Res 04-02Hil di,I
PHA/IHA Board Resolution
Approving Operating Budgd or Calculation of
Performance Funding System Operating Subsidy
Resolution 04-02H
U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing
OMB Approval No. 2577-0026 (Exp. 06/30/2001)
Public Reporting Burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering 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 o£information unless that collection displays a valid OMB control number.
This information is required by Section 6(c)(4) of the U.S. Housing Act of 1937. The information is the operating budget for the low-income housing program
and provides summary of proposed/budgeted receipts and expenditures, approval of budgeted receipts and expenditures, and justification of certain specified
amounts. HUD reviews the information to determine if the operating plan adopted by the PHA and the amounts are reasonable and that the PHA is in compliance
with procedures perseribed by HUD. Responses are required to obtain benefits. This information does not lend itself to confidentiality.
ACting on behalf of the Board of Commissioners of the below-named Public Housing Agency (PHA)/Indian Housing Authority (IHA),
as its Chairman, ! make the following certifications and agreements to the Department of Housing and Urban Development (HUD)
regarding the Board's approval of (check one or more as applicable):
(date)
Operating Budget Submitted on:
Operating Budget Revision Submitted on:
Calculation of Performance Funding System Submitted on:
Revised Calculation of Performance Funding System Submitted on:
I certify on behalf of the: (PHA/IHA Name) MOUND HOUSING AUTHORITY
that:
1. All regulatory and statutory requirements have been met;
2. The PHA has sufficient operating reserves to meet the working Capital needs of its developments;
3. Proposed budget expenditures are necessary in the efficient and economical operation of the housing for the purpose of serving
low-income residents;
4. ~he budget indicates a source of funds adequate to cover all proposed expenditures:
5. The calculation of eligibility for Federal funding is in accordance with the provisions of the regulations;
6. All proposed rental charges and expenditures will be consistent with provisions of law;
7. The PHA/IHA will comply with the wage rate requirements under 24 CFR 968.110(e) and (f) or 24 CFR 950.120(c) and (d)
8. The PHA/IHA will comply with the requirements for access to records and audits under 24 CFR 968.110(i) or 24 CFR 950.120(g);
and
9. The PHA/IHA will comply with the requirements for the reexamination of family income and composition under 24 CFR 960.209,
990.115 and 950.315.
I herby certi~ that all the information stated within, as well as any information provided in the accompaniment herewith, is true and accurate.
Warning: HUD will prosecute false claims and statements. Conviction mayresult in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012;31 U.S.C. 3729, 3802)
Board Chairman's Name (type)
Pat Meisel
S i~fl~,~ e Date:
~'~ ,'~'~7~,.~ .~ _~) /4/27/200/4
Previous edition is obsolete
form HUD-52574 (10/95)
reft Handbook 7575.1