OMB control number

Builder's Certification of Plans, Specifications, and Site

OMB 2502-0496 · HUD/OH.

OMB 2502-0496

Agency form number(s) HUD-92541 Annual reporting and recordkeeping hour burden Number of respondents 166,080 Total annual responses 201,736 Percent of these responses collected electronically 95% Total annual hours 15,130 Tota annual hours Difference Explanation of difference Program change Adjustment Other changes: This request is for a non-substantial change to include: • add a date field to collect the Building Permit Application Date • change the references for Box 1.A.3(iii) • change the field description for Box 4 • change the references for Box 8, and • update the form revision date at the bottom of all pages.

The latest form for Builder's Certification of Plans, Specifications, and Site expires 2026-06-30 and can be found here.