Public reporting burden for this collection of information is estimated to average 1.5 hours 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 of information unless that collection displays a valid OMB control number.__$VVXUDQFHV_
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Privacy Act Statement. The Department of Housing and Urban Development (HUD) is authorized to collect the information required on this form by Section 8
of the U.S. Housing Act of 1937 (42 U.S.C. 1437f). Collection of family name and address is mandatory. The information is used to establish a utility allowance
schedule for all utilities and other services used to determine the family’s monthly housing assistance payment and family share. HUD will use this information
to ensure that the costs are reasonable. HUD may disclose this information to Federal, State and local agencies when relevant to civil, criminal, or regulatory
investigations and prosecutions. It will not be otherwise disclosed or released outside of HUD, except as permitted or required by law. Failure to provide any of
the information may result in delay or rejection of Housing Assistance Payment contract.
This collection of information is authorized under S ection 8 of t he U.S. Housing Act of _937 (42 U.S.C. 1437f ). The information is used t o establish a utility
allowance schedule for all utilities and o ther services used to determine the family's monthly housing assistance payment and rental payment. HUD will use
this information to ensure that the costs are reasonable.
Instructions for Form HUD-52667, Allowances For
Tenant Furnished Utilities and Other Services
Form HUD -52667 shall b e c ompleted by a H A f or each different
type of unit as explained below. Each form shall be reproduced by
the H A and gi ven t o f amilies w ith t heir C ertificate or V oucher or
subsequently i n c onnection w ith any r evisions. T he f orm w ill
provide the family, while shopping for a unit, with the amount of the
allowances for various types of units for rent. With these
allowances t he f amily c an c ompare gr oss r ents and fair m arket
rents. Form HUD-52667 shall also be used by the HA to record the
actual allowance for each family.
Level of Allowance: Utilities and other services are included in
gross r ent, and w hen t hey ar e n ot f urnished by t he owner, a n
allowance must be pr ovided t o t he family. A llowances must b e
adequate for all utilities and services not provided by the owner that
were included in the fair market rent. The utility allowance schedule
is ba sed on the typical cost of utilities and services paid by
energy-conservative households that occupy housing of
similar size and type in the same locality. I n dev eloping t he
schedule, the HA must use normal patterns of consumption for the
community a s a w hole a nd current utility r ates. A llowances m ust
not be based on energy consumption or costs above average or
below average income families. The objective shall be t o establish
allowances bas ed on ac tual rates and average c onsumption
estimates and should allow the majority of participating families an
allowance that is adequate to cover expected average utility costs
and other services over a 12-month period.
Determining Allowances:
a. In general, HAs shall use to the extent possible local sources
of i nformation on t he cost of ut ilities and services. T he
following local sources should be contacted:
(1) Electric utility suppliers.
(2) Natural gas utility suppliers.
(3) Water and sewer suppliers.
(4) Fuel oil and bottle gas suppliers.
(5) Public service commissions.
(6) Real estate and property management firms.
(7) State and local agencies.
(8) Appliance sales or leasing firms.
Previous editions are obsolete Page 2 of 3
b. Recently ad opted utility al lowance s chedules f rom nei ghboring
HAs with essentially the same type of housing stock should also
be examined. In most cases fuel or utilities rates normally will not
vary appreciably in neighboring communities and where data is
not available in s mall communities’ allowances for l arger nearby
communities may be us ed. Where local sources are inadequate,
the H A m ay c onsult t he national a verage c onsumption d ata
provided in Table 1 an d make appropriate adjustments to reflect
local conditions.
c. The H A m ust es tablish s eparate heat ing an d c ooling
allowances f or the v arious types o f ex isting h ousing in t he
locality w ith t he s ame nu mber of bedr ooms. D epending o n
local housing stock, utility allowances must be established for
the f ollowing un it t ypes: detached ho uses, duplexes, r ow or
townhouses, garden and high rise apartments and
manufactured homes. In addition to establishing different
heating and cooling al lowances f or v arious t ypes of
structures, at tention should b e gi ven t o different allowances
for w ater de pending on whether f amilies w ill hav e
responsibilities for lawn care.
d. The dat a t o be s olicited f rom the l ocal s ources shown ab ove
should be as close as possible in form and detail to the format of
form HUD -52667. I f pos sible, all c onsumption dat a s hould b e
obtained for each unit size and type. If data is available only for
an aver age u nit s ize ( 2.5 bedr ooms), m ultiply the ut ilities costs
for the average unit by the following factors:
Example: N atural ga s hea ting c ost f or av erage sized un it i s
$18.00 per month. The allowance for a 4-bedroom unit will be
1.4 X $18.00 = $25.00 (rounded to nearest dollar).
Air Conditioning: A llowances f or ai r conditioning m ust be
established only for communities where the majority of units in the
market provide centrally air conditioned units or appropriate wiring
for tenant installed A/C units.
form HUD-52667 (04/15)
ref. Handbook 7420.8
