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form HUD-50075-5Y (09/30/2027)
Instructions for Preparation of Form HUD-50075-5Y - 5-Year PHA Plan for All PHAs
A.
PHA Information. All PHAs must complete this section (24 CFR 903.4).
A.1 Include the full PHA Name, PHA Code, PHA Fiscal Year Beginning (MM/YYYY), Five-Year Period that the Plan covers, i.e.
2019-2023, PHA Plan Submission Type, and the Availability of Information, specific location(s) of all information relevant to the
hearing and proposed PHA Plan.
PHA Consortia: Check box if submitting a Joint PHA Plan and complete the table.
B. Plan Elements.
B.1 Mission. State the PHA’s mission for serving the needs of low- income, very low- income, and extremely low- income families in the
PHA’s jurisdiction for the next five years (24 CFR 903.6(a)(1)).
B.2 Goals and Objectives. Identify the PHA’s quantifiable goals and objectives that will enable the PHA to serve the needs of low-
income, very low- income, and extremely low- income families for the next five years (24 CFR 903.6(b)(1)).
B.3 Progress Report. Include a report on the progress the PHA has made in meeting the goals and objectives described in the previous 5-
Year Plan (24 CFR 903.6(b)(2)).
B.4 Violence Against Women Act (VAWA) Goals. Provide a statement of the PHA’s goals, activities objectives, policies, or programs
that will enable the PHA to serve the needs of survivors of domestic violence, dating violence, sexual assault, or stalking (24 CFR
903.6(a)(3)).
B.5 Project-Based Activities. If a PHA intends to select one or more projects for project-based assistance without competition in accordance
with § 983.51(c), the PHA must include a statement of this intent in its 5-Year Plan (or an amendment to the 5-Year Plan) in order to
notify the public prior to making a noncompetitive selection (24 CFR 903.6(c)).
C. Other Document and/or Certification Requirements.
C.1 Significant Amendment or Modification. Provide a statement on the criteria used for determining a significant amendment or
modification to the 5-Year Plan (24 CFR 903.7(s)(2)(ii)). For modifications resulting from the Rental Assistance Demonstration (RAD)
program, refer to the ‘Sample PHA Plan Amendment’ found in Notice PIH-2012-32, REV 2.
C.2 Resident Advisory Board (RAB) comments.
(a) Did the public or RAB have comments?
(b) If yes, submit comments as an attachment to the Plan and describe the analysis of the comments and the PHA’s decision made on
these recommendations (24 CFR 903.17(b), 24 CFR 903.19).
C.3 Certification by State or Local Officials.
Form HUD-50077-SL, Certification by State or Local Officials of PHA Plans Consistency with the Consolidated Plan, must be
submitted by the PHA as an electronic attachment to the PHA Plan.
C.4 Challenged Elements.
If any element of the Annual PHA Plan or 5-Year PHA Plan is challenged, a PHA must include such information as an attachment to the
Annual PHA Plan or 5-Year PHA Plan with a description of any challenges to Plan elements, the source of the challenge, and the PHA’s
response to the public (24 CFR 903.23(b)).
This information collection is authorized by Section 511 of the Quality Housing and Work Responsibility Act, which added a new section 5A to
the U.S. Housing Act of 1937, as amended, which introduced the 5-Year PHA Plan. The 5-Year PHA Plan provides the PHA’s mission, goals,
and objectives for serving the needs of low- income, very low- income, and extremely low- income families and the progress made in meeting the
goals and objectives described in the previous 5-Year Plan.
Public reporting burden for this information collection is estimated to average 1.23 hours per year per response or 6.15 hours per response every
five years, 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 collect this information, and respondents are not required to complete this
form, unless it displays a currently valid OMB Control Number.
Privacy Notice. The United States Department of Housing and Urban Development is authorized to solicit the information requested in this form
by virtue of Title 12, U.S. Code, Section 1701 et seq., and regulations promulgated thereunder at Title 12, Code of Federal Regulations.
Responses to the collection of information are required to obtain a benefit or to retain a benefit. The information requested does not lend itself to
confidentiality.
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