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Energy Efficient Single Family (Electric)

Allowances for Tenant Furnished Utilities and other Services

U.S. Department of Housing and Urban Development Office of Public and Indian Housing

OMB Approval No. 2577-0169

Locality: Housing Authority of the City of Long Beach, CA
Unit Type: Detached House IECC Code Compliant
Effective: October 15, 2016

Utility or ServiceMonthly Dollar Allowances
   0 BR1 BR2 BR3 BR4 BR5 BR
Heatinga.Natural Gas       
 b.Bottle Gas/Propane      
 c.Electric$4.00$4.00$4.00$4.00$5.00$8.00
 d.Oil / Other      
Cookinga.Natural Gas       
 b.Bottle Gas/Propane      
 c.Electric      
Other Electric (Lights & Appliances)$19.00$25.00$34.00$35.00$46.00$49.00
Air Conditioning$4.00$6.00$7.00$8.00$11.00$12.00
Water Heatinga.Natural Gas       
 b.Bottle Gas/Propane      
 c.Electric$10.00$19.00$23.00$27.00$31.00$38.00
 d.Oil / Other      
Water $24.00$24.00$29.00$38.00$43.00$53.00
Sewer $10.00$10.00$10.00$12.00$12.00$13.00
Trash Collection$24.00$24.00$24.00$24.00$24.00$24.00
Range / Microwave Tenant-purchasing/leasing$12.00$12.00$12.00$12.00$12.00$12.00
Refrigerator Tenant-purchasing/leasing$13.00$13.00$13.00$13.00$13.00$13.00
Other--specify:Monthly Electric Fee $0.71($6.00)($6.00)($6.00)($6.00)($6.00)($6.00)
Actual Family Allowances
To be used by the family to compute allowance. Complete below for the actual unit rented.
General Unit InformationUtility or Serviceper month cost
Name of Family  
Address of Unit  
Number of Bedrooms  
Heating$
Cooking$
Other Electric$
Air Conditioning$
Water Heating$
Water$
Sewer$
Trash Collection$
Range / Microwave$
Refrigerator$
Other$
Other$
Total$