HUD-5837 - Editied Notification of Public Housing Closeout or Future Develo

Inventory Removal Application Forms

HUD-5837-Editied Version (5-30-19)

Public Housing Annual Contributions Contract and Inventory Removal Application

OMB: 2577-0075

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Notification of Public Housing
Closeout or Future Development
HUD- 5837

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

OMB Approval No. 2577-0075
(exp. 01/31/2021)

The information collection requirements contained in this document have been approved by the Office of Management and Budget (OMB) under the
Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520) and assigned OMB control number 2577-0075. There is no personal information contained
in this application. Information on activities and expenditures of grant funds is public information and is generally available for disclosure. Recipients
are responsible for ensuring confidentiality when disclosure is not required. In accordance with the Paperwork Reduction Act, HUD may not conduct
or sponsor, and a person is not required to respond to, a collection of information unless the collection displays a currently valid OMB control number.
This information is designed to supplement the HUD-52860 or RAD Application (both through the IMS/PIC application submission) for all inventory
removal actions that will result in the removal of all ACC units from a Public Housing Authority’s (PHA) inventory. HUD will use this information
to provide targeted technical assistance, to identify potential issues, and to assess risk areas. Please refer to the instructions for guidance on completing
this form. The information requested does not lend itself to confidentiality.

A. General PHA Information
PHA Identification Number and Name:
PHA Fiscal Year End:
Expected date of removal of last ACC unit:
Does the PHA intend to closeout its public housing program or
develop new ACC units in the future?

Closeout public housing program
Fill out Section B & D only
Develop new ACC Units
Fill out Section C & D only

B. Public Housing Program Closeout Information
Yes
Section 18 Application
Retain under 2 CFR part 200.311
Transfer to 3rd Party
Other

Will the PHA have any Non-Dwelling Public Housing Real Property after it
removes its last public housing unit? If yes, which removal action does the
PHA intend to pursue to dispose of the remaining Public Housing Real
Property?
No
Does the PHA have (or reasonably anticipate) any outstanding public
housing litigation, claims, compliance reviews, monitoring reviews, PHA or
MTW Plan reviews, audits, and/or fair housing or other civil rights
complaints to resolve?
Will the PHA comply with all required closeout activities, including
submission of board resolution, legal opinion, and quarterly financial reports
as specified in PIH 2016-23 (or subsequent guidance)?

Yes – explain in Section D
No
Yes

No

Does the PHA have sufficient Faircloth limit authority to develop new ACC
units?

Yes

No

What is the PHA’s proposed development method?

Conventional
Turnkey
Acquisition With or Without Rehabilitation
Force Account Labor
Mixed-Finance
Other Methods

Does the PHA have a site(s) selected?

Yes

C. Future Development Information
How many new ACC units does the PHA intend to develop?

No

Anticipated date of development proposal submission:
D. Identify any potential issues related to closeout or future development activities.

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form HUD-5837 (04/2018)

HUD-5837 Instructions
All PHAs who plan to remove the last of its public housing units from their public housing inventory must choose to either closeout
from the public housing program or notify HUD of their intention to develop new public housing units. This form indicates the PHA’s
choice and provides HUD information regarding the PHA’s future plans, in order to provide appropriate oversight and technical
assistance. This form should be submitted to HUD as an attachment to the Inventory Removal Application (HUD-52860) or RAD
Application and may request some information that already exists in the PIH Inventory Management System (IMS/PIC).
A. General PHA Information
Purpose: To provide HUD with information regarding the PHA and its intended unit removal method to facilitate effective
communication.
Instructions: Complete the following questions regarding the PHA, the removal action, and the PHA’s plan to closeout from the
public housing program or develop new public housing units.
B. Public Housing Program Closeout Information
Purpose: To provide HUD with information regarding the PHA’s outstanding assets, debts, and obligations that will require
resolution prior to termination of the Public Housing ACC.
Instructions: PHAs should determine if they own any real property that remains subject to Public Housing requirements and the
ACC. Note that Public Housing Real Property includes any real property that was acquired, maintained, or operated with 1937
Act funds. PHAs must identify legal issues and obligations that could be affected by removal – for further review by HUD. A
removal action may not be used to relieve a PHA of legal liabilities arising from noncompliance with federal statutory or
regulatory activities. Fair housing and civil rights matters may include charges, cause determinations, lawsuits, letters of
findings, outstanding voluntary compliance agreements or consent decrees, and remedial orders or agreements with unfulfilled
requirements. HUD will determine if actions to resolve the items listed above are sufficient to resolve the matter.
C. Future Development Information
Purpose: To provide HUD with information regarding the PHA’s plans to develop new ACC units and to continue operating a
Public Housing program.
Instructions: Complete the following questions regarding the development of new ACC units. PHAs must determine if they are
eligible to develop any new public housing ACC units based on the Quality Housing and Work Responsibility Act of 1998
(QHWRA) imposition of a statutory limit on new construction of Public Housing units (Faircloth limit) in Section 9(g)(3)(A) of
the 1937 Act. Please note that any units converted through RAD will reduce a PHA’s Faircloth Limit. The information included
should reflect the PHA’s proposed plans; however, the information has no effect on the content of the PHA’s development
proposal submission to HUD.
D. Identify any potential issues related to closeout or future development activities.
Purpose: To alert HUD to any known issues or potential issues related to closeout or future development activities, in order to
facilitate appropriate technical assistance.
Instructions: Provide a brief narrative that describes any known issues or potential issues related to closeout activities. For
example, a PHA may wish to note that they are aware of existing long-term use restrictions on a prior Section 18
demolition/disposition approval and anticipate the need for an amendment to the approval or a revised use restriction. If the
PHA is not aware of any issues or potential issues, the PHA may leave this section blank.

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