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: 202401-2502-004
Status: Active	Previous ICR Reference No: 202005-2502-005
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Single Family Application for Insurance Benefits
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/28/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/18/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2027	36 Months From Approved	02/29/2024
Responses	10,062,965	0	1,125,455
Time Burden (Hours)	1,885,241	0	933,416
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	10,062,965	1,125,455	8,937,510
Annual Time Burden (Hours)	1,885,241	933,416	951,825
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: No

Burden Reduction Due to:

Short Statement: This is a revision of a currently approved information collection. The collection of information has been updated with new figures to represent the Department’s current claims activity. As a result of this activity, an increase in the number of respondents and annual burden hours occurred, decrease in the number of responses, particularly since most claims are filed electronically. The reporting of the HUD-27011 for the HECM loans has previously been captured on OMB Control Number 2502-0611, but is being incorporated into this collection as it a claim process and more closely aligns with this collection. Four forms were updated as indicated with the following minor edits and the HUD-9519-A is being retired. Form Number Minor Edits

Annual Cost to Federal Government: $247,156

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? No

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