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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Single Family Application for Insurance Benefits
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
24 CFR 203.377 - 379
24 CFR 203.381, 382
24 CFR 203.670 - 681
24 CFR 203.402, 414
24 CFR 203.362 - 365
24 CFR 203.350, 355, 357, 359, 360
24 CFR 203.368 - 371
24 CFR 203.389
24 CFR 206.123, 125, 127, 129
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
HUD 91022
Mortgagee Notice of Foreclosure
91022.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 50012
Mortgagee's Request fo Extension of Time Requirments
50012.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 27011
Claim for Insurance Benefits
HUD-27011 (5-11-17).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 50002
Request to Exceed Cost Limits for Preservaiton and Protection
50002.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD 09539
Request for Occupied Conveyance
9539.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-9519a
Property Inspection Report
9519a.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Homeownership Promotion
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
357
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
94 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,198,171
0
110,258
0
1,087,913
0
Annual IC Time Burden (Hours)
1,086,583
0
-260,966
0
1,347,549
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.