Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2502-0429	ICR Reference No: 201704-2502-006
Status: Historical Active	Previous ICR Reference No: 201310-2502-012
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Single Family Application for Insurance Benefits
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/14/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/27/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved
Responses	1,198,171	0	0
Time Burden (Hours)	1,086,583	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,198,171	110,258	1,087,913
Annual Time Burden (Hours)	1,086,583	-260,966	1,347,549
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a revision of a currently approved information collection. The HUD forms previously listed on this collection have been updated with new figures to represent the Department’s current claims activity. The number of respondents has also increased in addition to existing respondents becoming more active. With this increases, this OMB collection results in a slight increase associated with responses and annual costs. As a result of technological advances as forms HUD-27011 and HUD-50002 are submitted electronically via FHA Connection or P260 with obsolete form HUD-91022 and paper form HUD-50012 no longer is use, this OMB collection results in a decrease that reduces the annual burden hours.

Annual Cost to Federal Government: $323,018

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Venida Brown 202 708-0614 ext. 2456