Form Hud-50075 - Year And Annual Plan - U.s. Department Of Housing And Urban Development
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5U.S. Department of Housing and Urban
OMB No. 2577-0226
PHA 5-Year and
Development
Expires 4/30/2011
Annual Plan
Office of Public and Indian Housing
1.0
PHA Information
PHA Name: _____________________________________________________________________ PHA Code: _______________
PHA Type:
Small
High Performing
Standard
HCV (Section 8)
PHA Fiscal Year Beginning: (MM/YYYY): ______________
2.0
Inventory (based on ACC units at time of FY beginning in 1.0 above)
Number of PH units: _________________
Number of HCV units: _____________
3.0
Submission Type
5-Year and Annual Plan
Annual Plan Only
5-Year Plan Only
4.0
PHA Consortia
PHA Consortia: (Check box if submitting a joint Plan and complete table below.)
No. of Units in Each
PHA
Program(s) Included in the
Programs Not in the
Program
Participating PHAs
Code
Consortia
Consortia
PH
HCV
PHA 1:
PHA 2:
PHA 3:
5.0
5-Year Plan. Complete items 5.1 and 5.2 only at 5-Year Plan update.
5.1
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:
5.2
Goals and Objectives. Identify the PHA’s quantifiable goals and objectives that will enable the PHA to serve the needs of low-income and very
low-income, and extremely low-income families for the next five years. Include a report on the progress the PHA has made in meeting the goals
and objectives described in the previous 5-Year Plan.
6.0
PHA Plan Update
(a) Identify all PHA Plan elements that have been revised by the PHA since its last Annual Plan submission:
(b) Identify the specific location(s) where the public may obtain copies of the 5-Year and Annual PHA Plan. For a complete list of PHA Plan
elements, see Section 6.0 of the instructions.
7.0
Hope VI, Mixed Finance Modernization or Development, Demolition and/or Disposition, Conversion of Public Housing, Homeownership
Programs, and Project-based Vouchers. Include statements related to these programs as applicable.
8.0
Capital Improvements. Please complete Parts 8.1 through 8.3, as applicable.
Capital Fund Program Annual Statement/Performance and Evaluation Report. As part of the PHA 5-Year and Annual Plan, annually
8.1
complete and submit the Capital Fund Program Annual Statement/Performance and Evaluation Report, form HUD-50075.1, for each current and
open CFP grant and CFFP financing.
Capital Fund Program Five-Year Action Plan. As part of the submission of the Annual Plan, PHAs must complete and submit the Capital Fund
8.2
Program Five-Year Action Plan, form HUD-50075.2, and subsequent annual updates (on a rolling basis, e.g., drop current year, and add latest year
for a five year period). Large capital items must be included in the Five-Year Action Plan.
8.3
Capital Fund Financing Program (CFFP).
Check if the PHA proposes to use any portion of its Capital Fund Program (CFP)/Replacement Housing Factor (RHF) to repay debt incurred to
finance capital improvements.
______________________________________________________________________________
Page 1 of 2
form HUD-50075 (4/2008)
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