Form 5880 Form 5880 Flat Rent Exception

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Overview

Rent Adjustment Guide
Utilities Guide
Market Rent Guide
Rent Adjustment Worksheet
Utilities Worksheet
Studio
1 BR
2 BR
3 BR
4 BR
5 BR
6 BR
Justifications
Summary Sheet

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Sheet 1: Rent Adjustment Guide

Category

Adjustment in Dollars

Year Built/Renovated (dollar per year)

$0.65

0

1

AL

Difference in Area (per 10 SF)

$1.00

1

Input

AK

Per Half Bath

$10.00

2

2

AR

Per Full Bath

$17.00

In each applicable category, input desired adjustments amount.

AS

Dishwasher

$3.00

4

3

AZ

Disposal

$2.00

5

CA

Washer/Dryer in Unit

$12.00

CO

On Site Laundry Room

$7.00

CT

Washer/Dryer Hook-up

$10.00

A/C Central

$18.00

DE

A/C Thru Wall/Window

$13.00

FL

Carpet

$3.00

GA

Window Coverings (Drapes or Blinds)

$4.00

GU

Extra Storage

$6.00

HI

Fireplace

$3.00

ID

Parking

$20.00

IL

Pool

$6.00

Recreation Area or Fitness Facility

$7.00

IN

Club House or Common Area

$4.00

IA

Balcony, Terrace, or Patio

$6.00

KS

Internet (included in Rent)

$18.00

LA

Pest Control in Rent

$10.00

MN

Additional Bedroom

$50.00

MS

Proximity to Public Transportation

$15.00

MO

PHA write-in (if applicable)

$0.00

NE

PHA write-in (if applicable)

$0.00

NV

NH

NJ

NM

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Sheet 2: Utilities Guide

	Utilities included in Rent
		Electric in Rent	Gas in Rent	Water/Sewer in Rent	Garbage in Rent
	Studio	$50.00	$30.00	$40.00	$10.00
	1 Bedroom	$52.50	$62.50	$72.50	$12.25
	2 Bedroom	$55.00	$65.00	$75.00	$14.50
	3 Bedroom	$57.50	$67.50	$77.50	$16.75
	4 Bedroom	$60.00	$70.00	$80.00	$19.00
	5 Bedroom	$62.50	$72.50	$82.50	$21.25
	6 Bedroom	$65.00	$75.00	$85.00	$23.50
	Total Utility Allowance
		Dollars
	Studio	$80.00
	1 Bedroom	$85.00
	2 Bedroom	$95.00
	3 Bedroom	$100.00
	4 Bedroom	$110.00
	5 Bedroom	$115.00
	6 Bedroom	$120.00

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Sheet 3: Market Rent Guide

	Estimates of Market Rent by Comparison											HUD Form 5880
	U.S. Department of Housing and Urban Development											OMB Approval No. 2577-0290
	Office of Public and Indian Housing												(exp. 6/30/2022)
	1		Sample Housing Authority
			Date of Analysis	7/18/2019		2-Bedroom Market Analysis
	2		PHA Subject Property			Comparable #1			Comparable #2			Comparable #3
			Sample Property	SA000001		123 A Street			456 B Street			789 C Street
			Sample City	Sample County	SA	Sample City, SA			Sample City, SA			Sample City, SA
			Actual Rent for Comparable Units ($)			$525			$450			$650
			Unit Type	Select Unit Type		Apartment			Duplex			Apartment
					Check to confirm unit is unsubsidized
			Category		Data	Data	Adjustments ($)		Data	Adjustments ($)		Data	Adjustments ($)
							-	+		-	+		-	+
	A. Unit Information
	3		Year Built/Renovated		1965	1990	-16		1987	-14		2011	-30
	4		SF Area		800	920	-12		1,000	-20		1,100	-30
	5		Number of Bathrooms		1	1	0	0	1	0	0	1	0	0
	6		Dishwasher		N	N	0	0	N	0	0	Y	-3	0
	7		Disposal		N	Y	-2	0	N	0	0	Y	-2	0
	8		Laundry		On Site	On Site	0	0	None	0	7	In Unit	-5	0
	9		A/C Type		None	Central	-18	0	Window	-7	0	Central	-18	0
	10		Carpet		N	N	0	0	N	0	0	N	0	0
	11		Drapes or Blinds		N	Y	-4	0	N	0	0	Y	-4	0
	12		Extra Storage		N	N	0	0	N	0	0	Y	-6	0
	13		Fireplace		N	N	0	0	N	0	0	N	0	0
	14		Parking		N	N	0	0	N	0	0	Y	-12	0
	15		Pool		N	N	0	0	N	0	0	N	0	0
	16		Recreation Area or Fitness Facility		Y	N	0	7	N	0	7	Y	0	0
	17		Club House or Common Area		N	N	0	0	N	0	0	N	0	0
	18		Balcony, Terrace, or Patio		N	N	0	0	N	0	0	Y	-6	0
	B. Services and Utilities
	19		Cable in Rent		N	Y	-21	0	N	0	0	Y	-21	0
	20		Internet in Rent		N	N	0	0	Y	-18	0	Y	-18	0
	21		Electric in Rent		N	Y	-53	0	N	0	0	Y	-53	0
	22		Gas in Rent		N	N	0	0	N	0	0	N	0	0
	23		Water/Sewer in Rent		Y	N	0	130	N	0	0	Y	-73	0
	24		Garbage in Rent		Y	Y	0	0	N	0	12	N	0	0
	25		Pest Control in Rent		Y	Y	0	0	N	0	0	Y	0	12
	C. Other Adjustments
	26		Additional Bedroom		N	N	0	0	N	0	0	N	0	0
	27		Proximity to Public Transportation		N	Y	-15	0	N	0	0	Y	-15	0
	28				N	N	0	0	N	0	0	N	0	0
	29				N	N	0	0	N	0	0	N	0	0
	30				N	N	0	0	N	0	0	N	0	0
	D. Adjustment Calculation and Rent (Per Month)
	31		Actual Rent			525			450			650
	32		Total Adjustments			-206	-213	7	-23	-59	36	-305	-305	0
	33		Adjusted Rent			319			412			345
	34		Proposed Flat Rent		364
	35		FMR		438
	36		Select Other Applicable FMR		420
	Note: The adjustment columns (+ and -) will populate with the dollar amounts or calculation criteria entered in the Typical Rent Adjustments tab, corresponding with how the subject property varies from comparable properties. If the subject compares favorably, the form will populate a positive amount, and if the subject is inferior to the comparable, the form will populate a negative amount. Provide additional narrative if necessary to explain the adjustment.
	Public Reporting burden for this collection is estimated to average 760 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This information is required to obtain a flat rent exception approval. HUD may not collect this information and you are not required to complete this form, unless it displays a currently valid OMB number. This information is being collected under Public Law 24 CFR § 960.253(b)(3) which requires the Department of Housing and Urban Development to allow exceptions to FMR-based flat rents when authorized by the Secretary. The information will be used by HUD to approve public housing flat rent exceptions. Confidentiality to respondents is ensured if it would result in competitive harm in accordance with the Freedom of Information Act (FOIA) provisions, or if it could impact the Department's mission to provide housing units under the various Sections of the Housing legislation.
												Last Updated (07/2019)

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Sheet 4: Rent Adjustment Worksheet

Label	Category	Adjustment in Dollars
Year Built/RenovateD	Year Built/Renovated ($ per year)	$0.00
SF Area	Difference in Area (per 10 SF)	$0.00
	Extra Half Bath	$0.00
	Extra Full Bath	$0.00
	Dishwasher	$0.00
	Disposal	$0.00
	Washer/Dryer in Unit	$0.00
	Laundry Room on Site	$0.00
	Washer/Dryer Hook-up	$0.00
A/C Central	A/C Central	$0.00
A/C Thru Wall/Window	A/C Thru Wall/Window	$0.00
	Carpet	$0.00
	Drapes or Blinds	$0.00
	Extra Storage	$0.00
	Fireplace	$0.00
	Parking	$0.00
	Pool	$0.00
	Recreation Area or Fitness Facility	$0.00
	Club House or Common Area	$0.00
	Balcony, Terrace, or Patio	$0.00
	Internet in Rent	$0.00
	Pest Control in Rent	$0.00
	PHA write-in (if applicable)	$0.00
	PHA write-in (if applicable)	$0.00
	PHA write-in (if applicable)	$0.00
	PHA write-in (if applicable)	$0.00
	PHA write-in (if applicable)	$0.00

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Sheet 5: Utilities Worksheet

Utilities included in Rent - Adjustments in Dollars
	Electric in Rent	Gas in Rent	Water/Sewer in Rent	Garbage in Rent
Studio
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
6 Bedroom
Total Utility Allowance
	Utility Allowance
Studio
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
6 Bedroom

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Sheet 6: Studio

Estimates of Market Rent by Comparison											HUD Form 5880
U.S. Department of Housing and Urban Development											OMB Approval No. 2577-0290
Office of Public and Indian Housing												(exp. 6/30/2022)
1		Housing Agency Name
		Date of Analysis	mm/dd/yyyy		Studio Market Analysis
2		PHA Subject Property			Comparable #1			Comparable #2			Comparable #3
		Property Name	PIC AMP Number		Street Address			Street Address			Street Address
		City	County	State	City,State			City,State			City,State
		Actual Rent for Comparable Units ($)			$200			Monthly Rent ($)			Monthly Rent ($)
		Unit Type	Select Unit Type		Select Unit Type			Select Unit Type			Select Unit Type
				Check to confirm unit is unsubsidized
		Category		Data	Data	Adjustments ($)		Data	Adjustments ($)		Data	Adjustments ($)
						-	+		-	+		-	+
A. Unit Information
3		Year Built/Renovated		2000	2010	0	0	2009	0	0	2013	0	0
4		SF Area		0	0	0	0	0	0	0	0	0	0
5		Number of Bathrooms		0	0	0	0	0	0	0	0	0	0
6		Dishwasher		N	N	0	0	N	0	0	N	0	0
7		Disposal		N	N	0	0	N	0	0	N	0	0
8		Laundry		None	None	0	0	None	0	0	None	0	0
9		A/C Type		None	None	0	0	None	0	0	None	0	0
10		Carpet		N	N	0	0	N	0	0	N	0	0
11		Drapes or Blinds		N	N	0	0	N	0	0	N	0	0
12		Extra Storage		N	N	0	0	N	0	0	N	0	0
13		Fireplace		N	N	0	0	N	0	0	N	0	0
14		Parking		N	N	0	0	N	0	0	N	0	0
15		Pool		N	N	0	0	N	0	0	N	0	0
16		Recreation Area or Fitness Facility		N	N	0	0	N	0	0	N	0	0
17		Club House or Common Area		N	N	0	0	N	0	0	N	0	0
18		Balcony, Terrace, or Patio		N	N	0	0	N	0	0	N	0	0
B. Services and Utilities
19		Internet in Rent		N	N	0	0	N	0	0	N	0	0
20		Electric in Rent		N	N	0	0	N	0	0	N	0	0
21		Gas in Rent		N	N	0	0	N	0	0	N	0	0
22		Water/Sewer in Rent		N	N	0	0	N	0	0	N	0	0
23		Garbage in Rent		N	N	0	0	N	0	0	N	0	0
24		Pest Control in Rent		N	N	0	0	N	0	0	N	0	0
C. Other Adjustments
25				N	N	0	0	N	0	0	N	0	0
26				N	N	0	0	N	0	0	N	0	0
27				N	N	0	0	N	0	0	N	0	0
28				N	N	0	0	N	0	0	N	0	0
29				N	N	0	0	N	0	0	N	0	0
D. Adjustment Calculation and Rent (Per Month)
30		Actual Rent			200
31		Total Adjustments			0	0	0
32		Adjusted Rent			200
33		Proposed Flat Rent		200
34		FMR
35		Select Other Applicable FMR
Note: The adjustment columns (+ and -) will populate with the dollar amounts or calculation criteria entered in the Typical Rent Adjustments tab, corresponding with how the subject property varies from comparable properties. If the subject compares favorably, the form will populate a positive amount, and if the subject is inferior to the comparable, the form will populate a negative amount. Provide additional narrative if necessary to explain the adjustment.
Public reporting burden for this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to the Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th St SW, Room 4176, Washington, DC 20410-5000. Do not send completed forms to this address. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is collecting this information under Public Law 24 CFR § 960.253(b)(3) which requires HUD to allow exceptions to Fair Market Rent-based flat rents when authorized by the Secretary. The information will be used by HUD to approve public housing flat rent exceptions. This information is required to obtain a flat rent exception approval. No assurances of confidentiality are provided for this information collection.
											Last Updated (07/2019)

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Sheet 7: 1 BR

Estimates of Market Rent by Comparison											HUD Form 5880
U.S. Department of Housing and Urban Development											OMB Approval No. 2577-0290
Office of Public and Indian Housing												(exp. 6/30/2022)
1		Housing Agency Name
		Date of Analysis	mm/dd/yyyy		1-Bedroom Market Analysis
2		PHA Subject Property			Comparable #1			Comparable #2			Comparable #3
		Property Name	PIC AMP Number		Street Address			Street Address			Street Address
		City	County	State	City,State			City,State			City,State
		Actual Rent for Comparable Units ($)			Monthly Rent ($)			Monthly Rent ($)			Monthly Rent ($)
		Unit Type	Select Unit Type		Select Unit Type			Select Unit Type			Select Unit Type
				Check to confirm unit is unsubsidized
		Category		Data	Data	Adjustments ($)		Data	Adjustments ($)		Data	Adjustments ($)
						-	+		-	+		-	+
A. Unit Information
3		Year Built/Renovated		0	0	0	0	0	0	0	0	0	0
4		SF Area		0	0	0	0	0	0	0	0	0	0
5		Number of Bathrooms		0	0	0	0	0	0	0	0	0	0
6		Dishwasher		N	N	0	0	N	0	0	N	0	0
7		Disposal		N	N	0	0	N	0	0	N	0	0
8		Laundry		None	None	0	0	None	0	0	None	0	0
9		A/C Type		None	None	0	0	None	0	0	None	0	0
10		Carpet		N	N	0	0	N	0	0	N	0	0
11		Drapes or Blinds		N	N	0	0	N	0	0	N	0	0
12		Extra Storage		N	N	0	0	N	0	0	N	0	0
13		Fireplace		N	N	0	0	N	0	0	N	0	0
14		Parking		N	N	0	0	N	0	0	N	0	0
15		Pool		N	N	0	0	N	0	0	N	0	0
16		Recreation Area or Fitness Facility		N	N	0	0	N	0	0	N	0	0
17		Club House or Common Area		N	N	0	0	N	0	0	N	0	0
18		Balcony, Terrace, or Patio		N	N	0	0	N	0	0	N	0	0
B. Services and Utilities
19		Internet in Rent		N	N	0	0	N	0	0	N	0	0
20		Electric in Rent		N	N	0	0	N	0	0	N	0	0
21		Gas in Rent		N	N	0	0	N	0	0	N	0	0
22		Water/Sewer in Rent		N	N	0	0	N	0	0	N	0	0
23		Garbage in Rent		N	N	0	0	N	0	0	N	0	0
24		Pest Control in Rent		N	N	0	0	N	0	0	N	0	0
C. Other Adjustments
25				N	N	0	0	N	0	0	N	0	0
26				N	N	0	0	N	0	0	N	0	0
27				N	N	0	0	N	0	0	N	0	0
28				N	N	0	0	N	0	0	N	0	0
29				N	N	0	0	N	0	0	N	0	0
D. Adjustment Calculation and Rent (Per Month)
30		Actual Rent
31		Total Adjustments
32		Adjusted Rent
33		Proposed Flat Rent
34		FMR
35		Select Other Applicable FMR
Note: The adjustment columns (+ and -) will populate with the dollar amounts or calculation criteria entered in the Typical Rent Adjustments tab, corresponding with how the subject property varies from comparable properties. If the subject compares favorably, the form will populate a positive amount, and if the subject is inferior to the comparable, the form will populate a negative amount. Provide additional narrative if necessary to explain the adjustment.
Public reporting burden for this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to the Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th St SW, Room 4176, Washington, DC 20410-5000. Do not send completed forms to this address. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is collecting this information under Public Law 24 CFR § 960.253(b)(3) which requires HUD to allow exceptions to Fair Market Rent-based flat rents when authorized by the Secretary. The information will be used by HUD to approve public housing flat rent exceptions. This information is required to obtain a flat rent exception approval. No assurances of confidentiality are provided for this information collection.
											Last Updated (07/2019)

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Sheet 8: 2 BR

Estimates of Market Rent by Comparison											HUD Form 5880
U.S. Department of Housing and Urban Development											OMB Approval No. 2577-0290
Office of Public and Indian Housing												(exp. 6/30/2022)
1		Housing Agency Name
		Date of Analysis	mm/dd/yyyy		2-Bedroom Market Analysis
2		PHA Subject Property			Comparable #1			Comparable #2			Comparable #3
		Property Name	PIC AMP Number		Street Address			Street Address			Street Address
		City	County	State	City,State			City,State			City,State
		Actual Rent for Comparable Units ($)			Monthly Rent ($)			Monthly Rent ($)			Monthly Rent ($)
		Unit Type	Select Unit Type		Select Unit Type			Select Unit Type			Select Unit Type
				Check to confirm unit is unsubsidized
		Category		Data	Data	Adjustments ($)		Data	Adjustments ($)		Data	Adjustments ($)
						-	+		-	+		-	+
A. Unit Information
3		Year Built/Renovated		0	0	0	0	0	0	0	0	0	0
4		SF Area		0	0	0	0	0	0	0	0	0	0
5		Number of Bathrooms		0	0	0	0	0	0	0	0	0	0
6		Dishwasher		N	N	0	0	N	0	0	N	0	0
7		Disposal		N	N	0	0	N	0	0	N	0	0
8		Laundry		None	None	0	0	None	0	0	None	0	0
9		A/C Type		None	None	0	0	None	0	0	None	0	0
10		Carpet		N	N	0	0	N	0	0	N	0	0
11		Drapes or Blinds		N	N	0	0	N	0	0	N	0	0
12		Extra Storage		N	N	0	0	N	0	0	N	0	0
13		Fireplace		N	N	0	0	N	0	0	N	0	0
14		Parking		N	N	0	0	N	0	0	N	0	0
15		Pool		N	N	0	0	N	0	0	N	0	0
16		Recreation Area or Fitness Facility		N	N	0	0	N	0	0	N	0	0
17		Club House or Common Area		N	N	0	0	N	0	0	N	0	0
18		Balcony, Terrace, or Patio		N	N	0	0	N	0	0	N	0	0
B. Services and Utilities
19		Internet in Rent		N	N	0	0	N	0	0	N	0	0
20		Electric in Rent		N	N	0	0	N	0	0	N	0	0
21		Gas in Rent		N	N	0	0	N	0	0	N	0	0
22		Water/Sewer in Rent		N	N	0	0	N	0	0	N	0	0
23		Garbage in Rent		N	N	0	0	N	0	0	N	0	0
24		Pest Control in Rent		N	N	0	0	N	0	0	N	0	0
C. Other Adjustments
25				N	N	0	0	N	0	0	N	0	0
26				N	N	0	0	N	0	0	N	0	0
27				N	N	0	0	N	0	0	N	0	0
28				N	N	0	0	N	0	0	N	0	0
29				N	N	0	0	N	0	0	N	0	0
D. Adjustment Calculation and Rent (Per Month)
30		Actual Rent
31		Total Adjustments
32		Adjusted Rent
33		Proposed Flat Rent
34		FMR
35		Select Other Applicable FMR
Note: The adjustment columns (+ and -) will populate with the dollar amounts or calculation criteria entered in the Typical Rent Adjustments tab, corresponding with how the subject property varies from comparable properties. If the subject compares favorably, the form will populate a positive amount, and if the subject is inferior to the comparable, the form will populate a negative amount. Provide additional narrative if necessary to explain the adjustment.
Public reporting burden for this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to the Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th St SW, Room 4176, Washington, DC 20410-5000. Do not send completed forms to this address. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is collecting this information under Public Law 24 CFR § 960.253(b)(3) which requires HUD to allow exceptions to Fair Market Rent-based flat rents when authorized by the Secretary. The information will be used by HUD to approve public housing flat rent exceptions. This information is required to obtain a flat rent exception approval. No assurances of confidentiality are provided for this information collection.
											Last Updated (07/2019)

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Sheet 9: 3 BR

Estimates of Market Rent by Comparison											HUD Form 5880
U.S. Department of Housing and Urban Development											OMB Approval No. 2577-0290
Office of Public and Indian Housing												(exp. 6/30/2022)
1		Housing Agency Name
		Date of Analysis	mm/dd/yyyy		3-Bedroom Market Analysis
2		PHA Subject Property			Comparable #1			Comparable #2			Comparable #3
		Property Name	PIC AMP Number		Street Address			Street Address			Street Address
		City	County	State	City,State			City,State			City,State
		Actual Rent for Comparable Units ($)			Monthly Rent ($)			Monthly Rent ($)			Monthly Rent ($)
		Unit Type	Select Unit Type		Select Unit Type			Select Unit Type			Select Unit Type
				Check to confirm unit is unsubsidized
		Category		Data	Data	Adjustments ($)		Data	Adjustments ($)		Data	Adjustments ($)
						-	+		-	+		-	+
A. Unit Information
3		Year Built/Renovated		0	0	0	0	0	0	0	0	0	0
4		SF Area		0	0	0	0	0	0	0	0	0	0
5		Number of Bathrooms		0	0	0	0	0	0	0	0	0	0
6		Dishwasher		N	N	0	0	N	0	0	N	0	0
7		Disposal		N	N	0	0	N	0	0	N	0	0
8		Laundry		None	None	0	0	None	0	0	None	0	0
9		A/C Type		None	None	0	0	None	0	0	None	0	0
10		Carpet		N	N	0	0	N	0	0	N	0	0
11		Drapes or Blinds		N	N	0	0	N	0	0	N	0	0
12		Extra Storage		N	N	0	0	N	0	0	N	0	0
13		Fireplace		N	N	0	0	N	0	0	N	0	0
14		Parking		N	N	0	0	N	0	0	N	0	0
15		Pool		N	N	0	0	N	0	0	N	0	0
16		Recreation Area or Fitness Facility		N	N	0	0	N	0	0	N	0	0
17		Club House or Common Area		N	N	0	0	N	0	0	N	0	0
18		Balcony, Terrace, or Patio		N	N	0	0	N	0	0	N	0	0
B. Services and Utilities
19		Internet in Rent		N	N	0	0	N	0	0	N	0	0
20		Electric in Rent		N	N	0	0	N	0	0	N	0	0
21		Gas in Rent		N	N	0	0	N	0	0	N	0	0
22		Water/Sewer in Rent		N	N	0	0	N	0	0	N	0	0
23		Garbage in Rent		N	N	0	0	N	0	0	N	0	0
24		Pest Control in Rent		N	N	0	0	N	0	0	N	0	0
C. Other Adjustments
25				N	N	0	0	N	0	0	N	0	0
26				N	N	0	0	N	0	0	N	0	0
27				N	N	0	0	N	0	0	N	0	0
28				N	N	0	0	N	0	0	N	0	0
29				N	N	0	0	N	0	0	N	0	0
D. Adjustment Calculation and Rent (Per Month)
30		Actual Rent
31		Total Adjustments
32		Adjusted Rent
33		Proposed Flat Rent
34		FMR
35		Select Other Applicable FMR
Note: The adjustment columns (+ and -) will populate with the dollar amounts or calculation criteria entered in the Typical Rent Adjustments tab, corresponding with how the subject property varies from comparable properties. If the subject compares favorably, the form will populate a positive amount, and if the subject is inferior to the comparable, the form will populate a negative amount. Provide additional narrative if necessary to explain the adjustment.
Public reporting burden for this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to the Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th St SW, Room 4176, Washington, DC 20410-5000. Do not send completed forms to this address. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is collecting this information under Public Law 24 CFR § 960.253(b)(3) which requires HUD to allow exceptions to Fair Market Rent-based flat rents when authorized by the Secretary. The information will be used by HUD to approve public housing flat rent exceptions. This information is required to obtain a flat rent exception approval. No assurances of confidentiality are provided for this information collection.
											Last Updated (07/2019)

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Sheet 10: 4 BR

Estimates of Market Rent by Comparison											HUD Form 5880
U.S. Department of Housing and Urban Development											OMB Approval No. 2577-0290
Office of Public and Indian Housing												(exp. 6/30/2022)
1		Housing Agency Name
		Date of Analysis	mm/dd/yyyy		4-Bedroom Market Analysis
2		PHA Subject Property			Comparable #1			Comparable #2			Comparable #3
		Property Name	PIC AMP Number		Street Address			Street Address			Street Address
		City	County	State	City,State			City,State			City,State
		Actual Rent for Comparable Units ($)			Monthly Rent ($)			Monthly Rent ($)			Monthly Rent ($)
		Unit Type	Select Unit Type		Select Unit Type			Select Unit Type			Select Unit Type
				Check to confirm unit is unsubsidized
		Category		Data	Data	Adjustments ($)		Data	Adjustments ($)		Data	Adjustments ($)
						-	+		-	+		-	+
A. Unit Information
3		Year Built/Renovated		0	0	0	0	0	0	0	0	0	0
4		SF Area		0	0	0	0	0	0	0	0	0	0
5		Number of Bathrooms		0	0	0	0	0	0	0	0	0	0
6		Dishwasher		N	N	0	0	N	0	0	N	0	0
7		Disposal		N	N	0	0	N	0	0	N	0	0
8		Laundry		None	None	0	0	None	0	0	None	0	0
9		A/C Type		None	None	0	0	None	0	0	None	0	0
10		Carpet		N	N	0	0	N	0	0	N	0	0
11		Drapes or Blinds		N	N	0	0	N	0	0	N	0	0
12		Extra Storage		N	N	0	0	N	0	0	N	0	0
13		Fireplace		N	N	0	0	N	0	0	N	0	0
14		Parking		N	N	0	0	N	0	0	N	0	0
15		Pool		N	N	0	0	N	0	0	N	0	0
16		Recreation Area or Fitness Facility		N	N	0	0	N	0	0	N	0	0
17		Club House or Common Area		N	N	0	0	N	0	0	N	0	0
18		Balcony, Terrace, or Patio		N	N	0	0	N	0	0	N	0	0
B. Services and Utilities
19		Internet in Rent		N	N	0	0	N	0	0	N	0	0
20		Electric in Rent		N	N	0	0	N	0	0	N	0	0
21		Gas in Rent		N	N	0	0	N	0	0	N	0	0
22		Water/Sewer in Rent		N	N	0	0	N	0	0	N	0	0
23		Garbage in Rent		N	N	0	0	N	0	0	N	0	0
24		Pest Control in Rent		N	N	0	0	N	0	0	N	0	0
C. Other Adjustments
25				N	N	0	0	N	0	0	N	0	0
26				N	N	0	0	N	0	0	N	0	0
27				N	N	0	0	N	0	0	N	0	0
28				N	N	0	0	N	0	0	N	0	0
29				N	N	0	0	N	0	0	N	0	0
D. Adjustment Calculation and Rent (Per Month)
30		Actual Rent
31		Total Adjustments
32		Adjusted Rent
33		Proposed Flat Rent
34		FMR
35		Select Other Applicable FMR
Note: The adjustment columns (+ and -) will populate with the dollar amounts or calculation criteria entered in the Typical Rent Adjustments tab, corresponding with how the subject property varies from comparable properties. If the subject compares favorably, the form will populate a positive amount, and if the subject is inferior to the comparable, the form will populate a negative amount. Provide additional narrative if necessary to explain the adjustment.
Public reporting burden for this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to the Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th St SW, Room 4176, Washington, DC 20410-5000. Do not send completed forms to this address. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is collecting this information under Public Law 24 CFR § 960.253(b)(3) which requires HUD to allow exceptions to Fair Market Rent-based flat rents when authorized by the Secretary. The information will be used by HUD to approve public housing flat rent exceptions. This information is required to obtain a flat rent exception approval. No assurances of confidentiality are provided for this information collection.
											Last Updated (07/2019)

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Sheet 11: 5 BR

Estimates of Market Rent by Comparison											HUD Form 5880
U.S. Department of Housing and Urban Development											OMB Approval No. 2577-0290
Office of Public and Indian Housing												(exp. 6/30/2022)
1		Housing Agency Name
		Date of Analysis	mm/dd/yyyy		5-Bedroom Market Analysis
2		PHA Subject Property			Comparable #1			Comparable #2			Comparable #3
		Property Name	PIC AMP Number		Street Address			Street Address			Street Address
		City	County	State	City,State			City,State			City,State
		Actual Rent for Comparable Units ($)			Monthly Rent ($)			Monthly Rent ($)			Monthly Rent ($)
		Unit Type	Select Unit Type		Select Unit Type			Select Unit Type			Select Unit Type
				Check to confirm unit is unsubsidized
		Category		Data	Data	Adjustments ($)		Data	Adjustments ($)		Data	Adjustments ($)
						-	+		-	+		-	+
A. Unit Information
3		Year Built/Renovated		0	0	0	0	0	0	0	0	0	0
4		SF Area		0	0	0	0	0	0	0	0	0	0
5		Number of Bathrooms		0	0	0	0	0	0	0	0	0	0
6		Dishwasher		N	N	0	0	N	0	0	N	0	0
7		Disposal		N	N	0	0	N	0	0	N	0	0
8		Laundry		None	None	0	0	None	0	0	None	0	0
9		A/C Type		None	None	0	0	None	0	0	None	0	0
10		Carpet		N	N	0	0	N	0	0	N	0	0
11		Drapes or Blinds		N	N	0	0	N	0	0	N	0	0
12		Extra Storage		N	N	0	0	N	0	0	N	0	0
13		Fireplace		N	N	0	0	N	0	0	N	0	0
14		Parking		N	N	0	0	N	0	0	N	0	0
15		Pool		N	N	0	0	N	0	0	N	0	0
16		Recreation Area or Fitness Facility		N	N	0	0	N	0	0	N	0	0
17		Club House or Common Area		N	N	0	0	N	0	0	N	0	0
18		Balcony, Terrace, or Patio		N	N	0	0	N	0	0	N	0	0
B. Services and Utilities
19		Internet in Rent		N	N	0	0	N	0	0	N	0	0
20		Electric in Rent		N	N	0	0	N	0	0	N	0	0
21		Gas in Rent		N	N	0	0	N	0	0	N	0	0
22		Water/Sewer in Rent		N	N	0	0	N	0	0	N	0	0
23		Garbage in Rent		N	N	0	0	N	0	0	N	0	0
24		Pest Control in Rent		N	N	0	0	N	0	0	N	0	0
C. Other Adjustments
25				N	N	0	0	N	0	0	N	0	0
26				N	N	0	0	N	0	0	N	0	0
27				N	N	0	0	N	0	0	N	0	0
28				N	N	0	0	N	0	0	N	0	0
29				N	N	0	0	N	0	0	N	0	0
D. Adjustment Calculation and Rent (Per Month)
30		Actual Rent
31		Total Adjustments
32		Adjusted Rent
33		Proposed Flat Rent
34		FMR
35		Select Other Applicable FMR
Note: The adjustment columns (+ and -) will populate with the dollar amounts or calculation criteria entered in the Typical Rent Adjustments tab, corresponding with how the subject property varies from comparable properties. If the subject compares favorably, the form will populate a positive amount, and if the subject is inferior to the comparable, the form will populate a negative amount. Provide additional narrative if necessary to explain the adjustment.
Public reporting burden for this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to the Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th St SW, Room 4176, Washington, DC 20410-5000. Do not send completed forms to this address. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is collecting this information under Public Law 24 CFR § 960.253(b)(3) which requires HUD to allow exceptions to Fair Market Rent-based flat rents when authorized by the Secretary. The information will be used by HUD to approve public housing flat rent exceptions. This information is required to obtain a flat rent exception approval. No assurances of confidentiality are provided for this information collection.
											Last Updated (07/2019)

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Sheet 12: 6 BR

Estimates of Market Rent by Comparison											HUD Form 5880
U.S. Department of Housing and Urban Development											OMB Approval No. 2577-0290
Office of Public and Indian Housing												(exp. 6/30/2022)
1		Housing Agency Name
		Date of Analysis	mm/dd/yyyy		6-Bedroom Market Analysis
2		PHA Subject Property			Comparable #1			Comparable #2			Comparable #3
		Property Name	PIC AMP Number		Street Address			Street Address			Street Address
		City	County	State	City,State			City,State			City,State
		Actual Rent for Comparable Units ($)			Monthly Rent ($)			Monthly Rent ($)			Monthly Rent ($)
		Unit Type	Select Unit Type		Select Unit Type			Select Unit Type			Select Unit Type
				Check to confirm unit is unsubsidized
		Category		Data	Data	Adjustments ($)		Data	Adjustments ($)		Data	Adjustments ($)
						-	+		-	+		-	+
A. Unit Information
3		Year Built/Renovated		0	0	0	0	0	0	0	0	0	0
4		SF Area		0	0	0	0	0	0	0	0	0	0
5		Number of Bathrooms		0	0	0	0	0	0	0	0	0	0
6		Dishwasher		N	N	0	0	N	0	0	N	0	0
7		Disposal		N	N	0	0	N	0	0	N	0	0
8		Laundry		None	None	0	0	None	0	0	None	0	0
9		A/C Type		None	None	0	0	None	0	0	None	0	0
10		Carpet		N	N	0	0	N	0	0	N	0	0
11		Drapes or Blinds		N	N	0	0	N	0	0	N	0	0
12		Extra Storage		N	N	0	0	N	0	0	N	0	0
13		Fireplace		N	N	0	0	N	0	0	N	0	0
14		Parking		N	N	0	0	N	0	0	N	0	0
15		Pool		N	N	0	0	N	0	0	N	0	0
16		Recreation Area or Fitness Facility		N	N	0	0	N	0	0	N	0	0
17		Club House or Common Area		N	N	0	0	N	0	0	N	0	0
18		Balcony, Terrace, or Patio		N	N	0	0	N	0	0	N	0	0
B. Services and Utilities
19		Internet in Rent		N	N	0	0	N	0	0	N	0	0
20		Electric in Rent		N	N	0	0	N	0	0	N	0	0
21		Gas in Rent		N	N	0	0	N	0	0	N	0	0
22		Water/Sewer in Rent		N	N	0	0	N	0	0	N	0	0
23		Garbage in Rent		N	N	0	0	N	0	0	N	0	0
24		Pest Control in Rent		N	N	0	0	N	0	0	N	0	0
C. Other Adjustments
25				N	N	0	0	N	0	0	N	0	0
26				N	N	0	0	N	0	0	N	0	0
27				N	N	0	0	N	0	0	N	0	0
28				N	N	0	0	N	0	0	N	0	0
29				N	N	0	0	N	0	0	N	0	0
D. Adjustment Calculation and Rent (Per Month)
30		Actual Rent
31		Total Adjustments
32		Adjusted Rent
33		Proposed Flat Rent
34		FMR
35		Select Other Applicable FMR
Note: The adjustment columns (+ and -) will populate with the dollar amounts or calculation criteria entered in the Typical Rent Adjustments tab, corresponding with how the subject property varies from comparable properties. If the subject compares favorably, the form will populate a positive amount, and if the subject is inferior to the comparable, the form will populate a negative amount. Provide additional narrative if necessary to explain the adjustment.
Public reporting burden for this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to the Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th St SW, Room 4176, Washington, DC 20410-5000. Do not send completed forms to this address. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is collecting this information under Public Law 24 CFR § 960.253(b)(3) which requires HUD to allow exceptions to Fair Market Rent-based flat rents when authorized by the Secretary. The information will be used by HUD to approve public housing flat rent exceptions. This information is required to obtain a flat rent exception approval. No assurances of confidentiality are provided for this information collection.
											Last Updated (07/2019)

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Sheet 13: Justifications

Justifications
Per Notice PIH 2021-27 and subsequent updates, a PHA must provide a local market-related justification in three instances. Those are 1) different bedroom sizes; 2) amenity adjustments greater than 25%; and 3) joint submissions. PHAs are required to submit any applicable justification using the tab within the HUD Form 5880. Please refer to the Notice for examples. Different Bedroom Sizes • Comparable units should use market comparables of the same bedroom size. • The justification must include why there are no market rate comparable units for a specific bedroom size in a local market. Amenity Adjustments Greater than 25% • PHAs with any single amenity adjustment that is more than 25% of the comparable unit’s actual rent must include a justification that is based on local market conditions. • The justifications must include market specific explanations of how the adjustment was made using local data. Joint Submissions for Two PHAs • PHAs from neighboring cities or within the same county with a shared executive director can submit a joint flat rent exception request. • The justification must include information that explains how there is no substantive difference between the PHA’s rental and employment markets.
Comparing units with a different number of bedrooms
Comparable units must use market comparables with the same number of bedrooms. If there are no comparable unsubsidized units with the same number of bedrooms as the public housing development, a justification must be included explaining why there are no comparable units for a specific number of bedrooms in a local market.
A single amenity adjustment is greater than 25% of the total actual rent
PHAs with any single amenity adjustment that is more than 25% of the comparable unit’s actual rent must include a justification that is based on local market conditions.The justifications must include market specific explanations of how the adjustment was made using local data.
Joint submissions for PHAs with the same executive director
PHAs from neighboring cities or within the same county with a shared executive director can submit a joint flat rent exception request. The justification must include information that explains how there is no substantive difference between the PHA’s rental and employment markets.

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Sheet 14: Summary Sheet

Flat Rent Market Analysis Summary
	Housing Authority Name	Housing Agency Name
	PIC AMP Number	PIC AMP Number
	Property Name
	Date of Analysis
		Proposed Flat Rent (Monthly)
		Studio	1 Bedroom	2 Bedroom	3 Bedroom	4 Bedroom	5 Bedroom	6 Bedroom
	Flat Rent	$200	n/a	n/a	n/a	n/a	n/a	n/a
		FMR Calculation
		Studio	1 Bedroom	2 Bedroom	3 Bedroom	4 Bedroom	5 Bedroom	6 Bedroom
	FMR	$0	$0	$0	$0	$0	$0	$0
	FMR × 80%	$0	$0	$0	$0	$0	$0	$0
	Utility Allowance	$0	n/a	n/a	n/a	n/a	n/a	n/a
	(FMR × 80%) - Utility Allowance	$0	n/a	n/a	n/a	n/a	n/a	n/a
		Select Other Applicable FMR
		Studio	1 Bedroom	2 Bedroom	3 Bedroom	4 Bedroom	5 Bedroom	6 Bedroom
	Other Applicable FMR	$0	$0	$0	$0	$0	$0	$0
	FMR × 80%	$0	$0	$0	$0	$0	$0	$0
	Utility Allowance	$0	n/a	n/a	n/a	n/a	n/a	n/a
	(FMR × 80%) - Utility Allowance	$0	n/a	n/a	n/a	n/a	n/a	n/a