OMB control number

Section 3 Sample Certification Forms

OMB 2501-0041 · HUD/HUDSEC.

OMB 2501-0041

This collection is to provide new sample certification forms pursuant to HUD’s Section 3 regulation codified at 24 CFR Part 75, which is the current regulation published pursuant to requirements in 12 USC 1701u. 24 CFR § 75.31 outlines the ways a worker can be certified as a Section 3 worker or Targeted Section 3 worker. These sample certification forms address these options.

The latest form for Section 3 Sample Certification Forms expires 2028-03-31 and is listed under ICR 202502-2501-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form HUD-4736D Section 3 Worker Self-Certification Form- Public Housing	Form
Form HUD-4736C Section 3 Worker Self-Certification-Housing and Community Development	Form
Form HUD-4736B Section 3 Employer Certification Form-Public Housing	Form
Form HUD-4736A Section 3 Housing and Community Development Employer Certification Form	Form
Form HUD-4736 Section 3 Public Housing/Section 8 Certification Form	Form
Form HUD-4736 Section 3 Public Housing/Section 8 Certification Form	Form
Final - Supporting Statement OMB-2501-0041.docx	Supporting Statement A
30 Day FRN.pdf	Supplementary Document
60-Day FRN OMB 2501-0041.pdf	Supplementary Document
60-Day FRN OMB 2501-0041.pdf	Supplementary Document
Section 3 Public Housing/Section 8 Certification Form	Form
Section 3 Public Housing/Section 8 Certification Form	Form
Section 3 Public Housing/Section 8 Certification Form	Form
Section 3 Public Housing/Section 8 Certification Form	Form
Section 3 Public Housing/Section 8 Certification Form	Form
Section 3 Public Housing/Section 8 Certification Form	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202502-2501-002	Extension without change of a currently approved collection	2025-02-28
202202-2501-004	New collection (Request for a new OMB Control Number)	2022-02-25		Approved without change