At Risk Receivership/Substandard/Troubled Program

Forms and Documents

Document	Type	Status	Availability
Form Form 53001 Actual Modernization Cost Certificate	Form	Modified	Available
Form SF 425 Federal Financial Report	Form	Modified	Available
Form SF1199A Direct Deposit Sign Up Form	Form	Modified	Available
Screenshot of the Actual Modernization Cost Certificate in EPIC.docx	Supplementary Document	Uploaded 2026-03-03	Available
published 30-day 2577-0301 Cap Fund At Risk.pdf	Supplementary Document	Uploaded 2026-01-30	Available
published 60-day 2577-0301 Cap Fund At Risk.pdf	Supplementary Document	Uploaded 2026-01-30	Available
Re-Review of 2577-0301 At Risk Supporting Statement Updated revised 3-3-26.docx	Supporting Statement A	Uploaded 2026-03-03	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
252313	At Risk Receivership/Substandard/Troubled Program	Form	Modified	Actual Modernization Cost Certificate
252313	At Risk Receivership/Substandard/Troubled Program	Form	Modified	Federal Financial Report
252313	At Risk Receivership/Substandard/Troubled Program	Form	Modified	Direct Deposit Sign Up Form
252313	At Risk Receivership/Substandard/Troubled Program	Form	Modified

ICR Details

OMB Control No: 2577-0301	ICR Reference No: 202601-2577-003
Status: Active	Previous ICR Reference No: 202403-2577-005
Agency/Subagency: HUD/PIH	Agency Tracking No:
Title: At Risk Receivership/Substandard/Troubled Program
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/08/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/03/2026
Terms of Clearance: The agency is advised that the Supporting Statement A insufficiently describes the information collection activities and burden covered under this OMB Control Number. In addition, the instrument was improperly recorded as a supplemental document. Prior to resubmission, the agency will ensure the Supporting Statement A is revised and all necessary documentation is properly recorded.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved
Responses	30	0	0
Time Burden (Hours)	10	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose is to provide PHAs in receivership, designated troubled or substandard, or otherwise at risk with funds for costs associated with public housing asset improvement. This Narrative must describe two Impacts of Performance outcomes: Physical Condition and Occupancy.

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Authorizing Statute(s): None

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:
	90 FR 27333	06/26/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 4091	01/30/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
At Risk Receivership/Substandard/Troubled Program	Form 53001, SF1199A, SF 425	Direct Deposit Sign Up Form ,   Federal Financial Report ,   Actual Modernization Cost Certificate

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ICR Summary 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	30	0	0	-80	0	110
Annual Time Burden (Hours)	10	0	0	-670	0	680
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The reliance on a preponderance of standand forms rather than HUD or other forms, led to a reduction in the overall burden

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Annual Cost to Federal Government: $682

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.     No

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: 03/03/2026

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