Information Collection

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

IC 27839 under ICR 202210-2577-003 · OMB 2577-0169.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0169 can be found here:

2026-04-30 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-5980 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH	Form
HUD-5980 Tribal HUD-VASH Leasing Report HUD-5980 Tribal HUD-VASH Leasing Report.docx	Form
HUD-5980 Tribal HUD-VASH Leasing Report HUD-5980 Tribal HUD-VASH Leasing Report.docx	Form
HUD-50164 Unexploded Ordinance HUD-50164 Uxploded Ordnance (1).docx	Form
HUD-50164 Unexploded Ordinance HUD-50164 Uxploded Ordnance (1).docx	Form
HUD-52515 Funding Application HUD-52515 Funding Application.docx	Form
HUD-52515 Funding Application HUD-52515 Funding Application.docx	Form
HUD-52517 Request for Tenancy Approval HUD-52517 Request for Tenancy Approval (3).docx	Form
HUD-52517 Request for Tenancy Approval HUD-52517 Request for Tenancy Approval (3).docx	Form
HUD-52530A PBV New Construction Part 1 HUD-52530A_PBV New Construction Part 1.docx	Form
HUD-52530A PBV New Construction Part 1 HUD-52530A_PBV New Construction Part 1.docx	Form
HUD-52530 A PBV New Construction Part 2 HUD-52530A PBV New Construction Part 2.docx	Form
HUD-52530 A PBV New Construction Part 2 HUD-52530A PBV New Construction Part 2.docx	Form
HUD-52530B PBV Existing Housing Part 1 HUD-52530B PBV Existing Housing Part 1.docx	Form
HUD-52530B PBV Existing Housing Part 1 HUD-52530B PBV Existing Housing Part 1.docx	Form
HUD-52530B PBV Existing Housing Part 2 HUD-52530B PBV Existing Housing Part 2.docx	Form
HUD-52530B PBV Existing Housing Part 2 HUD-52530B PBV Existing Housing Part 2.docx	Form
HUD-52530c PBV Tenancy Addendum HUD-52530c PBV Tenancy Addendum.docx	Form
HUD-52530c PBV Tenancy Addendum HUD-52530c PBV Tenancy Addendum.docx	Form
HUD-52531A Agreement to Enter in AHAP Part 1 HUD-52531A Agreement to Enter in AHAP Part 1.docx	Form
HUD-52531A Agreement to Enter in AHAP Part 1 HUD-52531A Agreement to Enter in AHAP Part 1.docx	Form
HUD-52531B Agreement to Enter AHAP Part 2 HUD-52531B Agreement to Enter in AHAP Part 2.docx	Form
HUD-52531B Agreement to Enter AHAP Part 2 HUD-52531B Agreement to Enter in AHAP Part 2.docx	Form
HUD-52578b PBV Statement of Family Responsibility HUD-52578b PBV Statement of Family Responsibility.pdf	Form
HUD-52578b PBV Statement of Family Responsibility HUD-52578b PBV Statement of Family Responsibility.pdf	Form
HUD-52580 Inspection Checklist HUD-52580 Inspection Checklist.pdf	Form
HUD-52580 Inspection Checklist HUD-52580 Inspection Checklist.pdf	Form
HUD-52580A Inspection Form HUD-52580A Inspection Form.pdf	Form
HUD-52580A Inspection Form HUD-52580A Inspection Form.pdf	Form
HUD-52641 HAP Contract HUD-52641 HAP Contract.docx	Form
HUD-52641 HAP Contract HUD-52641 HAP Contract.docx	Form
HUD-52641A Tenancy Addendum HUD-52641A Tenancy Addendum.docx	Form
HUD-52641A Tenancy Addendum HUD-52641A Tenancy Addendum.docx	Form
HUD-52642 Manufactured Home Space Rental HUD-52642 Manufactured Home Space Rental.pdf	Form
HUD-52642 Manufactured Home Space Rental HUD-52642 Manufactured Home Space Rental.pdf	Form
HUD-52646 Voucher HUD-52646 Voucher.docx	Form
HUD-52646 Voucher HUD-52646 Voucher.docx	Form
HUD-52649 Statement of Homeowner Obligation HUD-52649_Statement of Homeowner Obligation.docx	Form
HUD-52649 Statement of Homeowner Obligation HUD-52649_Statement of Homeowner Obligation.docx	Form
HUD-52665 Family Portability Information HUD-52665.pdf	Form
HUD-52665 Family Portability Information HUD-52665.pdf	Form
HUD-52667 Utility Allowance Schedule HUD-52667 Utility Allowance Schedule.docx	Form
HUD-52667 Utility Allowance Schedule HUD-52667 Utility Allowance Schedule.docx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

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 982.158 24 CFR 982.517

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-5980	Tribal HUD-VASH Leasing Report	HUD-5980 Tribal HUD-VASH Leasing Report.docx	Yes	Yes	Fillable Printable
Form	HUD-50164	Unexploded Ordinance	HUD-50164 Uxploded Ordnance (1).docx	Yes	Yes	Fillable Printable
Form	HUD-52515	Funding Application	HUD-52515 Funding Application.docx	Yes	Yes	Fillable Printable
Form	HUD-52517	Request for Tenancy Approval	HUD-52517 Request for Tenancy Approval (3).docx	Yes	Yes	Fillable Printable
Form	HUD-52530A	PBV New Construction Part 1	HUD-52530A_PBV New Construction Part 1.docx	Yes	Yes	Fillable Printable
Form	HUD-52530 A	PBV New Construction Part 2	HUD-52530A PBV New Construction Part 2.docx	Yes	Yes	Fillable Printable
Form	HUD-52530B	PBV Existing Housing Part 1	HUD-52530B PBV Existing Housing Part 1.docx	Yes	Yes	Fillable Printable
Form	HUD-52530B	PBV Existing Housing Part 2	HUD-52530B PBV Existing Housing Part 2.docx	Yes	Yes	Fillable Printable
Form	HUD-52530c	PBV Tenancy Addendum	HUD-52530c PBV Tenancy Addendum.docx	Yes	Yes	Fillable Printable
Form	HUD-52531A	Agreement to Enter in AHAP Part 1	HUD-52531A Agreement to Enter in AHAP Part 1.docx	Yes	Yes	Fillable Printable
Form	HUD-52531B	Agreement to Enter AHAP Part 2	HUD-52531B Agreement to Enter in AHAP Part 2.docx	Yes	Yes	Fillable Printable
Form	HUD-52578b	PBV Statement of Family Responsibility	HUD-52578b PBV Statement of Family Responsibility.pdf	Yes	Yes	Fillable Printable
Form	HUD-52580	Inspection Checklist	HUD-52580 Inspection Checklist.pdf	Yes	Yes	Fillable Printable
Form	HUD-52580A	Inspection Form	HUD-52580A Inspection Form.pdf	Yes	Yes	Fillable Printable
Form	HUD-52641	HAP Contract	HUD-52641 HAP Contract.docx	Yes	Yes	Fillable Printable
Form	HUD-52641A	Tenancy Addendum	HUD-52641A Tenancy Addendum.docx	Yes	Yes	Fillable Printable
Form	HUD-52642	Manufactured Home Space Rental	HUD-52642 Manufactured Home Space Rental.pdf	Yes	Yes	Fillable Printable
Form	HUD-52646	Voucher	HUD-52646 Voucher.docx	Yes	Yes	Fillable Printable
Form	HUD-52649	Statement of Homeowner Obligation	HUD-52649_Statement of Homeowner Obligation.docx	Yes	Yes	Fillable Printable
Form	HUD-52665	Family Portability Information	HUD-52665.pdf	Yes	Yes	Fillable Printable
Form	HUD-52667	Utility Allowance Schedule	HUD-52667 Utility Allowance Schedule.docx	Yes	Yes	Fillable Printable

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: 2,244

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5,762,592	2,082,047	3,680,545
Annual IC Time Burden (Hours)	2,164,097	520,690	1,643,407
Annual IC Cost Burden (Dollars)	0	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.