FISCAL DATA TO SUPPORT CLAIM FOR INSURANCE BENEFITS

ICR 198301-2535-009

OMB: 2535-0058

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
145611 Migrated
ICR Details
2535-0058 198301-2535-009
Historical Active 198206-2502-005
HUD/OA
FISCAL DATA TO SUPPORT CLAIM FOR INSURANCE BENEFITS
Extension without change of a currently approved collection   No
Regular
Approved without change 01/20/1983
Retrieve Notice of Action (NOA) 01/20/1983
  Inventory as of this Action Requested Previously Approved
06/30/1985 06/30/1985
25,000 0 0
15,000 0 0
0 0 0

THIS IS ONE OF THE BASIC CLAIM DOCUMENTS AND PROVIDES THE DEPARTMENT WITH THE FISCAL DATA NECESSARY TO COMPUTE THE AMOUNT OF INSURANCE BENEFITS TO BE PAID TO THE MORTGAGEE.

None
None


No

1
IC Title Form No. Form Name
FISCAL DATA TO SUPPORT CLAIM FOR INSURANCE BENEFITS HUD 2767

  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 25,000 0 0 4,167 20,833 0
Annual Time Burden (Hours) 15,000 0 0 2,500 12,500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/20/1983


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