ࡱ>  @ tbjbj5*5* "W@W@lMMMM4(Ni>NPPPPQ2 [^xiiiiiii$jRm+i{bQQ{b{b+iPP@ihhh{b PPih{bihhhPN 5ZEMehiVi0ihnhnhnh8`h`Jh`<av```+i+iKMh M 7420.8 CHG-1 TABLE OF CONTENTS Form No. Form Title Page No. HUD-903 Housing Discrimination Complaint 903-1 (1/93) HUD- HYPERLINK "http://www.hud.gov/offices/adm/hudclips/forms/hud9.cfm" 903A Queja De Discriminacion En La 903A-1 Vivienda (1/93) HUD-916 RESERVED HUD-920 RESERVED SF-1199A Direct Deposit Sign-Up Form (6/87) 1199A-1 HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/9886.pdf" 9886 Authorization for the Release of 9886-1 Information/Privacy Act Notice (7/94) HUD- HYPERLINK "http://www.hud.gov/offices/adm/hudclips/forms/hud5.cfm" 50058-A&B Family Report (6/93) 50058A&B-1 HUD-50058-FSS Family Self-Sufficiency Addendum to 50058FSS-1 Form HUD-50058 (9/93) HUD-50060 RESERVED HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/51999.pdf" 51999 General Depository Agreement (6/91) 51999-1 HUD-52508 Section 8 Housing Assistance 52508-1 Payments Program - Existing Housing, Field Office Recommendation For Revising Fair Market Rent (FMR) Schedules (8/81) HUD-52510 Retroactive Housing Assistance Pay- 52510-1 ments Worksheet, Section 8 Moderate Rehabilitation Program (7/91) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52515.pdf" 52515 Funding Application, Section 8 Tenant- 52515-1 Based Assistance, Rental Certificate and Voucher Programs (1/96) HUD-52515A Section 8 Housing Assistance Payments 52515A-1 Program, Application for Moderate Rehabilitation (6/79) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52517.pdf" 52517 Request for Lease Approval, Section 8 52517-1 Tenant-Based Assistance, Rental Certificate and Voucher Programs (9/95) HUD- HYPERLINK "http://www.hud.gov/offices/adm/hudclips/forms/hud5.cfm" \l "2" 52578 Certificate, Section 8 Tenant-Based 52578-1 Assistance, Rental Certificate Program (9/95) i 4/96 7420.8 CHG-1 TABLE OF CONTENTS Form No. Form Title Page No. HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52578-a.pdf" 52578 A Section 8 Moderate Rehabilitation 52578A-1 Program Statement of Family Responsibility (6/79) HUD- HYPERLINK "http://www.hud.gov/offices/adm/hudclips/forms/hud5.cfm" \l "2" 52578 -B Statement of Family Responsibility, 52578B-1 Section 8 Project-Based Assistance, Rental Certificate Program (1/96) HUD- HYPERLINK "http://www.hud.gov/offices/adm/hudclips/forms/hud5.cfm" \l "2" 52578-S Certificado, Seccion 8 Asistencia 525788-1 Basada en el Arrendatario, Programa de Certificado de Arrendamiento (12/95) HUD-52580 Inspection Checklist, Section 8 52580-1 Tenant-Based Assistance, Rental Certificate and Voucher Programs (9/95) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52580-a.pdf" 52580-A Inspection Form, Section 8 Tenant- 52580-A-1 Based Assistance, Rental Certificate and Voucher Programs (9/95) HUD- HYPERLINK "http://www.hud.gov/offices/adm/hudclips/forms/hud5.cfm" \l "2" 52595 Balance Sheet for Section 8 and 52595-1 Public Housing (2/85) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52646.pdf" 52646 Voucher, Section 8 Tenant-Based 52646-1 Assistance, Rental Voucher Program (9/95) HUD- HYPERLINK "http://www.hud.gov/offices/adm/hudclips/forms/hud5.cfm" \l "2" 52646-5 Comprobante, Seccion 8 Asistencia 52646-8-1 Basada en el Arrendatario, Programa de Comprobante de Arrendamiento (12/95) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52650.pdf" 52650 Family Self-Sufficiency Program, 52650-1 Contract of Participation, Section 8, Public Housing and Indian Housing Programs (5/93) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52650-s.pdf" 52650-S Programa de Autosuficiencia Familiar 52650-S-1 Contrato de Participacion (6/94) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52652.pdf" 52652 Family Self-Sufficiency Program, 52652-1 FSS Escrow Account Credit Worksheet (5/93) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52663.pdf" 52663 Requisition for Partial Payment 52663-1 of Annual Contributions, Section 8 Housing Assistance Payments Program (9/94) 4/96 ii 7420.8 CHG-1 TABLE OF CONTENTS 7420.8 CHG-2 TABLE OF CONTENTS Form No. Form Title Page No. HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52665.pdf" 52665 Family Portability Information 52665-1 Section 8 Tenant-Based Assistance, Rental Certificate and Voucher Programs (9/95) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52667.pdf" 52667 Allowances for Tenant-Furnished 52667-1 Utilities and Other Services Section 8 Existing Housing (12/97) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52672.pdf" 52672 Supporting Data for Annual 52672-1 Contributions Estimates Section 8 Housing Assistance Payments Program (2/85) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52673.pdf" 52673 Estimate of Total Required Annual 52673-1 Contributions, Section 8 Housing Assistance Payments Program (2/85) HUD- HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52681.pdf" 52681 Voucher for Payment of Annual 52681-1 Contributions and Operating Statement (7/91) HUD-52683 Report on Program Utilization, 52683-1 Section 8 Tenant-Based Assistance, Rental Certificate and Voucher Programs (9/95) HUD- HYPERLINK "http://www.hud.gov/offices/adm/hudclips/forms/hud5.cfm" \l "3" 52685 Report on Program Utilization, 52685-1 Section 8 Moderate Rehabilitation Program (1/80) HUD-52686 Report on Program Activity 52686-1 Section 8 Moderate Rehabilitation Program (5/81) iii 12/97 7420 . 8 CHG-2 TABLE OF CONTENTS RENTAL CERTIFICATE PROGRAM LEGAL CONTRACTS Appendix No. Contract Type Contract Title 1 - 2 RESERVED 3 HAP Contract Housing Assistance Payments Contract, Part A, Basic Version, Section 8 Tenant- Based Assistance, Rental Certificate Program (HUD- 52535.1, 9/95) HAP Contract Housing Assistance Payments Contract, Part B, Basic Version, Section 8 Tenant- Based Assistance, Rental. Certificate Program (HUD- 52535.2, 9/95) 4 HAP Contract Housing Assistance Payments Contract, Part A, Subsidized Unit Version, Section 8 Tenant-Based Assistance, Rental Certificate Program (HUD-52535.4, 10/95) HAP Contract Housing Assistance Payments Contract, Part B, Subsidized Unit Version, Section 8 Tenant Based Assistance, Rental Certificate Program (HUD-52535.5, 10/95) 5 HAP Contract Existing Housing, Housing Assistance Payments Contract for Assistance on Behalf of Manufactured Home Owner Leasing a Manufactured Home Space (HUD-52535 B, 5/84) 12/97 iv 6 HAP Contract Section 8 Existing Housing Certificate Program, Housing Assistance Payments Contract for Related Lease Shared Housing (HUD-52535C, 11/87) 7 Lease Addendum Lease Addendum, Basic version, Section 8 Tenant-Based Assis- tance, Rental Certificate Program (HUD-52535.3, 3/96) v 12/97 PROJECT-BASED CERTIFICATE PROGRAM LEGAL CONTRACTS Appendix No. Contract Type Contract Title 16 Agreement Section 8 Certificate Program Project-Based Assistance, Agreement to Enter into Hous- ing Assistance Payments Contract, Part I ( HYPERLINK "http://www.hud.gov/utilities/intercept.cfm?/offices/adm/hudclips/forms/files/52531a.pdf" HUD-52531A, 4/90) 17 Agreement Section 8 Certificate Program Project-Based Assistance, Agreement to Enter into Hous- ing Assistance Payments Contract, Part II (HUD-52531B, 12/88) 18 HAP Contract Section 8 Certificate Program Project-Based Assistance, Housing Assistance Payments Contract, Part I (HUD-52530A, 4/90) 19 HAP Contract Section 8 Certificate Program Project-Based Assistance, Housing Assistance Payments Contract, Part II (HUD-52530B, 12/88) 20 Lease Addendum Section 8 Certificate Program Project-Based Assistance, Lease Addendum (HUD-52530C, 5/89) 21-25 RESERVED 4/96 vi 7420.8 CHG-1 TABLE OF CONTENTS RENTAL VOUCHER PROGRAM LEGAL CONTRACTS Appendix No. Contract Type Contract Title 10 Consolidated Consolidated Annual ACC Contributions Contract, Rental Certificate and Voucher Programs (HUD-52520, 11/93) 26 - 27 RESERVED 28 HAP Contract Housing Assistance Payments Contract, Part A, Basic Ver- sion, Section 8 Tenant-Based Assistance (HUD-52647.1, 9/95) Housing Assistance Payments Contract, Part B, Basic Version, Section 8 Tenant-Based Assistance (HUD-52647.2, 9/95) 29 Lease Addendum Lease Addendum, Section 8 Tenant-Based Assistance, Rental voucher Program (HUD- 52647.3, 3/96) 30 - 35 RESERVED vii 4/96 7420.8 CHG-1 TABLE OF CONTENTS MODERATE REHABILITATION PROGRAM LEGAL CONTRACTS Appendix No. Contract Type Contract Title 36 RESERVED 37 ACC Annual Contributions Contract, Mod Rehab Moderate Rehabilitation Program, Part I ACC Part I (HUD-52520-MR, 6/93) 38 ACC Annual Contributions Contract, Part II Existing Housing and Moderate Rehabilitation, ACC Part II (HUD 52520-C, 10/79) 39 Agreement Section Moderate Rehabilitation Program, Agreement to Enter Into Housing Assistance Payments Contract, Part I (HUD-52538A, 2/91) 40 Agreement Section Moderate Rehabilitation Program, Agreement to Enter Into Housing Assistance Payments Contract, Part II (HUD-52538B, 11/90) 41 HAP Contract Section 8 Moderate Rehab Program, Housing Assistance Pay- ments Contract, Part I (HUD- 52539A, 2/91) 42 HAP Contract Section 8 Moderate Rehab Program, Housing Assistance Pay- ments Contract, Part II (HUD-52539B, 11/90) 43 Lease Section 8 Moderate Rehab Addendum Program, Addendum to Lease (HUD 52517-C, 6/79 and HUD 52517-D, 3/96) 4/96 viii 7420.8 CHG-1 TABLE OF CONTENTS SECTION 8 PUBLICATIONS Appendix No. Publication Title 44 Protect Your Family From Lead In Your Home, EPA747- K-94-001 (5/95) 45 A Good Place To Live, HUD-593-PIH (9) (11/95) ix 4/96 7420.8 CHG-1 TABLE OF CONTENTS LIST OF REPORTING REQUIREMENTS Public Use Forms/Reports Form/Report OMB Clearance Number Title Number HUD-903 Housing Discrimination Complaint 2529-0011 (1/93) HUD-903A Queja De Discriminacion En La 2529-0011 Vivienda (1/93) SF-1199A Direct Deposit Sign-Up Form (6/87) 1510-0007 HUD-52510 Retroactive Housing Assistance 2502-0442 Payments Worksheet, Moderate Rehabilitation Program (7/91) HUD-52515 Funding Application, Section 8 Tenant- 2577-0169 Based Assistance, Rental Certificate and Rental Voucher Programs (1/96) HUD-52515A Section 8 Housing Assistance 2577-0147 Payments Program, Application for Moderate Rehabilitation (6/79) HUD-52517 Request for Lease Approval, Section 8 2577-0169 Tenant-Based Assistance, Rental Certificate and Voucher Programs (9/95) HUD-52578 Certificate, Section 8 Tenant-Based 2577-0169 Assistance, Rental Certificate Program (9/95) HUD-52578-B Statement of Family Responsibility, 2577-0169 Section 8 Project-Based Assistance, Rental Certificate Program (1/96) HUD-52578-2 Certificado, Seccion 8 Asistencia 2577-0169 Basada en el Arrendatario, Programa de Certificado de Arrendamiento (12/95) HUD-52580 Inspection Checklist, Section 8 2577-0169 Tenant-Based Assistance, Rental Certificate and Voucher Programs (9/95) HUD-52580-A Inspection Form, Section 8 Tenant- 2577-0169 Based Assistance, Rental Certificate and Voucher Programs (9/95) 4/96 x TABLE OF CONTENTS Public Use Forms/Reports Form/Report OMB Clearance Number Title Number HUD-52595 Balance Sheet for Section 8 and 2577-0067 Public Housing (2/85) HUD-52646 Voucher, Section 8 Tenant-Based 2577-0169 Assistance, Rental Voucher Program (9/95) HUD-52646-S Comprobante, Seccion 8 Asistencia 2577-0169 Basada en el Arrendatario, Programa de Comprobante de Arrendamiento (12/95) HUD-52650 Family Self-Sufficiency Program, 2577-0178 Contract of Participation, Section 8, Public Housing and Indian Housing Programs (5/93) HUD-52650-S Programa de Autosuficiencia Familiar, 2577-0178 Contrato de Participacion (6/94) HUD-52652 Family Self-Sufficiency Program, FSS 2577-0178 Escrow Account Credit Worksheet (5/93) HUD-52663 Requisition for Partial Payment of 2577-0149 Annual Contributions, Section 8 Housing Assistance Payments Program (9/94) HUD-52665 Family Portability Information, Sec- 2577-0169 tion 8 Tenant-Based Assistance, Rental Certificate and Voucher Programs (9/95) HUD-52667 Allowances for Tenant-Furnished 2502-0161 Utilities and Other Services Section 8 Existing Housing (4/75) HUD-52672 Supporting Data for Annual Contribu- 2577-0149 tions Estimates Section 8 Housing Assistance Payments Program (2/85) HUD-52673 Estimate of Total Required Annual 2577-0149 Contributions, Section 8 Housing Assistance Payments Program (2/85) HUD-52681 Voucher for Payment of Annual 2502-0348 Contributions and Operating Statement (7/91) xi 4/96 7420.8 CHG-1 TABLE OF CONTENTS Form/Report OMB Clearance Number Title Number HUD-52683 Report on Program Utilization, 2577-0169 Section 8 Tenant-Based Assistance, Rental Certificate and Voucher Programs (9/95) HUD-52685 Report on Program Utilization, 2502-0183 Section 8 Moderate Rehabilitation Program (1/80) HUD-52686 Report on Program Activity, Section 8 2502-0191 Moderate Rehabilitation Program (5/81) 4/96 xii 7420.8 CHG-1 TABLE OF CONTENTS Internal Forms/Reports Form/Report Number Title EPA747-K- Protect Your Family From Lead In Your Home (5/95) 94-001 HUD-PIH-593 A Good Place to Live (11/95) (9) HUD-9886 Authorization for the Release of Information (10/92) HUD-51999 General Depository Agreement (6/91) HUD-52508 Section 8 Housing Assistance Payments Program - Existing Housing, Field Office Recommendation for Revising Fair Market Rent (FMR) Schedules (8/81) HUD-52517-C Section 8 Moderate Rehabilitation Program, Addendum to Lease for HAP Contracts Dated Prior to November 1983 (6/79) HUD-52517-B Section 8 Moderate Rehabilitation Program, Addendum to Lease for Housing Assistance Payments Contracts Dated November 1983 and Later (3/96) HUD-52520 Consolidated Annual Contributions Contract, Rental Certificate and Voucher Programs (11/93) HUD-52520-MR Annual Contributions Contract, Moderate Rehabilitation Program, ACC Part I (6/93) HUD-52520-C Annual Contributions Contract, Existing Housing and Moderate Rehabilitation, ACC Part II (Supplement) (10/79) HUD-52530A Section 8 Certificate Program Project-Based Assistance, Housing Assistance Payments Contract, Part I (4/90) HUD-52530B Section 8 Certificate Program Project-Based Assistance, Housing Assistance Payments Contract, Part II (12/88) HUD-52530C Section 8 Certificate Program Project-Based Assistance, Lease Addendum (5/89) xiii 4/96 7420.8 CHG-1 TABLE OF CONTENTS Form/Report Number Title HUD-52531A Section 8 Certificate Program Project-Based Assistance, Agreement to Enter into Housing Assistance Payments Contract, Part I (4/90) HUD-52531B Section 8 Certificate Program Project-Based Assistance, Agreement to Enter into Housing Assistance Payments Contract, Part II (12/88) HUD-52535.1 Housing Assistance Payments Contract, Part A, Basic Version, Section 8 Tenant-Based Assistance, Rental Certificate Program (9/95) HUD-52535.2 Housing Assistance Payments Contract, Part B, Basic Version, Section 8 Tenant-Based Assistance, Rental Certificate Program (9/95) HUD-52535.4 Housing Assistance Payments Contract, Part A, for Subsidized Unit Version, Section 8 Tenant-Based Assistance, Rental Certificate Program (10/95) HUD-52535.5 Housing Assistance Payments Contract, Part B, for Subsidized Unit Version, Section 8 Tenant-Based Assistance, Rental Certificate Program (10/95) HUD-52535B Existing Housing, Housing Assistance Payments Contract for Assistance On Behalf of Manufactured Home Owner Leasing a Manufactured Home Space (5/84) HUD-52535C Section 8 Existing Housing Certificate Program, Housing Assistance Payments Contract for Related Lease Shared Housing (11/87) HUD-52535.3 Lease Addendum, Basic Version, Section 8 Tenant-Based Assistance, Rental Certificate Program (3/96) HUD-52535E Lease Addendum for Assistance on Behalf of Manufactured Home Owner Leasing a Manufactured Home Space, Section 8 Existing Housing Certificate Program (8/87) HUD-52535F Section 8 Existing Housing Certificate Program, Lease Addendum for Related Lease Shared Housing (11/87) 4/96 xiv 7420.8 CHG-1 TABLE OF CONTENTS Form/Report Number Title HUD-52538A Section 8 Moderate Rehabilitation Program, Agreement to Enter Housing Assistance Payments Contract, Part I (2/91) HUD-52538B Section 8 Moderate Rehabilitation Program, Agreement to Enter Into Housing Assistance Payments Contract, Part II (11/90) HUD-52539A Section 8 Moderate Rehabilitation Program, Housing Assistance Payments Contract, Part I (2/91) HUD-52539B Section 8 Moderate Rehabilitation Program, Housing Assistance Payments Contract, Part II (11/90) HUD-52578A Section 8 Moderate Rehabilitation Program Statement of Family Responsibility (6/79) HUD-52578B Section 8 Project-Based Certificate Program Statement of Family Responsibility (5/89) HUD-52647.1 Housing Assistance Payments Contract,. Part A, Basic Version, Section 8 Tenant-Based Assistance, Rental Voucher Program (9/95) HUD-52647.2 Housing Assistance Payments Contract, Part B, Basic Version, Section 8 Tenant-Based Assistance, Rental Voucher Program (9/95) HUD-52647.3 Lease Addendum, Basic Version, Section 8 Tenant- Based Assistance, Rental Voucher Program (3/96) xv 4/96 7420.8 CHG-1 REMAINDER OF THIS HANDBOOK CHANGE CONTAINS COPIES OF THE FORMS LISTED ON THE TRANSMITTAL PAGE. 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