Information Collection

Single Family Application For Insurance Benefits (form Hud-27011)

IC 145708 under ICR 198408-2535-002 · OMB 2535-0093.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	SINGLE FAMILY APPLICATION FOR INSURANCE BENEFITS (FORM HUD-27011)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HUD 27011	No	No
Form	PARTS A, B	No	No
Form	C, D, AND E	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	7,040	7,040
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.