Information Collection

Owner's Certification with HUD Tenant Eligibility and Rent Procedures

IC 27064 under ICR 202502-2502-006 · OMB 2502-0204.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form HUD 90100
Annual Recertification Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90101
Certification for Qualified Long-Term Care Insurance Expenses Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90104
Exception to Limitations on Admission of Families Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90102
Sample Verification of Disability Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 50059
Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 50059 A
Owner's Certification of Compliance - Partial Certificaiton Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90106
Appendix 5 - Sample Move-In/Move Out Inspection Form Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90167
Lease Addendum Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90166
Certificaiton of Domestic Violence, Dating Violence or Stalking Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90105 a
Appendix 4-A Model Lease for Subsidized Programs Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90105b
Appendix 4-B - Model Lease Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90105 c
Appendix 4-C 202 PRAC Lease Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 90105d
Appendix 4-D 811 PRAC Lease Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD 27061-h
Race and Ethnic Reporting Form Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form HUD9887
Document Package for Applicant's/Tenant's Consent to the R Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form 90011
Coordinator Access Authorization Form Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form 90012
User Access Authorization Form Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form and Instruction
Form Form 92236
HUD Form 92236 Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Form
Final - HUD Form 50059 Instructions.docx Instruction
Final - EIV and You.docx Instruction
Final - HUD Form 50059-A Instructions.docx Instruction
Final - Section8FactSheet.docx Instruction
Final - Section236FactSheet.docx Instruction
Final - Section202.162-811FactSheet.docx Instruction
Final - RRR.docx Instruction
HUD 90100 Annual Recertification
Final - HUD Form - 90100.docx
Form and Instruction
HUD 90101 Certification for Qualified Long-Term Care Insurance Exp
Final - HUD Form 90101.docx
Form and Instruction
HUD 90104 Exception to Limitations on Admission of Families
Final - HUD Form 90104.docx
Form and Instruction
HUD 90102 Sample Verification of Disability
Final - HUD Form 90102.docx
Form and Instruction
HUD 50059 Owner's Certification of Compliance with HUD's Tenant El
Final - HUD Form 50059.docx
Form and Instruction
HUD 50059 A Owner's Certification of Compliance - Partial Certificai
Final - HUD Form 50059-A.docx
Form and Instruction
HUD 90106 Appendix 5 - Sample Move-In/Move Out Inspection Form
Final - HUD Form 90106.docx
Form and Instruction
HUD 90167 Lease Addendum
90167-ca.pdf
Form and Instruction
HUD 90166 Certificaiton of Domestic Violence, Dating Violence or S
90066.pdf
Form and Instruction
HUD 90105 a Appendix 4-A Model Lease for Subsidized Programs
Final - HUD Form 90105-A.docx
Form and Instruction
HUD 90105b Appendix 4-B - Model Lease
Final - HUD Form 90105-B.docx
Form and Instruction
HUD 90105 c Appendix 4-C 202 PRAC Lease
Final - HUD Form 90105-C.docx
Form and Instruction
HUD 90105d Appendix 4-D 811 PRAC Lease
Final - HUD Form 90105-D.docx
Form and Instruction
HUD 27061-h Race and Ethnic Reporting Form
Final - HUD Form-27061-H.docx
Form and Instruction
HUD9887 Document Package for Applicant's/Tenant's Consent to the
Final - HUD Form 9887-9887-A.docx
Form and Instruction
90011 Coordinator Access Authorization Form
Final - HUD Form 90011.docx
Form and Instruction
90012 User Access Authorization Form
Final - HUD Form 90012.docx
Form and Instruction
Form 92236 HUD Form 92236
Final - HUD Form 92236.docx
Form
TRACS Privacy Impact Assessment.pdf
PIA
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layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction HUD 90100 Yes Yes Fillable Fileable
Form and Instruction HUD 90101 Yes Yes Fillable Fileable
Form and Instruction HUD 90104 Yes Yes Fillable Fileable
Form and Instruction HUD 90102 Yes Yes Fillable Fileable
Form and Instruction HUD 50059 Yes Yes Fillable Fileable
Form and Instruction HUD 50059 A Yes Yes Fillable Fileable
Form and Instruction HUD 90106 Yes Yes Fillable Fileable
Form and Instruction HUD 90167 Yes Yes Fillable Fileable
Form and Instruction HUD 90166 Yes No Fillable Fileable
Form and Instruction HUD 90105 a Yes Yes Fillable Fileable
Form and Instruction HUD 90105b Yes Yes Fillable Fileable
Form and Instruction HUD 90105 c Yes Yes Fillable Fileable
Form and Instruction HUD 90105d Yes Yes Fillable Fileable
Form and Instruction HUD 27061-h Yes Yes Fillable Fileable
Form and Instruction HUD9887 Yes Yes Fillable Fileable
Form and Instruction 90011 Yes Yes Fillable Fileable
Form and Instruction 90012 Yes Yes Fillable Fileable
Instruction Yes Yes Paper Only
Instruction No   Paper Only
Instruction No   Paper Only
Form Form 92236 Yes Yes Fillable Fileable
Instruction No   Paper Only
Instruction No   Paper Only
Instruction No   Paper Only
Instruction No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,961,498 0 2,834,319 0 4,127,179 0
Annual IC Time Burden (Hours) 1,625,155 0 -33,316 0 1,658,471 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
PIA 03/18/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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