Inventory Removal Application Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-52860 - Edited Inventory Removal Application	Form and Instruction	Removed	Available
Form HUD-52860 - Origin Inventory Removal Application	Form and Instruction	Removed	Repair queued
Form HUD-5837 - Editied Notification of Public Housing Closeout or Future Development	Form and Instruction	Removed	Available
Form HUD-5837 - Origina Notification of Public Housing Closeout or Future Development	Form and Instruction	Removed	Repair queued
Form HUD-52840-A Capital Fund Program (DVP) Amendment To the Consolidated Annual Contributions Contract (form HUD-53012)	Form and Instruction	Removed	Repair queued
Form HUD-52860-G Retention Addendum	Form and Instruction	Removed	Available
Form HUD-52860-C Homeownership Addendum	Form and Instruction	Removed	Repair queued
Form HUD-52860-E Voluntary Conversion Addendum	Form and Instruction	Removed	Source copy available
Form HUD-52860-D Required Conversion Addendum	Form and Instruction	Removed	Repair queued
Form HUD-5837 Notification of Public Housing Closeout or Future Development	Form and Instruction	Removed	Repair queued
Form HUD-52860-B Total Development Cost (TDC) and Rehab Cost Estimate Addendum	Form and Instruction	Removed	Available
Form HUD-51999 General Depository Agreement	Form and Instruction	Removed	Available
Form HUD-52860-F Eminent Domain Addendum	Form and Instruction	Removed	Available
Form HUD-52860-A Demolition and Disposition Addendum	Form and Instruction	Removed	Available
Form HUD-52860 Inventory Removal Application	Form and Instruction	Removed	Repair queued
Form HUD-52860 Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Available
Form HUD 53012 Annual Contributions Contract	Form	New	Repair queued
Form HUD 53012 Annual Contributions Contract (ACC)	Form	New	Available
Form 52860-G Retention Part 200 Addendum	Form	Modified	Repair queued
Form 52860-F Eminent Domain Addendum	Form	Modified	Repair queued
Form 52860-E Voluntary Conversion Addendum	Form	Modified	Repair queued
Form 52860-D Required Conversion Addendum	Form	Modified	Repair queued
Form 52860-C Homeownership Addendum	Form	Modified	Repair queued
Form 52860-B TDC and Rehab Cost Estimate Addendum	Form	Modified	Repair queued
Form 52860-A Demolition and Disposition Addendum	Form	Modified	Repair queued
Form 52860 Inventory Removals Application	Form	Modified	Repair queued
Form 5837 Notification of Public Housing Closeout for Future Development	Form	Modified	Repair queued
Form HUD-51999 General Depository Agreement	Form	Modified	Repair queued
Form HUD-5837 Inventory Removal Application Forms	Form	Unchanged	Available
HUD Form 51999 General Depository Agreement (Redline).pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD Form -53012 Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD 5837 PH Closeout future dev Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD 52860-E Voluntary Conversion Addendum_rev Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD 52860-A Demo and Disp Addendum_rev Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD 52860-G Retention Part 200 Addendum_rev Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD 52860-F Eminent Domain Addendum_rev Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD 52860-D Required Conversion Addendum_rev Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD 52860-C Homeownership Addendum_rev Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD 52860-B TDC and Rehab Cost Est Addendum_rev Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
HUD 52860 Inventory removal application_rev Redline.pdf	Supplementary Document	Uploaded 2026-03-18	Repair queued
Final - OMB 2577-0075 Supporting State A renewal 2026.docx	Supporting Statement A	Uploaded 2026-03-18	Repair queued
2577-0075 Supporting State A renewal (5).docx	Supporting Statement A	Uploaded 2024-11-14	Available
2577-0075 30-day frn.pdf	Supplementary Document	Uploaded 2024-11-01	Repair queued
2577-0075 30-day frn.pdf	Supplementary Document	Uploaded 2024-11-01	Available
2577-0075 60 day frn.pdf	Supplementary Document	Uploaded 2024-10-28	Available
2577-0075 60 day frn.pdf	Supplementary Document	Uploaded 2024-10-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Inventory Removal Application
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Inventory Removal Application
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Notification of Public Housing Closeout or Future Development
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Notification of Public Housing Closeout or Future Development
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Capital Fund Program (DVP) Amendment To the Consolidated Annual Contributions Contract (form HUD-53012)
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Retention Addendum
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Homeownership Addendum
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Voluntary Conversion Addendum
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Required Conversion Addendum
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Notification of Public Housing Closeout or Future Development
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Total Development Cost (TDC) and Rehab Cost Estimate Addendum
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	General Depository Agreement
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Eminent Domain Addendum
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Other-Annual Contributions Contract	Removed
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Demolition and Disposition Addendum
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed	Inventory Removal Application
27799	Public Housing Annual Contributions Contract and Inventory Removal Application	Form and Instruction	Removed
272341	Annual Contributions Contract (ACC)	Form	New	Annual Contributions Contract
272341	Annual Contributions Contract (ACC)	Form	New
260807	Inventory Removal Application Forms	Form	Modified	Retention Part 200 Addendum
260807	Inventory Removal Application Forms	Form	Modified	Eminent Domain Addendum
260807	Inventory Removal Application Forms	Form	Modified	Voluntary Conversion Addendum
260807	Inventory Removal Application Forms	Form	Modified	Required Conversion Addendum
260807	Inventory Removal Application Forms	Form	Modified	Homeownership Addendum
260807	Inventory Removal Application Forms	Form	Modified	TDC and Rehab Cost Estimate Addendum
260807	Inventory Removal Application Forms	Form	Modified	Demolition and Disposition Addendum
260807	Inventory Removal Application Forms	Form	Modified	Inventory Removals Application
260807	Inventory Removal Application Forms	Form	Modified	Notification of Public Housing Closeout for Future Development
260807	Inventory Removal Application Forms	Form	Modified	General Depository Agreement
260807	Inventory Removal Application Forms	Form	Unchanged

ICR Details

OMB Control No: 2577-0075	ICR Reference No: 202408-2577-004
Status: Active	Previous ICR Reference No: 202306-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0075
Title: Inventory Removal Application Forms
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/04/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/14/2024
Terms of Clearance: The agency made minor modifications to certain instruments to reflect updates to programs.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2029	36 Months From Approved	04/30/2024
Responses	3,091	0	3,201
Time Burden (Hours)	6,162	0	19,151
Cost Burden (Dollars)	1,890	0	169,269

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Abstract: HUD requires all public housing agencies (PHAs) to execute an Annual Contributions Contract (ACC) for each project and to execute amendments to the ACC for certain funding such as Capital Funding. HUD requires PHAs to have a valid Declaration of Trust (DOT) recorded against all public housing property. HUD requires PHAs to provide certain submissions when they propose to take certain voluntary actions that change their public housing inventory, such as disposition, demolition, voluntary conversion, required conversion, home ownership, or eminent domain proceedings. HUD requires PHAs to provide certain submissions when their inventory removal actions will remove all public housing units in their inventories. HUD requires PHAs to provide certain submissions regarding deposits and treatment of 1937 Act funds.

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Authorizing Statute(s): US Code: 42 USC 1437q Name of Law: U.S.Housing Act of 1937
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 23452	04/17/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 4418	07/11/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Annual Contributions Contract (ACC)	HUD 53012	Annual Contributions Contract
Inventory Removal Application Forms	HUD-51999, 52860-E, 52860, 52860-A, 5837, 52860-B, 52860-C, 52860-D, 52860-F, 52860-G	General Depository Agreement ,   Notification of Public Housing Closeout for Future Development ,   Inventory Removals Application ,   Demolition and Disposition Addendum ,   TDC and Rehab Cost Estimate Addendum ,   Homeownership Addendum ,   Required Conversion Addendum ,   Voluntary Conversion Addendum ,   Eminent Domain Addendum ,   Retention Part 200 Addendum
Public Housing Annual Contributions Contract and Inventory Removal Application	HUD-52860 - Edited Version, HUD-52860-E, HUD-52860-C, HUD-52860-A, HUD-52860-F, HUD-5837, HUD-52860-D, HUD-51999, HUD-52860-G, HUD-52840-A, HUD-52860, HUD-52860-B, HUD-5837 - Editied Version (5-30-19), HUD-5837 - Original Version (5/30/19), HUD-52860 - Original Version	Inventory Removal Application ,   Demolition and Disposition Addendum ,   Eminent Domain Addendum ,   General Depository Agreement ,   Total Development Cost (TDC) and Rehab Cost Estimate Addendum ,   Notification of Public Housing Closeout or Future Development ,   Required Conversion Addendum ,   Voluntary Conversion Addendum ,   Homeownership Addendum ,   Retention Addendum ,   Capital Fund Program (DVP) Amendment To the Consolidated Annual Contributions Contract (form HUD-53012) ,   Notification of Public Housing Closeout or Future Development ,   Notification of Public Housing Closeout or Future Development ,   Inventory Removal Application ,   Inventory Removal Application

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ICR Summary of Burden

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	3,091	3,201	0	-110	0	0
Annual Time Burden (Hours)	6,162	19,151	0	-12,989	0	0
Annual Cost Burden (Dollars)	1,890	169,269	0	-167,379	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: This is a Reinstatement with change. Updated per terms of clearance.

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Annual Cost to Federal Government: $1,141,631

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/14/2024

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