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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents
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 206
24 CFR 200.95
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HUD-92902
Certificate of HECM Counseling
HUD-92902.doc
Yes
Yes
Fillable Fileable
Form
HUD-92901
HECM Anti Churning Disclosure
92901 Anti Churning.pdf
Yes
No
Fillable Printable
Form
FANNIE-MAE-1009
Residential Loan Application for Reverse Mortgages
fnma1009.pdf
Yes
No
Fillable Printable
Form
HUD-92900-A
HUD-VA Addendum to Uniform Residential Loan Application
92900-a.pdf
Yes
No
Fillable Printable
Form
fnma-1003
Uniform Residential Loan Application
1003.pdf
Yes
No
Fillable Printable
Form
fnma-1004
Uniform Residential Appraisal Report
1004.pdf
Yes
No
Fillable Printable
Form
fnma-1004c
Manufactured Home Appraisal Report
1004c.pdf
Yes
No
Fillable Printable
Form
fnma-1025
Small Residential Income Property Appraisal Report
1025.pdf
Yes
No
Fillable Printable
Form
HUD-92051
Compliance Inspection Report
92051.pdf
Yes
No
Fillable Printable
Form
HUD-92561
Borrows Contract with Respect to Hotel and Transient Use of Property
92561.pdf
Yes
No
Fillable Printable
Form
HUD-92800-5b
Conditional Commitment Direct Endorsement Statement of Appraised Value
92800-5b.pdf
Yes
No
Fillable Printable
Form
HUD-1
Settlement Statement
HUD-1.pdf
Yes
No
Fillable Printable
Form
HUD-1a
Settlement Statement Optional for Transactions Without Sellers
HUD-1a.pdf
Yes
No
Fillable Printable
Form and Instruction
Fannie Mae 1073
Fannie Mae 1073
1073.pdf
No
Fillable Printable
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:
1,100
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
50 %
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
100,000
0
-29,000
0
0
129,000
Annual IC Time Burden (Hours)
450,235
0
0
0
0
450,235
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Authorization to Establish PAD Account
AUTHORIZATION TO ESTABLISH A PAD ACCOUNT.doc
09/26/2007
Condominium Rider
CONDOMINIUM RIDER.doc
09/26/2007
Home Equity Conversion Loan Agreement
HOME EQUITY CONVERSION LOAN AGREEMENT.doc
09/26/2007
Model Adjustable Rate Note Form
MODEL ADJUSTABLE RATE NOTE FORM.doc
09/26/2007
Notice to the Borrower
NOTICE TO THE BORROWER.doc
09/26/2007
Periodic Disclosure of Interest Rate Change
Periodic Disclosure of Interest Rate Change.doc
09/26/2007
Planned Unit Development Rider
PLANNED UNIT DEVELOPMENT RIDER.doc
09/26/2007
Model Fixed Rate Second Note Form
MODEL FIXED RATE SECOND NOTE FORM.doc
09/26/2007
Repair Rider
REPAIR RIDER.doc
09/26/2007
Shared Appreciation Rider
SHARED APPRECIATION RIDER.doc
09/26/2007
Home Equity Conversion Mortgage Payment Play
HOME EQUITY CONVERSION MORTGAGE PAYMENT PLAN.doc
09/26/2007
Model Second Mortgage Form
MODEL SECOND MORTGAGE FORM.doc
09/26/2007
Model Adjustable Rate Second Note Form
MODEL ADJUSTABLE RATE SECOND NOTE FORM.doc
09/26/2007
Model Fixed Rate Note Form
MODEL FIXED RATE NOTE FORM.doc
09/26/2007
Model Mortgage Form
MODEL MORTGAGE FORM.doc
09/26/2007
Model Fixed Rate Second Note Form
MODEL FIXED RATE SECOND NOTE FORM.doc
09/26/2007
Shared Appreciation Allonge
SHARED APPRECIATION ALLONGE.doc
09/26/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.