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This information collection is authorized by Section 511 of the Quality Housing and Work Responsibility Act, which added anew section 5A to the U.S. Housing Act <br />of 1937, as amended, which introduced 5 -Year and Annual PHA Plans, The 5 -Year and Annual PHA plans provide a ready source for interested parties to locate basic <br />PHA policies, rules, and requirements concerning the PHA's operations, programs, and services, and informs HUD, families served by the PHA, and members of the <br />public of the FHA's mission and strategies for serving the needs of low- income and very low- income families. This form is to be used by all PHA types for submission <br />of the 5 -Year and Annual Plans to HUD. Public reporting burden for this information collection is estimated to average 12.68 hours per response, including the time for <br />reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. HUD <br />may not collect this information, and respondents are not required to complete this form, unless it displays a currently valid OMB Control Number. <br />Privacy Act Notice. The United States Department of Housing and Urban Development is authorized to solicit the information requested in this form by virtue of Title <br />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 <br />required to obtain a benefit or to retain a benefit. The information requested does not lend itself to confidentiality <br />Instructions form HUD -50075 <br />Applicability. This form is to be used by all Public Housing Agencies <br />(PHAs) with Fiscal Year beginning April 1, 2008 for the submission of their <br />5 -Year and Annual Plan in accordance with 24 CFR Part 903. The previous <br />version may be used only through April 30, 2008. <br />1.0 PHA Information <br />Include the full PHA name, PHA code, PHA type, and PHA Fiscal Year <br />Beginning (MM /YYYY). <br />2.0 Inventory <br />Under each program, enter the number of Annual Contributions Contract <br />(ACC) Public Housing (PH) and Section 8 units (HCV). <br />3.0 Submission Type <br />Indicate whether this submission is for an Annual and Five Year Plan, Ann.ral <br />Plan only, or 5 -Year Plan only. <br />4.0 PHA Consortia <br />Check box if submitting a Joint PHA Plan and complete the table. <br />5.0 Five -Year Plan <br />Identify the PHA's Mission, Goals and /or Objectives (24 CFR 903.6). <br />Complete only at 5 -Year update. <br />5.1 Mission. A statement of the mission of the public housing agency <br />for serving the needs of low- income, very low-income, and extremely <br />low - income families in the jurisdiction of the PHA during the years <br />covered under the plan. <br />5.2 Goals and Objectives. Identify quantifiable goals and objectives <br />that will enable the PHA to serve the needs of low income, very low - <br />income, and extremely low - income families. <br />6.0 PHA Plan Update. In addition to the items captured in the Plan <br />template, PHAs must have the clements listed below readily available to <br />the public. Additionally, a PHA must: <br />(a) Identify specifically which plan elements have been revised <br />since the PHA's prior plan submission. <br />(b) Identify where the 5 -Year and Annual Plan may be obtained by <br />the public. At a minimum, PHAs must post PHA Plans, <br />including updates, at each Asset Management Project (AMP) <br />and main office or central off ice of the PHA. PHAs are <br />strongly encouraged to post complete PHA Plans on its official <br />website. PHAs are also encouraged to provide each resident <br />council a copy of its 5 -Year and Annual Plan. <br />PHA Plan Elements. (24 CFR 903.7) <br />Eligibility, Selection and Admissions Policies, including <br />Deconcentration and Wait List Procedures. Describe <br />the PHA's policies that govern resident or tenant <br />eligibility, selection and admission including admission <br />preferences for both public housing and HCV and unit <br />assignment policies for public housing; and procedures for <br />maintaining waiting lists for admission to public housing <br />and address any site -based waiting lists. <br />Financial Resources. A statement of financial resources, <br />including a listing by general categories, of the PHA's <br />anticipated resources, such as PHA Operating, Capital and <br />other anticipated Federal resources available to the PHA, <br />as well as tenant rents and other income available to <br />support public housing or tenant -based assistance. The <br />statement also should include the non - Federal sources of <br />funds supporting each Federal program, and state the <br />planned use for the resources. <br />3. Rent Determination. A statement of the policies of the <br />PHA governing rents charged for public housing and HCV <br />dwelling units. <br />4a Operation and Management. A statement of tire rules, <br />standards, and policies of the PHA governing maintenance <br />management of housing owned, assisted, or operated by <br />the public housing agency (which shall. include measures <br />necessary for the prevention or eradication of pest <br />infestation, including cockroaches), and management of <br />the PHA and programs of the PHA. <br />5. Grievance Procedures. A description of the grievance <br />and informal hearing and review procedures that the PHA <br />makes available to its residents and applicants. <br />6. Designated Housing for Elderly and Disabled Families. <br />With respect to public housing projects owned, assisted, or <br />operated by the PHA, describe any projects (or portions <br />thereof), in the upcoming fiscal year, that the PHA has <br />designated or will apply for designation for occupancy by <br />elderly and disabled families. The description shall <br />include the following information: 1) development name <br />and number; 2) designation type; 3) application status; 4) <br />date the designation was approved, submitted, or planned <br />for submission, and; 5) the number of units affected. <br />Community Service and Self- Sufficiency. A description <br />of: (1) Any programs relating to services and amenities <br />provided or offered to assisted families; (2) Any policies <br />or programs of the PHA for the enhancement of the <br />economic and social self - sufficiency of assisted families, <br />including programs under Section 3 and FSS; (3) How the <br />PHA will comply with the requirements of community <br />service and treatment of income changes resulting from <br />welfare program requirements. (Note: applies to only <br />public housing). <br />Safety and Crime Prevention. For public housing only, <br />describe the PHA's plan for safety and crime prevention to <br />ensure the safety of the public housing residents. The <br />statement must. include: (i) A description of the need for <br />measures to ensure the safety of public housing residents; <br />(ii) A description of any crime prevention activities <br />conducted or to be conducted by the PHA; and (iii) A <br />description of the coordination between the PHA and the <br />appropriate police precincts for carrying out mime <br />prevention measures and activities. <br />Pagel oof 3 instructions firma. HUD -50075 (2008) <br />3- <br />