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Single Family Application for Insurance Benefits
Single Family Application for Insurance Benefits
OMB: 2502-0429
IC ID: 42065
OMB.report
HUD/OH
OMB 2502-0429
ICR 200611-2502-004
IC 42065
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0429 can be found here:
2024-01-18 - Revision of a currently approved collection
2020-09-29 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form HUD-27011, Parts A
Single Family Application for Insurance Benefits
Form and Instruction
HUD-27011, Parts A Single Family Application for Insurance Benefits
27011-REV_.pdf
Form and Instruction
HUD-50002 Request to Exceed Cost Limits for Preservation and Prote
50002.pdf
Form and Instruction
Information Collection (IC) Details
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 203.402(g)(1)
24 CFR 203.402(g)(2)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
HUD-27011, Parts A,B,C,D &E
Single Family Application for Insurance Benefits
27011-REV_.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-50002
Request to Exceed Cost Limits for Preservation and Protection
50002.pdf
Yes
Yes
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:
275
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
75 %
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
281,150
0
0
0
0
281,150
Annual IC Time Burden (Hours)
338,641
0
1,200
0
0
337,441
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.