View Information Collection Request (ICR) Package

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: 2502-0419	ICR Reference No: 202303-2502-009
Status: Active	Previous ICR Reference No: 202001-2502-010
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Multifamily Mortgagee's Application for Insurance Benefits
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/29/2023
	Date Received in OIRA: 08/31/2023
Terms of Clearance: Upon resubmission of this ICR for triannual renewal, the agency will update question 3 to discuss the ability of this form to receive electronic signature and the ability for a respondent to electronically transmit the form back to HUD.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	36 Months From Approved	09/30/2023
Responses	110	0	110
Time Burden (Hours)	110	0	110
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	110	110
Annual Time Burden (Hours)	110	110
Annual Cost Burden (Dollars)	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is an extension of a currently approved collection. There have been changes to the hourly wage rate and the burden statement on the form itself. However, there has been no change to the information being collected.

Annual Cost to Federal Government: $89,188

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. No

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. No

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: Alabama Brumskine 202 402-3472 alabama.j.brumskine@hud.gov

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