Information Collection Request

Housing Choice Voucher (HCV) Program and Tribal HUD-VASH

ICR 202602-2577-002 · OMB 2577-0169 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form NEW FORM PHA (10) SECTION 8 TENANT BASED ASSISTANCE HCV PROGRAM Form Modified Available
Form NEW FORM PBV PHA ( SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED AGREEMENT CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 2 Form Modified Available
Form NEW FORM (8) TA TENANCY ADDENDUM Section 8 Tenant-Based Assistance Housing Choice Voucher Program: Following Termination of Project-Based Voucher Assistance to the Project Form Modified Available
Form NEW FORM PBV (7) SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION REHABILITATED HOUSING RIDER Form Modified Available
Form NEW FORM PBV PHA ( SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 2 OF PHA-OWNED CERTIFICATION Form Modified Available
Form NEW FORM PBV PHA ( SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION EXISTING HOUSING PART 2 OF PHA-OWNED CERTIFICATION Form Modified Available
Form NEW FORM PBV PHA ( SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED AGREEMENT CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 1 Form Modified Available
Form NEW FORM PBV HAP ( SECTION 8 PROJECT-BASED VOUCHER PROGRAM HOUSING ASSISTANCE PAYMENTS CONTRACT REHABILITATED HOUSING RIDER Form Modified Available
Form NEW FORM (2) PBV SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION EXISTING HOUSING PART 1 OF PHA-OWNED CERTIFICATION Form Modified Available
Form NEW Form PBV PHA ( SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 1 OF PHA-OWNED CERTIFICATION Form Modified Available
Form HUD-52667 Utility Allowance Schedule Form Modified Available
Form HUD-52665 Family Portability Information Form Modified Available
Form HUD-52649 Statement of Homeowner Obligation Form Modified Available
Form HUD-52646 Voucher Form Modified Available
Form HUD-52642 Manufactured Home Space Rental Form Modified Available
Form HUD-52641A Tenancy Addendum Form Modified Available
Form HUD-52641 HAP Contract Form Modified Available
Form HUD-52580A Inspection Form Form Modified Available
Form HUD-52580 Inspection Checklist Form Modified Available
Form HUD-52578b PBV Statement of Family Responsibility Form Modified Available
Form HUD-52531B Agreement to Enter AHAP Part 2 Form Modified Available
Form HUD-52531A Agreement to Enter in AHAP Part 1 Form Modified Available
Form HUD-52530c PBV Tenancy Addendum Form Modified Available
Form HUD-52530B PBV Existing Housing Part 2 Form Modified Available
Form HUD-52530B PBV Existing Housing Part 1 Form Modified Available
Form HUD-52530 A PBV New Construction Part 2 Form Modified Available
Form HUD-52530A PBV New Construction Part 1 Form Modified Available
Form HUD-52517 Request for Tenancy Approval Form Modified Available
Form HUD-52515 Funding Application Form Modified Available
Form HUD-50164 Unexploded Ordinance Form Modified Available
Form HUD-5980 Tribal HUD-VASH Leasing Report Form Modified Available
2577-0169 30-day HCV Program and Tribal HUD VASH FRN pub 4-30-26.pdf Supplementary Document Uploaded 2026-04-30 Available
Final 2026 - OMB 2577-0169 HCV Program and Tribal HUD-VASH Supporting Statement.docx Supporting Statement A Uploaded 2026-04-28 Available
HOTMA Voucher Final Rule 89 FR 38224.pdf Supplementary Document Uploaded 2026-04-28 Available
HOTMA Voucher Additional Streamlining Changes Technical Amendments 90 FR 56683.pdf Supplementary Document Uploaded 2026-04-28 Available
HOTMA Statute and HOTMA Voucher FR Notices.pdf Supplementary Document Uploaded 2026-04-28 Available
2577-0169 Anonymous Public Commenter posted on Regulations.gov 4-6-26.pdf Public Comments Uploaded 2026-04-06 Available
60-day Notice - 2026-02955.pdf Supplementary Document Uploaded 2026-02-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedSECTION 8 TENANT BASED ASSISTANCE HCV PROGRAM
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedSECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED AGREEMENT CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 2
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedTENANCY ADDENDUM Section 8 Tenant-Based Assistance Housing Choice Voucher Program: Following Termination of Project-Based Voucher Assistance to the Project
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedSECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION REHABILITATED HOUSING RIDER
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedSECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 2 OF PHA-OWNED CERTIFICATION
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedSECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION EXISTING HOUSING PART 2 OF PHA-OWNED CERTIFICATION
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedSECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED AGREEMENT CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 1
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedSECTION 8 PROJECT-BASED VOUCHER PROGRAM HOUSING ASSISTANCE PAYMENTS CONTRACT REHABILITATED HOUSING RIDER
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedSECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION EXISTING HOUSING PART 1 OF PHA-OWNED CERTIFICATION
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedSECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 1 OF PHA-OWNED CERTIFICATION
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedUtility Allowance Schedule
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedFamily Portability Information
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedStatement of Homeowner Obligation
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedVoucher
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedManufactured Home Space Rental
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedTenancy Addendum
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedHAP Contract
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedInspection Form
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedInspection Checklist
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV Statement of Family Responsibility
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedAgreement to Enter AHAP Part 2
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedAgreement to Enter in AHAP Part 1
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV Tenancy Addendum
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV Existing Housing Part 2
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV Existing Housing Part 1
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV New Construction Part 2
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedPBV New Construction Part 1
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedRequest for Tenancy Approval
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedFunding Application
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedUnexploded Ordinance
27839 Housing Choice Voucher (HCV), Program and Tribal HUD-VASH Form ModifiedTribal HUD-VASH Leasing Report
ICR Details
2577-0169 202602-2577-002
Received in OIRA 202210-2577-003
HUD/PIH 2577-0169
Housing Choice Voucher (HCV) Program and Tribal HUD-VASH
Revision of a currently approved collection   No
Regular 04/30/2026
  Requested Previously Approved
36 Months From Approved 05/31/2026
8,846,709 5,762,592
3,455,982 2,164,097
0 0

Pursuant to the 1996 MTW Statute and 2016 MTW Expansion Statute (Section 239 of the Fiscal Year 2016 Appropriations Act, P.L. 114-113), Appendix I of the MTW Operations Notice provides waivers of certain provisions of the 1937 Act as well as the implementing requirements and regulations. The MTW HAP Rider is being added to the Housing Assistance Payments Contract for the Section 8-Tenant Based Assistance Housing Choice Voucher Program and the Section 8 Project-Based Voucher Program to ensure that any particular provisions of the HAP Contract differ from or conflict with the MTW activities included in the PHA’s approved MTW Supplement to its PHA Plan, that the provisions of the MTW Operations Notice and the approved MTW Supplement to the PHA Plan will supersede any conflicting or differing HAP Contract language. The MTW HAP Rider will have no significant impact on information collection burden.

US Code: 44 USC Chapter 35, as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  
US Code: 42 USC 3543 Name of Law: Title VI of the Civil Rights Acts of 1964

Not associated with rulemaking

  91 FR 6865 02/13/2026
91 FR 23292 04/30/2026
Yes

1
IC Title Form No. Form Name
Housing Choice Voucher (HCV), Program and Tribal HUD-VASH HUD-52530A, HUD-52642 , HUD-52667, HUD-5980, HUD-50164, HUD-52515, HUD-52517, HUD-52530 A, HUD-52530B , HUD-52530B, HUD-52530c, HUD-52531A, HUD-52531B, HUD-52578b, HUD-52580, HUD-52580A, HUD-52641, HUD-52641A, HUD-52646, HUD-52649, HUD-52665, NEW Form PBV PHA (1), NEW FORM (2) PBV , NEW FORM PBV HAP (3), NEW FORM PBV PHA (4), NEW FORM PBV PHA (5), NEW FORM PBV PHA (6), NEW FORM PBV (7), NEW FORM (8) TA, NEW FORM PBV PHA (9), NEW FORM PHA (10) Tribal HUD-VASH Leasing Report ,   Unexploded Ordinance ,   Funding Application ,   Request for Tenancy Approval ,   PBV New Construction Part 1 ,   PBV New Construction Part 2 ,   PBV Existing Housing Part 1 ,   PBV Existing Housing Part 2 ,   PBV Tenancy Addendum ,   Agreement to Enter in AHAP Part 1 ,   Agreement to Enter AHAP Part 2 ,   PBV Statement of Family Responsibility ,   Inspection Checklist ,   Inspection Form ,   HAP Contract ,   Tenancy Addendum ,   Manufactured Home Space Rental ,   Voucher ,   Statement of Homeowner Obligation ,   Family Portability Information ,   Utility Allowance Schedule ,   SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 1 OF PHA-OWNED CERTIFICATION ,   SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION EXISTING HOUSING PART 1 OF PHA-OWNED CERTIFICATION ,   SECTION 8 PROJECT-BASED VOUCHER PROGRAM HOUSING ASSISTANCE PAYMENTS CONTRACT REHABILITATED HOUSING RIDER ,   SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED AGREEMENT CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 1 ,   SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION EXISTING HOUSING PART 2 OF PHA-OWNED CERTIFICATION ,   SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 2 OF PHA-OWNED CERTIFICATION ,   SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED CERTIFICATION REHABILITATED HOUSING RIDER ,   TENANCY ADDENDUM Section 8 Tenant-Based Assistance Housing Choice Voucher Program: Following Termination of Project-Based Voucher Assistance to the Project ,   SECTION 8 PROJECT-BASED VOUCHER PROGRAM PHA-OWNED AGREEMENT CERTIFICATION NEW CONSTRUCTION OR REHABILITATION PART 2 ,   SECTION 8 TENANT BASED ASSISTANCE HCV PROGRAM

  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 8,846,709 5,762,592 0 3,084,117 0 0
Annual Time Burden (Hours) 3,455,982 2,164,097 0 1,291,885 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
All forms will be converted to a PDF fillable format once approved by OMB. Once approved, all forms will include the updated approval and expiration date and will have form numbers assigned for all new forms. Changes were made to the following HUD forms to comply with current laws, regulations, and executive orders, update definitions, fix typos and update the burden hour language: HUD-52517 Request for Tenancy Approval, HUD 52641 HAP Contract - Tenant Based Assistance, HUD 52641A Tenancy Addendum - Tenant Based Assistance, HUD 52642 HAP Contract - Manufactured Home Space Rental, HUD-52646 Voucher, HUD-52649 Statement of Homeowner Obligations, HUD-52667 Utility Allowance Schedule, HUD-50164 Unexploded Ordnance, HUD-52530A, Part 1 and Part 2 PBV HAP Contract for New Construction or Rehabilitation, HUD-52530B, Part 1 and Part 2 PBV HAP Contract for Existing, HUD-52530C PBV Tenancy Addendum, HUD-52531A and HUD-52531B Agreement to Enter into a Housing Assistance Payments Contract, HUD-52578B PBV Statement of Family Responsibilities.

$360,726,000
No
    No
    No
No
No
No
No
Jodi Speer 202 402-3169

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/30/2026