Information Collection

Public Housing Capital Fund Program

IC 262188 under ICR 202308-2577-007 · OMB 2577-0157.

⚠️ Notice: This information collection may be referencing outdated material.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

2024-04-08 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Form HUD-53001 Public Housing Capital Fund Program Form
HUD-53001 Actual Modernization Cost Certificat Capital Fund Progra 53001 Actual Modernization Cost Certificate Capital Fund Program (CFP).pdf Form
HUD-53001 Actual Modernization Cost Certificat Capital Fund Progra 53001 Actual Modernization Cost Certificate Capital Fund Program (CFP).pdf Form
HUD 5084 Contract for Inspection Services HUD 5084 Contract for Inspection Services.pdf Form
HUD 5084 Contract for Inspection Services HUD 5084 Contract for Inspection Services.pdf Form
HUD 5087 Outline Specification HUD 5087 Outline Specification.pdf Form
HUD 5087 Outline Specification HUD 5087 Outline Specification.pdf Form
HUD 5372 Construction Progress Schedule HUD 5372 Construction Progress Schedule.pdf Form
HUD 5372 Construction Progress Schedule HUD 5372 Construction Progress Schedule.pdf Form
HUD 5378 Public Housing Construction Report HUD 5378 Public Hsg Construction Report.pdf Form
HUD 5378 Public Housing Construction Report HUD 5378 Public Hsg Construction Report.pdf Form
HUD 5460 Insurance Information HUD 5460 Insurance Information.pdf Form
HUD 5460 Insurance Information HUD 5460 Insurance Information.pdf Form
HUD 50071 Certification of Payments to Influence Federal Transacti HUD 50071 Certification of Payments to Influence Federal Transactions.pdf Form
HUD 50071 Certification of Payments to Influence Federal Transacti HUD 50071 Certification of Payments to Influence Federal Transactions.pdf Form
HUD 50075.1 Annual Statement Performance and Evaluation Report HUD 50075.1 Annual Statement Performance and Evaluation Report.pdf Form
HUD 50075.1 Annual Statement Performance and Evaluation Report HUD 50075.1 Annual Statement Performance and Evaluation Report.pdf Form
HUD 51000 Schedule of Amts for Contract Payments HUD 51000 Schedule of Amts for Contract Payments.pdf Form
HUD 51000 Schedule of Amts for Contract Payments HUD 51000 Schedule of Amts for Contract Payments.pdf Form
HUD 51001 Periodic Estimate for Partial Payment HUD 51001 Periodic Estimate for Partial Payment.pdf Form
HUD 51001 Periodic Estimate for Partial Payment HUD 51001 Periodic Estimate for Partial Payment.pdf Form
HUD 51002 Schedule of Change Orders HUD 51002 Schedule of Change Orders.pdf Form
HUD 51002 Schedule of Change Orders HUD 51002 Schedule of Change Orders.pdf Form
HUD 51003 Schedule of Materials Stored HUD 51003 Schedule of Materials Stored.pdf Form
HUD 51003 Schedule of Materials Stored HUD 51003 Schedule of Materials Stored.pdf Form
HUD 51004 Summary of Materials Stored HUD 51004 Summary of Materials Stored.pdf Form
HUD 51004 Summary of Materials Stored HUD 51004 Summary of Materials Stored.pdf Form
HUD 51951 Model Form Agreement Between Owner and Design Profl HUD 51951 Model Form Agreement Between Owner and Design Profl.pdf Form
HUD 51951 Model Form Agreement Between Owner and Design Profl HUD 51951 Model Form Agreement Between Owner and Design Profl.pdf Form
HUD 51951A Contract Provisions Required by Federal Law or Owner Con HUD 51951A Contract Provisions Reqd by Fedrl Law or Owner Contract with HUD.pdf Form
HUD 51951A Contract Provisions Required by Federal Law or Owner Con HUD 51951A Contract Provisions Reqd by Fedrl Law or Owner Contract with HUD.pdf Form
HUD 51971-1 and 51 Offer of Sale of Real Property and Purchase Agreement HUD 51971-1 Offer of Sale of Real Property and 51971-2 Purchase Agreement.pdf Form
HUD 51971-1 and 51 Offer of Sale of Real Property and Purchase Agreement HUD 51971-1 Offer of Sale of Real Property and 51971-2 Purchase Agreement.pdf Form
HUD 52396 Analysis of Proposed Main Construction Contract HUD 52396 Analysis of Proposed Main Construction Contract.pdf Form
HUD 52396 Analysis of Proposed Main Construction Contract HUD 52396 Analysis of Proposed Main Construction Contract.pdf Form
HUD 52427 Actual Development Cost Certificate HUD 52427 Actual Development Cost Certificate.pdf Form
HUD 52427 Actual Development Cost Certificate HUD 52427 Actual Development Cost Certificate.pdf Form
HUD 52482 Guide Form of Turnkey Developers Packet HUD 52482 Guide Form of Turnkey Developers Packet.pdf Form
HUD 52482 Guide Form of Turnkey Developers Packet HUD 52482 Guide Form of Turnkey Developers Packet.pdf Form
HUD 52482 Proposal for Public Housing Project HUD 52483A Proposal for Public Hsg Project.pdf Form
HUD 52482 Proposal for Public Housing Project HUD 52483A Proposal for Public Hsg Project.pdf Form
HUD 52484 Development Cost Budget Cost Statement HUD 52484 Development Cost Budget Cost Statement.pdf Form and Instruction
HUD 52484 Development Cost Budget Cost Statement HUD 52484 Development Cost Budget Cost Statement.pdf Form and Instruction
HUD 52485 Demonstration of Financial Feasibility HUD 52485 Demonstration of Financial Feasibility.pdf Form
HUD 52485 Demonstration of Financial Feasibility HUD 52485 Demonstration of Financial Feasibility.pdf Form
HUD 52651A Site Design and Cost Report HUD 52651A Site Design and Cost Report.pdf Form
HUD 52651A Site Design and Cost Report HUD 52651A Site Design and Cost Report.pdf Form
HUD 52828 Green Physical Needs Assessment HUD 52828 Green Physical Needs Assessment.xlsm Form
HUD 52828 Green Physical Needs Assessment HUD 52828 Green Physical Needs Assessment.xlsm Form
HUD 52829 Physical Needs Assessment Capital Fund Financing HUD 52829 Physical Needs Assmt Cap Fund Financing.xlsm Form
HUD 52829 Physical Needs Assessment Capital Fund Financing HUD 52829 Physical Needs Assmt Cap Fund Financing.xlsm Form
HUD 52830 Schedule for Capital Fund Financing Proposal HUD 52830 Schedule for Cap Fund Financing Proposal.pdf Form and Instruction
HUD 52830 Schedule for Capital Fund Financing Proposal HUD 52830 Schedule for Cap Fund Financing Proposal.pdf Form and Instruction
HUD 52833 Management Needs Assessment Capital Fund Program HUD 52833 Management Needs Assmt Cap Fund Program.pdf Form
HUD 52833 Management Needs Assessment Capital Fund Program HUD 52833 Management Needs Assmt Cap Fund Program.pdf Form
HUD 52836 HA Board Resolution Approving Comprehensive Plan HUD 52836 HA Board Resolution Approving Comprehensive Plan.pdf Form
HUD 52836 HA Board Resolution Approving Comprehensive Plan HUD 52836 HA Board Resolution Approving Comprehensive Plan.pdf Form
HUD 52845 Demonstration of Finanicial Feasibility HUD 52845 Demonstration of Financial Feasibility.pdf Form
HUD 52845 Demonstration of Finanicial Feasibility HUD 52845 Demonstration of Financial Feasibility.pdf Form
HUD 52846 Periodic Payment Debt Service Schedule HUD 52846 Periodic Payment Debt Service Schedule.pdf Form
HUD 52846 Periodic Payment Debt Service Schedule HUD 52846 Periodic Payment Debt Service Schedule.pdf Form
HUD 52847 Monthly Debt Service Schedule Pt A Annual Summary HUD 52847 Monthly Debt Service Schedule Pt A Annual Summary.pdf Form
HUD 52847 Monthly Debt Service Schedule Pt A Annual Summary HUD 52847 Monthly Debt Service Schedule Pt A Annual Summary.pdf Form
HUD 52849 Capital Fund Financing Program Pooled Transaction List o HUD 52849 Cap Fund Financing Program Pooled Transaction List of Participating PHAs.pdf Form
HUD 52849 Capital Fund Financing Program Pooled Transaction List o HUD 52849 Cap Fund Financing Program Pooled Transaction List of Participating PHAs.pdf Form
HUD-5370 EZ General Contract Conditions for Smal Construction Develo 5370 EZ General Contract Conditions for Small Construction Developmt Contracts.pdf Form
HUD-5370 EZ General Contract Conditions for Smal Construction Develo 5370 EZ General Contract Conditions for Small Construction Developmt Contracts.pdf Form
HUD 5370 General Contract for Construction Contracts Public Housi 5370 General Contracts for Construction Contracts Public Housing Programs.pdf Form
HUD 5370 General Contract for Construction Contracts Public Housi 5370 General Contracts for Construction Contracts Public Housing Programs.pdf Form

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: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-53001	Actual Modernization Cost Certificat Capital Fund Program	53001 Actual Modernization Cost Certificate Capital Fund Program (CFP).pdf	Yes	Yes	Fillable Printable
Form	HUD 5084	Contract for Inspection Services	HUD 5084 Contract for Inspection Services.pdf	Yes	Yes	Fillable Printable
Form	HUD 5087	Outline Specification	HUD 5087 Outline Specification.pdf	Yes	Yes	Fillable Printable
Form	HUD 5372	Construction Progress Schedule	HUD 5372 Construction Progress Schedule.pdf	Yes	Yes	Fillable Printable
Form	HUD 5378	Public Housing Construction Report	HUD 5378 Public Hsg Construction Report.pdf	Yes	Yes	Fillable Printable
Form	HUD 5460	Insurance Information	HUD 5460 Insurance Information.pdf	Yes	Yes	Fillable Printable
Form	HUD 50071	Certification of Payments to Influence Federal Transactions	HUD 50071 Certification of Payments to Influence Federal Transactions.pdf	Yes	Yes	Fillable Printable
Form	HUD 50075.1	Annual Statement Performance and Evaluation Report	HUD 50075.1 Annual Statement Performance and Evaluation Report.pdf	Yes	Yes	Fillable Printable
Form	HUD 51000	Schedule of Amts for Contract Payments	HUD 51000 Schedule of Amts for Contract Payments.pdf	Yes	Yes	Fillable Printable
Form	HUD 51001	Periodic Estimate for Partial Payment	HUD 51001 Periodic Estimate for Partial Payment.pdf	Yes	Yes	Fillable Printable
Form	HUD 51002	Schedule of Change Orders	HUD 51002 Schedule of Change Orders.pdf	Yes	Yes	Fillable Printable
Form	HUD 51003	Schedule of Materials Stored	HUD 51003 Schedule of Materials Stored.pdf	Yes	Yes	Fillable Printable
Form	HUD 51004	Summary of Materials Stored	HUD 51004 Summary of Materials Stored.pdf	Yes	Yes	Fillable Printable
Form	HUD 51951	Model Form Agreement Between Owner and Design Profl	HUD 51951 Model Form Agreement Between Owner and Design Profl.pdf	Yes	Yes	Fillable Printable
Form	HUD 51951A	Contract Provisions Required by Federal Law or Owner Contract with HUD	HUD 51951A Contract Provisions Reqd by Fedrl Law or Owner Contract with HUD.pdf	Yes	Yes	Fillable Printable
Form	HUD 51971-1 and 51971-2	Offer of Sale of Real Property and Purchase Agreement	HUD 51971-1 Offer of Sale of Real Property and 51971-2 Purchase Agreement.pdf	Yes	Yes	Fillable Printable
Form	HUD 52396	Analysis of Proposed Main Construction Contract	HUD 52396 Analysis of Proposed Main Construction Contract.pdf	Yes	Yes	Fillable Printable
Form	HUD 52427	Actual Development Cost Certificate	HUD 52427 Actual Development Cost Certificate.pdf	Yes	Yes	Fillable Printable
Form	HUD 52482	Guide Form of Turnkey Developers Packet	HUD 52482 Guide Form of Turnkey Developers Packet.pdf	Yes	Yes	Fillable Printable
Form	HUD 52482	Proposal for Public Housing Project	HUD 52483A Proposal for Public Hsg Project.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52484	Development Cost Budget Cost Statement	HUD 52484 Development Cost Budget Cost Statement.pdf	Yes	Yes	Fillable Printable
Form	HUD 52485	Demonstration of Financial Feasibility	HUD 52485 Demonstration of Financial Feasibility.pdf	Yes	Yes	Fillable Printable
Form	HUD 52651A	Site Design and Cost Report	HUD 52651A Site Design and Cost Report.pdf	Yes	Yes	Fillable Printable
Form	HUD 52828	Green Physical Needs Assessment	HUD 52828 Green Physical Needs Assessment.xlsm	Yes	Yes	Fillable Printable
Form	HUD 52829	Physical Needs Assessment Capital Fund Financing	HUD 52829 Physical Needs Assmt Cap Fund Financing.xlsm	Yes	Yes	Fillable Printable
Form and Instruction	HUD 52830	Schedule for Capital Fund Financing Proposal	HUD 52830 Schedule for Cap Fund Financing Proposal.pdf	Yes	Yes	Fillable Printable
Form	HUD 52833	Management Needs Assessment Capital Fund Program	HUD 52833 Management Needs Assmt Cap Fund Program.pdf	Yes	Yes	Fillable Printable
Form	HUD 52836	HA Board Resolution Approving Comprehensive Plan	HUD 52836 HA Board Resolution Approving Comprehensive Plan.pdf	Yes	Yes	Fillable Printable
Form	HUD 52845	Demonstration of Finanicial Feasibility	HUD 52845 Demonstration of Financial Feasibility.pdf	Yes	Yes	Fillable Printable
Form	HUD 52846	Periodic Payment Debt Service Schedule	HUD 52846 Periodic Payment Debt Service Schedule.pdf	Yes	Yes	Fillable Printable
Form	HUD 52847	Monthly Debt Service Schedule Pt A Annual Summary	HUD 52847 Monthly Debt Service Schedule Pt A Annual Summary.pdf	Yes	Yes	Fillable Printable
Form	HUD 52849	Capital Fund Financing Program Pooled Transaction List of Participating PHAs	HUD 52849 Cap Fund Financing Program Pooled Transaction List of Participating PHAs.pdf	Yes	Yes	Fillable Printable
Form	HUD-5370 EZ	General Contract Conditions for Smal Construction Development Contracts	5370 EZ General Contract Conditions for Small Construction Developmt Contracts.pdf	Yes	Yes	Fillable Printable
Form	HUD 5370	General Contract for Construction Contracts Public Housing Programs	5370 General Contracts for Construction Contracts Public Housing Programs.pdf	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,771	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 4 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72,418	72,418
Annual IC Time Burden (Hours)	281,570	281,570
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.