Single Family Application for Insurance Benefits

Forms and Documents

Document Name	Status
Form HUD 91022 Single Family Application for Insurance Benefits Form and Instruction	Modified
30 Day FR.pdf Supplementary Document	2017-07-12
2502-0429 IPA 20161221.docx Supplementary Document	2017-06-23
2502-0429 60-Day Notice.docx Supplementary Document	2017-06-23
24 CFR 203.pdf Supplementary Document	2017-06-23
2502-0429 SupportingStatement - F.docx Supporting Statement A	2017-07-27

IC Document Collections

IC ID	Document Title	Status
42065	Single Family Application for Insurance Benefits Form and Instruction	Modified

ICR Details

OMB Control No: 2502-0429	ICR Reference No: 201704-2502-006
Status: Active	Previous ICR Reference No: 201310-2502-012
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Single Family Application for Insurance Benefits
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/14/2017
	Date Received in OIRA: 07/27/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved
Responses	1,198,171	0	0
Time Burden (Hours)	1,086,583	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is used to provide HUD the information needed to process and pay claims on defaulted FHA-insured home mortgage loans.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 8200	01/24/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 32007	07/11/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Single Family Application for Insurance Benefits	HUD 91022, HUD 50012, HUD 09539, HUD 50002, HUD 27011, HUD-9519a	Mortgagee Notice of Foreclosure ,   Mortgagee's Request fo Extension of Time Requirments ,   Claim for Insurance Benefits ,   Request to Exceed Cost Limits for Preservaiton and Protection ,   Request for Occupied Conveyance ,   Property Inspection Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,198,171	0	0	110,258	0	1,087,913
Annual Time Burden (Hours)	1,086,583	0	0	-260,966	0	1,347,549
Annual Cost Burden (Dollars)	0	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a revision of a currently approved information collection. The HUD forms previously listed on this collection have been updated with new figures to represent the Department’s current claims activity. The number of respondents has also increased in addition to existing respondents becoming more active. With this increases, this OMB collection results in a slight increase associated with responses and annual costs. As a result of technological advances as forms HUD-27011 and HUD-50002 are submitted electronically via FHA Connection or P260 with obsolete form HUD-91022 and paper form HUD-50012 no longer is use, this OMB collection results in a decrease that reduces the annual burden hours.

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Annual Cost to Federal Government: $323,018

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? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/27/2017

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