COVID-19 Supplemental Payment Requests

Forms and Documents

Document Name	Status
Form HUD-52671-e COVID-19 Supplemental Payment Requests Form and Instruction	Modified
2502-0619 - 30-Day Notice (Published 5-6-22).pdf Supplementary Document	2022-05-24
2502-0619 - Emergency Letter to OMB-COVID-19 Supplemental Payment Requests_April 2022 (003).pdf Supplementary Document	2022-04-11
2502-0619 - Laws and Regulations (COVID19).pdf Supplementary Document	2022-03-24
2502-0619 - Supporting Statement (4-6-22).docx Supporting Statement A	2022-04-11

IC Document Collections

IC ID	Document Title	Status
242755	COVID-19 Supplemental Payment Requests Form and Instruction	Modified

ICR Details

OMB Control No: 2502-0619	ICR Reference No: 202203-2502-001
Status: Received in OIRA	Previous ICR Reference No: 202110-2502-004
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: COVID-19 Supplemental Payment Requests
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/07/2022
Date Submitted to OIRA: 05/24/2022

	Requested	Previously Approved
Expiration Date	6 Months From Approved	05/31/2022
Responses	46,400	23,200
Time Burden (Hours)	25,520	25,520
Cost Burden (Dollars)	0	0

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Abstract: The proposed Form 52671-E will be completed by property owners who have project-based rental assistance contracts with HUD, who wish to receive a supplemental payment to offset operating cost increases to prevent, prepare, and respond to the effects of COVID-19. Owners of Section 8 Housing Assistance Payment contracts, Section 202 and Section 811 Project Rental Assistance contract, Section 202/162 Project Assistance contracts, and Section 202 Senior Preservation Rental Assistance contacts.

Emergency Justfication: Program Office is requesting an expedited approval to utilize DocuSign, a digital tool as the method for fulfilling the certification requirement for owners with conditionally approved CSPs, a requirement mentioned in the currently approved collection: OMB 2502-0619. An explanation of this tool is as follows..... The creation of the subject DocuSign template is critical in implementing the funding request process HUD has established for COVID-19 Supplemental Payments (using HUD 52671-E, in conjunction with Notice H 2021-05 and FAQs dated 10/07/21). In the relatively small number of instances where capital equipment purchases made by Multifamily properties were under contract but could not be fully delivered and/or installed prior to HUD’s CSP Round IV request deadline, HUD is requiring owners with conditionally approved CSPs to follow-up their HUD 52671-E submission with certification that equipment delivery/install is complete. As CSP funds are available on a strictly reimbursable basis, HUD will not disburse funds until this certification is received. The requirement to submit certification of completion was indicated on the HUD 52671-E, though the format and procedures to submit these delayed certifications were not specified beyond a general reference to use of email. HUD now anticipates allowing certification through an email/DocuSign template originated by HUD that will be emailed directly to impacted owners by HUD to submit certification. This is the most efficient and least burdensome option for both HUD and the property owners. We will also use the same email/Docusign template to allow property owners to request an extended amount of time to complete delivery/installation of equipment in contexts where vendors are experiencing unexpected supply chain delays and staffing shortages. A sample of the DocuSign template is uploaded for review.

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Authorizing Statute(s): None

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:
	86 FR 48438	08/30/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 27175	05/06/2022
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
COVID-19 Supplemental Payment Requests	N/A, HUD-52671-e	COVID-19 Supplemental Payment Requests ,   2502-0619 - CSP Supplemental Certification (DocuSign)

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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	46,400	23,200	0	23,200	0	0
Annual Time Burden (Hours)	25,520	25,520	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: $3,395,088

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.     No

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.     No

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: 05/24/2022

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