Information Collection

Application For Coinsurance Benefits (multifamily)-state Agencies

IC 145641 under ICR 198504-2535-002 · OMB 2535-0070.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2535-0070 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

APPLICATION FOR COINSURANCE BENEFITS (MULTIFAMILY)-STATE AGENCIES

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HUD-426,	No	No
Form	426A, 426.1	No	No
Form	& 427	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15	-52	67
Annual IC Time Burden (Hours)	30	-104	134
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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