ref. Handbook 4350.3 Rev. 1
Previous versions obsolete Submit an Original and two copies
This form must be completed so HUD can pay owners an amount to
offset 60 day vacancies.
Regulations require that owners complete this form using statu-
tory formulas for calculating such vacancy loses.
The statutes requiring the submission are S8, United States
Housing Act (42 U.S.C. 1437 f), Section 202 of the Housing Act of
1959 as amended by Section 801 of the National Affordable Housing
Act (12 U.S.C. 1701(g), and Section 811 of the National Affordable
Housing Act (42 U.S.C. 8013). The regulations stipulating these
rules are: 24 CFR 880, 881, 883, 884, 886, and 891. The adminis-
trative requirements for these forms are provided in HUD Handbook
4350.3, Rev. 1, Chapter 9.
HUD does not promise confidentiality but will not disclose data on
a specific project or tenant. No questions of a sensitive nature are
asked in this form.
The Department of Housing & Urban Development is autho-
rized to collect this information by the U.S. Housing Act of 1937, as
amended. The owner/agent must provide all this information. The
information provided will be used by HUD to review accuracy of
funds requested by owner/agent for vacancy losses up to 60 days
in length. HUD may disclose this information to Federal, state, and
local agencies when relevant to civil, criminal, or regulatory inves-
tigations and prosecutions. Otherwise, it will not be disclosed or
released outside of HUD, except as permitted or required by law.
Providing all information is mandatory, and failure to provide
information will affect participation in HUD programs.
Public reporting burden for this collection of information is
estimated to average 0.33 hours per response, including the time
for reviewing instructions, searching existing data sources, gath-
ering and maintaining the data needed, and completing and
reviewing the collection of information. This agency may not
conduct or sponsor, and a person is not required to respond to, a
collection information unless that collection displays a valid OMB