Owner's Certification with HUD Tenant Eligibility and Rent Procedures

Forms and Documents

Document Name	Status
Form HUD 90105 a Owner's Certification with HUD Tenant Eligibility and Rent Procedures Form and Instruction	Modified
MF HSG - PCAS# 00251780 - PIA for Tenant Rental Assistance Certification System - April 2009.doc Supplementary Document	2009-05-15
OMB 83-I 2502-0204 (2).doc Supporting Statement A	2009-05-13

IC Document Collections

IC ID	Document Title	Status
27064	Owner's Certification with HUD Tenant Eligibility and Rent Procedures Form and Instruction	Modified

ICR Details

OMB Control No: 2502-0204	ICR Reference No: 200902-2502-005
Status: Historical Active	Previous ICR Reference No: 200808-2502-003
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Owner's Certification with HUD Tenant Eligibility and Rent Procedures
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/15/2009
	Date Received in OIRA: 03/05/2009
Terms of Clearance: This collection is approved for only two years due to lack of full GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2011	36 Months From Approved	05/31/2009
Responses	3,277,693	0	3,277,693
Time Burden (Hours)	1,348,679	0	1,348,679
Cost Burden (Dollars)	0	0	0

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Abstract: Collection of tenant data to ensure owners comply with Federal statutes and regulations that (1) establish policies on who may be admitted to subsidized housing; (2) prohibit discrimination in conjunction with selection of tenants and units; (3) specify how tenants’ incomes and rents must be compiled.

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Authorizing Statute(s): US Code: 12 USC 1715z-1 Name of Law: Rental and cooperative housing for lower income families
   US Code: 12 USC 1701s Name of Law: Rent supplement payments for qualified lower income families
   US Code: 42 USC 1437 Name of Law: CHAPTER 8--LOW-INCOME HOUSING
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 248	12/24/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 41	03/04/2009
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
Owner's Certification with HUD Tenant Eligibility and Rent Procedures	HUD 90100, HUD 90104, HUD 90101, HUD 90102, HUD 90103, HUD 90106, HUD 50059 A, HUD 90067, HUD 90105 a, HUD 90105 c, HUD 90105b, HUD 90105d, HUD 50059, HUD 90066, HUD 27061-h	Appendix 4-A Model Lease for Subsidized Programs ,   Exception to Limitations on Admission of Families ,   Annual Recertification ,   Certification for Qualified Long-Term Care Insurance Expenses ,   Sample Verification of Disability ,   Appendix 4-B - Model Lease ,   Appendix 4-D 811 PRAC Lease ,   Appendix 4-C 202 PRAC Lease ,   Certificaiton of Domestic Violence, Dating Violence or Stalking ,   Owner's Certification of Compliance - Partial Certificaiton ,   Lease Addendum ,   Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures ,   Appendix 5 - Sample Move-In/Move Out Inspection Form ,   Race and Ethnic Reporting Form ,   Sample Verificaiton of disability All Programs

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ICR Summary of Burden

	Total Approved	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	3,277,693	3,277,693	0	0	0	0
Annual Time Burden (Hours)	1,348,679	1,348,679	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: $1,852,926

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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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: 03/05/2009

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