Public Housing Capital Fund Program

Forms and Documents

Document Name	Status
Form HUD 5087 Public Housing Capital Fund Program Form and Instruction	Modified
2577-0157 83 C.docx Justification for No Material/Nonsubstantive Change	2021-09-17
PRA 2577-0157 (F).docx Supporting Statement A	2020-06-30
published 30-day PH Capital Fund Program.pdf Supplementary Document	2020-05-14
2577-0157 Cap Fund 60-day PRA Notice.pdf Supplementary Document	2020-04-16

IC Document Collections

IC ID	Document Title	Status
27829	Public Housing Capital Fund Program Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0157	ICR Reference No: 202109-2577-004
Status: Received in OIRA	Previous ICR Reference No: 201910-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0157
Title: Public Housing Capital Fund Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/22/2021

	Requested	Previously Approved
Expiration Date	11/30/2023	11/30/2023
Responses	74,882	74,882
Time Burden (Hours)	293,537	293,537
Cost Burden (Dollars)	0	0

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Abstract: Each year Congress appropriates funds to approximately 3,100 Public Housing Authorities (PHAs) for modernization, development, financing, and management improvements. The funds are allocated based on a complex formula. The forms in this collection are used to appropriately disburse and utilize the funds provided to PHAs. Additionally, these forms provide the information necessary to approve a financing transaction in addition to any Capital Fund Financing transactions. Respondents include the approximately 3,100 PHA receiving Capital Funds and any other PHAs wishing to pursue financing.

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Authorizing Statute(s): US Code: 44 USC Chapter 35, as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

Citations for New Statutory Requirements: US Code: 42 USC 1437q Name of Law: Section 9 of the U.S. Housing Act of 1937

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2577-AC50	Final or interim final rulemaking	78 FR 63748	10/24/2013

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 59410	11/04/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 23372	04/27/2020
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
Public Housing Capital Fund Program	HUD 51915a, HUD 51971 and 51971-2, HUD 52396, HUD 52484, HUD 52485, HUD 52486, HUD 52830, HUD 52833, HUD 52845, HUD 52836, HUD-52828, HUD 52829, HUD 52482, HUD 52651-A, HUD 5084, HUD 5087, HUD-5370 C1, HUD 5370-C2, HUD 5372, HUD 5378, HUD 5460 , HUD 50071, HUD 50075.1, HUD 51003, HUD 51004, HUD 51915, HUD 51001, HUD 51002, HUD 52427, HUD 52483-A, HUD 53001, HUD 52846, HUD 52847, HUD 52849, HUD 53015, HUD 51000, HUD-5370, HUD-5370-C1, HUD 5370 EZ, HUD-5370 EZ, HUD-5370	Outline Specification ,   General Conditions for Non-Construction Contracts Sec II ,   Construction Progress Schedule ,   Public Housing Construction Report ,   Insurance Information ,   Certification of Payments to Influence Federal Transactions ,   Annual Statement Performance and Evaluation Report ,   Schedule of Materials Stored ,   Summary of Materials Stored ,   Model Form of Agreement Between Owner and Design Professional ,   Contract Provisions Required by Federal Law or Owner Contract with HUD ,   Offer of Sale of Real Property and Purchase Agreement ,   Analysis of Proposed Main Construction Contract ,   Development Cost Budget/Cost Statement ,   Demonstration of Financial Feasibility ,   CFFP Periodic Payment Debt Service Schedule - Formula Funds Only ,   lio Schedule for Capital Fund Financing Proposal ,   Management Needs Assessment Capital Fund Program (CFP) ,   Term Sheet ,   CFFP Periodic Payment Debt Service Schedule - Formula Funds Only ,   CFFP Monthly Debt Service Schedule - Formula Funds Only - Part A Annual Summary ,   Capital Fund Financing Program Pooled Transaction: List of Participating PHAs ,   Instructions for Preparation of Turnkey Contract of Sale Form Part 1 and Part 2 ,   Schedule of Amounts for Contract Payments ,   Periodic Estimate for Partial Payment ,   Schedule of Change Orders ,   Actual Development Cost Certificate ,   Proposal for a Public Housing Project ,   Actual Modernization Cost Certificate ,   HA Board Resolution Approving Comprehensive Plan or Annual Statement ,   Green Physical Needs Assessment ,   Physical Needs Assessment Capital Fund Financing Program/ Operating Fund Financing Program ,   Guide Form of Turnkey Developer's Packet ,   Site, Design and Cost Report ,   Contract for Inspection Services (Turnkey) ,   General Conditions for Construction Contracts - Public Housing Programs ,   General Conditions for Construction Contracts - Public Housing Programs ,   General Conditions for Non-Construction Contracts Section I — (With or without Maintenance Work) ,   General Conditions for Non-Construction Contracts Section I — (With or without Maintenance Work) ,   General Contract Conditions for Small Construction/Development Contracts ,   General Contract Conditions for Small Construction/Development Contracts

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ICR Summary of Burden

	Total Request	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	74,882	74,882	0	0	0	0
Annual Time Burden (Hours)	293,537	293,537	0	0	0	0
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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $4,042,688

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.     Yes

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.     Yes

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: 09/22/2021

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