Housing Counseling Program

Housing Counseling U.S. Department of Housing OMB Approval No.

Session Evaluation and Urban Development (Exp. Xx/xx/xxxx)

Office of Housing

Federal Housing Commissioner

Counseling Agency Name and Address (completed by HUD office)

1. Why were you seeking assistance from the counseling agency? (check all that apply) □ renting a house □ behind in rent payments □looking to rent housing □ current on rent payments □ landlord problem □ being evicted □ employed □ unemployed □ looking to buy housing □ buying some type of housing □ mortgage was current □ mortgage payments were delinquent □ homeowner interested in taking equity out of home 2. Who interviewed you when you first contacted the agency? □ a receptionist □ a counselor 3. Did the person who counseled you do any of the following: (check all that apply) □ helped you develop a plan to meet your housing needs □ suggested that you join a group counseling session □ referred you to other community agencies who could help you □ made recommendations on how to solve your housing problem □ got in touch with your landlord or mortgage company to work out a plan for you to pay back rent or past due mortgage payment □ got in touch with your creditors to work out a payment Plan 4. Was the counseling agency open during hours when it was convenient for you to obtain counseling? 10. b If yes, please indicate who the individual at the 10. b If yes, please indicate who the individual at the agency was and what other capacity that they served in, or what the other service they provided.   □ Yes □ No 11. a. Did anyone at the counseling agency refer you to a specific mortgage lender or broker, builder, real estate agent or broker, attorney, or landlord? □ Yes □ No b. If yes, please indicate who the individual at the counseling agency was, who they referred you to, and what service that referral provided. ____________________________________________ 12. a. Were you encouraged to use a specific mortgage product, for example, one offered by the agency itself or a particular lender or loan program? □ Yes □ No If Yes, please elaborate. If the counselor discussed any specific loan products or features, properties, or other programs, did they also provide information on at least three alternatives? □ Yes □ No

5. Did the counselor complete a budget or financial analysis of your present situation in order to formulate a plan to achieve your goals? □ Yes □ No □ N/A 6. If your counseling session was face-to-face, was the setting in which the counseling was conducted private so that no one could hear your conversation to insure confidentiality? □ Yes □ No 7. If you wanted rental housing, did the counselor discuss HUD rental housing programs (i.e., Section 8 or subsidized) for which you might be eligible? □ Yes □ No 8. a. Did the agency charge you for their services? □ Yes □ No b. If “Yes”, how much was the charge for the counseling service? $__________ c. Did the counseling agency provide you with a fee schedule prior to the counseling session starting? □ Yes □ No 9. Did you participate in any group education sessions? □ Yes □ No 10. a. Was anyone at the agency (or their family members) your builder, real estate agent or broker, mortgage broker, attorney, collection agent for your mortgage lender, creditor, or owner of a property that you sought to rent or purchase? □Yes                                    □ No _________________________________________________ 13. Were you encouraged to purchase or rent a specific property, for example, one that the agency or one of its partners owned? □ Yes □ No □ N/A 14. Did the counselor or anyone employed at the agency offer to purchase a property that you own, or did they refer you to anyone who offered to purchase your property? □ Yes □ No If Yes, please elaborate. 15. If you want further counseling, will you: □ go back to the same agency □ go to another agency If you checked “go to another agency”, please tell us why? _________________________________________________

Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions,

searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency

may not conduct or sponsor, and a person is not required to respond to, a collection information unless that collection displays a valid OMB control number. This information is collected in connection with HUD’s Housing Counseling Program, and will be used by HUD to determine that the grant applicant meets the requirements of the Notice of Funding Availability (NOFA) and to assign points for awarding grant funds on a competitive and equitable basis. The information is required to obtain funding under Section 106 of the Housing and Community Development Act of 1974. The information is considered sensitive and is protected by the Privacy Act which requires the records to be maintained with appropriate administrative, technical and physical safeguards to ensure their security and confidentiality.

form HUD-9908 (XX_2008)

Previous edition is obsolete ref Handbook 7610.1