APPLICATION FOR COINSURANCE BENEFITS

ICR 198301-2535-020

OMB: 2535-0069

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
145639 Migrated
ICR Details
2535-0069 198301-2535-020
Historical Active 198203-2502-008
HUD/OA
APPLICATION FOR COINSURANCE BENEFITS
Revision 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
05/31/1984 05/31/1984
40 0 0
60 0 0
0 0 0

NECESSARY FOR FILING CLAIM FOR COINSURANCE BENEFITS. DATA ALSO USED T UPDATE DEPARTMENT'S INSURANCE IN-FORCE RECORDS AND TO MAKE APPROPRIATE ADJUSTMENTS TO COINSURANCE RESERVE ACCOUNTS.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR COINSURANCE BENEFITS HUD 4035.1,, 4035.2,, 4035.3

  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 40 0 0 0 40 0
Annual Time Burden (Hours) 60 0 0 0 60 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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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