Public Housing Agency Plan

Public Housing Agency (PHA Plan)

OMB: 2577-0226

IC ID: 44117

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0226 can be found here:

2025-03-06 - No material or nonsubstantive change to a currently approved collection
2024-11-19 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Form HUD-50075-5Y Public Housing Agency Plan Form and Instruction
HUD-50075-5Y 5-Year PHA PLan (For All PHAs) 50075-5Y_2019_CLEAN.docx Form and Instruction
HUD-50075-5Y 5-Year PHA PLan (For All PHAs) 50075-5Y_2019_CLEAN.docx Form and Instruction
HUD 50075-HCV Streamlined Annual PHA Plan (HCV Only PHAs) 50075-HCV_2019_CLEAN.docx Form and Instruction
HUD 50075-HCV Streamlined Annual PHA Plan (HCV Only PHAs) 50075-HCV_2019_CLEAN.docx Form and Instruction
50075-HP High Performer PHAs 50075-HP_2019_CLEAN.docx Form and Instruction
50075-HP High Performer PHAs 50075-HP_2019_CLEAN.docx Form and Instruction
HUD 50075-SM Streamlined Annual PHA Plan (Small PHAs) 50075-SM_2019_CLEAN.docx Form and Instruction
HUD 50075-SM Streamlined Annual PHA Plan (Small PHAs) 50075-SM_2019_CLEAN.docx Form and Instruction
50075-ST Annual PHA Plan (Standards PHAs and Troubled PHAs) 50075-ST_2019_CLEAN.docx Form and Instruction
50075-ST Annual PHA Plan (Standards PHAs and Troubled PHAs) 50075-ST_2019_CLEAN.docx Form and Instruction
HUD 50077-CR Civil Rights Certifications (Qualified PHAs) 50077-CR_2019_CLEAN.docx Form and Instruction
HUD 50077-CR Civil Rights Certifications (Qualified PHAs) 50077-CR_2019_CLEAN.docx Form and Instruction
HUD 50077-CRT-SM Certification of Compliance with PHA Plan and Related Re 50077-CRT-SM_2019_CLEAN.docx Form and Instruction
HUD 50077-CRT-SM Certification of Compliance with PHA Plan and Related Re 50077-CRT-SM_2019_CLEAN.docx Form and Instruction
HUD 50077-SL Certification by State or Local Official of PHA Plans Co 50077-SL_2019_CLEAN.docx Form and Instruction
HUD 50077-SL Certification by State or Local Official of PHA Plans Co 50077-SL_2019_CLEAN.docx Form and Instruction
HUD 50077-ST-HCV-H Certifications of Compliance with PHA Plan and Related R 50077-ST-HCV-HP_2019_CLEAN.docx Form and Instruction
HUD 50077-ST-HCV-H Certifications of Compliance with PHA Plan and Related R 50077-ST-HCV-HP_2019_CLEAN.docx Form and Instruction
50075-MTW MTW Supplement to the Annual PHA Plan 50075-MTW.docx Form and Instruction
50075-MTW MTW Supplement to the Annual PHA Plan 50075-MTW.docx Form and Instruction
50077-CR Civil Rights Certification 50077-CR_2021 _ redlined.docx Form and Instruction
50077-CR Civil Rights Certification 50077-CR_2021 _ redlined.docx Form and Instruction
50077-CRT-SM Certifications of Compliance with PHA Plan and Related R 50077-CRT-SM_2021_ redlined.docx Form and Instruction
50077-CRT-SM Certifications of Compliance with PHA Plan and Related R 50077-CRT-SM_2021_ redlined.docx Form and Instruction
50077-SL Certification by State or Local Official of PHA Plans Co 50077-SL_2021_ redlined.docx Form and Instruction
50077-SL Certification by State or Local Official of PHA Plans Co 50077-SL_2021_ redlined.docx Form and Instruction
50077-ST-HCV-HP Certifications of Compliance with PHA Plan and Related R 50077-ST-HCV-HP_2021_ redlined.docx Form and Instruction
50077-ST-HCV-HP Certifications of Compliance with PHA Plan and Related R 50077-ST-HCV-HP_2021_ redlined.docx Form and Instruction
HUD 50075-SM Streamlined Annual PHA Plans (Small PHAs) 50075-SM_2021_Redline.docx Form and Instruction
HUD 50075-SM Streamlined Annual PHA Plans (Small PHAs) 50075-SM_2021_Redline.docx Form and Instruction
HUD 50075-SM CLEAN Streamlined Annual PHA Plan 50075-SM_2021_CLEAN.docx Form and Instruction
HUD 50075-SM Streamlined Annual PHA Plan 50075-SM_2021_CLEAN.docx Form and Instruction
HUD 50077-SL Redli Certification by State or Local Official of PHA Plans Co 50077-SL_2021_ Redline.docx Form and Instruction
HUD 50077-SL Certification by State or Local Official of PHA Plans Co 50077-SL_2021_ CLEAN.docx Form and Instruction
83c for form 50075-SM_ 2577-0226 .docx 83c Change Request IC Document
50075-SM_2021_Redline.docx HUD 50075-SM Redlined Version IC Document
50075-SM_2021_Redline.docx HUD 50075-SM Redlined Version IC Document
50075-SM_2021_CLEAN.docx HUD 50075-SM Clean Version IC Document
50075-SM_2021_CLEAN.docx HUD 50075-SM Clean Version IC Document
83c for form 50075-SM 50077-SL_ 2577-0226.docx 83c Change Request IC Document
50077-SL_2021_ Redline.docx HUD 50077-SL - Redlined IC Document
50077-SL_2021_ CLEAN.docx HUD 50077-SL - Clean IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Public Housing Agency Plan	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 24 CFR 903.23(b) 24 CFR 903.23(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-50075-5Y	5-Year PHA PLan (For All PHAs)	50075-5Y_2019_CLEAN.docx	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50075-HCV	Streamlined Annual PHA Plan (HCV Only PHAs)	50075-HCV_2019_CLEAN.docx	Yes	Yes	Fillable Fileable
Form and Instruction	50075-HP	High Performer PHAs	50075-HP_2019_CLEAN.docx	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50075-SM	Streamlined Annual PHA Plan (Small PHAs)	50075-SM_2019_CLEAN.docx	Yes	Yes	Fillable Fileable
Form and Instruction	50075-ST	Annual PHA Plan (Standards PHAs and Troubled PHAs)	50075-ST_2019_CLEAN.docx	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50077-CR	Civil Rights Certifications (Qualified PHAs)	50077-CR_2019_CLEAN.docx	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 50077-CRT-SM	Certification of Compliance with PHA Plan and Related Regulations (Small PHAs)	50077-CRT-SM_2019_CLEAN.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 50077-SL	Certification by State or Local Official of PHA Plans Consistency with the Consolidated Plan or State Consolidated Plan (All PHAs)	50077-SL_2019_CLEAN.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 50077-ST-HCV-HP	Certifications of Compliance with PHA Plan and Related Regulations (Standards, Troubled, HCV-Only, and High Performer PHAs)	50077-ST-HCV-HP_2019_CLEAN.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	50075-MTW	MTW Supplement to the Annual PHA Plan	50075-MTW.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	50077-CR	Civil Rights Certification	50077-CR_2021 _ redlined.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	50077-CRT-SM	Certifications of Compliance with PHA Plan and Related Regulations	50077-CRT-SM_2021_ redlined.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	50077-SL	Certification by State or Local Official of PHA Plans Consistency with the Consolidated Plan or State Consolidated Plan	50077-SL_2021_ redlined.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	50077-ST-HCV-HP	Certifications of Compliance with PHA Plan and Related Regulations (Standard, Troubled, HCV-Only, and High Performer PHAs)	50077-ST-HCV-HP_2021_ redlined.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 50075-SM	Streamlined Annual PHA Plans (Small PHAs)	50075-SM_2021_Redline.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 50075-SM	Streamlined Annual PHA Plan	50075-SM_2021_CLEAN.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 50077-SL Redlined	Certification by State or Local Official of PHA Plans Consistency with the Consolidated Plan or State Consolidated Plan (All PHAs)	50077-SL_2021_ Redline.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 50077-SL	Certification by State or Local Official of PHA Plans Consistency with the Consolidated Plan or State Consolidated Plan (All PHAs)	50077-SL_2021_ CLEAN.docx	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,780	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,780	3,780
Annual IC Time Burden (Hours)	14,614	14,614
Annual IC Cost Burden (Dollars)	339,769	339,769

Documents for IC

Title	Document	Date Uploaded
HUD 50075-SM Redlined Version	50075-SM_2021_Redline.docx	08/06/2021
HUD 50075-SM Clean Version	50075-SM_2021_CLEAN.docx	08/06/2021
83c Change Request	83c for form 50075-SM 50077-SL_ 2577-0226.docx	09/09/2021
HUD 50077-SL - Redlined	50077-SL_2021_ Redline.docx	09/09/2021
HUD 50077-SL - Clean	50077-SL_2021_ CLEAN.docx	09/09/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.