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View ICR - OIRA Conclusion

OMB Control No: 2577-0075	ICR Reference No: 202408-2577-004
Status: Active	Previous ICR Reference No: 202306-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0075
Title: Inventory Removal Application Forms
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/04/2026
	Date Received in OIRA: 11/14/2024
Terms of Clearance: The agency made minor modifications to certain instruments to reflect updates to programs.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2029	36 Months From Approved	04/30/2024
Responses	3,091	0	3,201
Time Burden (Hours)	6,162	0	19,151
Cost Burden (Dollars)	1,890	0	169,269

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Annual Contributions Contract (ACC)	HUD 53012
Inventory Removal Application Forms	HUD-51999, 52860-E, 52860, 52860-A, 5837, 52860-B, 52860-C, 52860-D, 52860-F, 52860-G	, , , , , , , , ,
Public Housing Annual Contributions Contract and Inventory Removal Application	HUD-52860 - Edited Version, HUD-52860-E, HUD-52860-C, HUD-52860-A, HUD-52860-F, HUD-5837, HUD-52860-D, HUD-51999, HUD-52860-G, HUD-52840-A, HUD-52860, HUD-52860-B, HUD-5837 - Editied Version (5-30-19), HUD-5837 - Original Version (5/30/19), HUD-52860 - Original Version	, , , , , , , , , , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	3,091	3,201	-110
Annual Time Burden (Hours)	6,162	19,151	-12,989
Annual Cost Burden (Dollars)	1,890	169,269	-167,379

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: This is a Reinstatement with change. Updated per terms of clearance.

Annual Cost to Federal Government: $1,141,631

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. Yes

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

Agency Contact: Kathleen Szybist 3123536236 ext. 2097 Kathleen.Szybist@HUD.GOV

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