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U.S. Department of Housing OMB Approval No. 2577-0157
Schedule of Amounts for and Urban Development (Exp. 1/31/2027}
Contract Payments Office of Public and Indian Housing
No progress payments shall be made to the contractor unless a schedule of amounis
for contract payments !n accordance with the construction contract is received.
Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. HUD may not conduct or sponsor, and an applicant is not required to
respond to @ collection of information unless it displays @ currently valid OMB control number. Comments regarding the accuracy of this burden estimate and any suggestions for
reducing this burden can be sent to the Reports Management Officer, Office of Policy Development and Research, REE, Department of Housing and Urban Development, 454 7th
St SW, Room 4176, Washington, DC 20440-5000. When providing comments, please refer to OME Approval No. 2577-0157. Construction practices and HUD administrative
requirements establish the need that HAs maintain certain records or submit certain documents in conjunction with the oversight of the award of construction contracts for the
construction of new low-income housing developments or modernization of existing developments. These forms are used by HAs to provide information on the construction
progress schedule and schedule of amounts for contract payments. Responses to the collection of information are required to obtain a benefit or to retain a benefit. The
information requested doss not lend itself to confidentiality.
Project Name and Location Project Number
Name, Address, and Zip Code of Contractor
Nature of Contract Contract Number
Approved for Contractor by Title Date (ram/ddiyyyy)
Approved for Architect by Title Date (mm/dd/yyyy)
Approved for Owner by Title Date (mmv/ddiyyyy)
Item Unit of | Unit Price Amount of Amount of
No. Description of Item Quantity Measure in Place Sub-ltem Principal Item
q) @) (3) (4) ) (6) 7)
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Total Amount of Contract or Carried Forward $
To the best of my knowledge. all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.
Waming: HUD will prosecute false claims and statemenis. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)
Signature of authorized represenative
Date signed (mm/dd/yy)
form HUD-51000 (7/97)
Previous editions are obsolete : Page 1of ref Handbooks 7417.1 and 7485.1Jump to an indexed page (88 of 88)