Read HUD Form Number text version

Attachment 3

Software Vendor/In-house Developer HUD Forms Requirement Matrix

HUD Form Number

New/Revised HUD Form

HUD-50059 HUD-50059-A HUD-52670 HUD-52670-A Part 1 HUD-52670-A Part 2 HUD-52670-A Part 3 HUD-52670-A Part 4 HUD-52670-A Part 5 HUD-91066 HUD-91067 HUD-9887 HUD-9887-A HUD-90100 HUD-90101 HUD-90102 HUD-90103 HUD-90104 HUD-90105-A HUD-90105-B HUD-90105-C HUD-90105-D HUD-90106 HUD-27061-H HUD-52671-A HUD-52671-B HUD-52671-C HUD-52671-D

Yes Yes No Yes No Yes Yes Yes Yes Yes No No No No No No No No No No No No No No No No No

HUD Form Number Approval Date Public Reporting Burden Display Required Yes Yes Yes Yes (1) Yes Yes (1) Yes (1) Yes (1) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

OMB Approval Number Display Required

OMB Expiration Date Display Required

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No No No Yes Yes Yes Yes Yes Yes

No No No No No No No No No No No No No No No No No No No No No No No No No No No

(1) The Public Reporting Burden Display is not required for this form; however, the form displays the following statement "See the statements on the form HUD-52670 for information on public burden".

Revised 01/26/2009

Information

HUD Form Number

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