








Air Conditioning








Water Heating

Natural Gas








Bottled Gas








Electric








Electric – Heat Pump








Fuel Oil







Water








Sewer








Trash Collection








Other – specify








Range/Microwave








Refrigerator








Actual Family Allowances – May be used by the family to compute allowance while searching for a unit.

Utility/Service/Appliance

Allowance

Heating


Head of Household Name

Cooking


Other Electric


Air Conditioning


Unit Address

Water Heating


Water


Sewer


Trash Collection


Other


Number of Bedrooms

Range/Microwave


Refrigerator


Total




PHAs must maintain a completed HUD Form-52667 Utility Allowance Schedule for each unit type that is typical in the PHA’s jurisdiction. The utility allowance schedule is based on the typical cost of utilities and services paid by energy-conservation households that occupy housing of similar size and type in the same locality. In developing the schedule, the PHA must use normal patterns of consumption for the community as a whole and current utility rates.

This form includes the utilities that the PHA must consider: heating (space), cooking, other electric (e.g. lights, appliances, general usage), air conditioning (if the majority of housing units in the market provide centrally air-conditioned units or there is appropriate wiring for tenant-installed air conditioners), water heating, water, sewer, trash, the cost to provide a range, and the cost to provide a refrigerator. This form includes several fuel types, however, the PHA is not required to have a utility allowance for every fuel type listed on the form. The PHA is only required to have an allowance for the fuel types that are typical in the PHA’s jurisdiction.

Electric resistance vs. electric heat pump: The most recent update to the HUD-52667 includes “Electric Heat Pump” as a fuel type under “Heating” and “Water Heating”. PHAs may choose to provide an allowance on the schedule for electric (resistance), electric heat pump, or both. Heat pumps are more efficient and are associated with lower consumption. By adding this to the form, HUD is not requiring PHAs to consider both. This is up to the PHA, however, the HUD Utility Schedule Model tool available on HUDUser.gov provides an allowance for both electric resistance and electric heat pump.

Determining Allowances: In general, PHAs use local sources of information on the cost of utilities and services, such as:

  1. Electric utility suppliers

  2. Natural gas utility suppliers

  3. Water and sewer suppliers

  4. Fuel oil and bottled gas suppliers

  5. Public service commissions

  6. Real estate and property management firms

  7. State and local agencies

  8. Appliance sales and leasing firms

PHAs may use the HUD Utility Schedule Model (HUSM) available on HUDuser.org to determine their Utility Allowance Schedules. The tool uses geographic-specific utility consumption rates combined with user entered data on utility rates to determine the overall monthly allowance.





OMB Burden Statement: The public reporting burden for this information collection is estimated to be up to 0.25 hours, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The information collected is required to determine the amount of utility allowance necessary to calculate the family’s tenant portion. Assurances of confidentiality are not provided under this collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions to reduce this burden, to the Office of Public and Indian Housing, US. Department of Housing and Urban Development, Washington, DC 20410. HUD may not conduct and sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid control number.



Privacy Notice: The Department of Housing and Urban Development (HUD) is authorized to collect the information required on this form by Section 8 of the U.S. Housing Act of 1937 (42 U.S.C. 1437f). The information collected specifies which utilities and appliances are to be supplied by the owner, and what utilities and appliances are to be supplied to the tenant. The Personally Identifiable Information (PII) data collected on this form are not stored or retrieved within a system of record.



Previous versions are obsolete. 20 Form HUD-52667 (9/2022)

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